Cited by 264Aging and Gerontology ResearchObesity and Health PracticesPatient-Provider Communication in Healthcare

The DOI matches its Crossref record; 104 of the 106 references it cites were found in a registry or an index.

Ageism in the Health Care System: Providers, Patients, and Systems

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Wyman, Mary F., Shiovitz-Ezra, Sharon, Bengel, Jürgen·2018·International Perspectives on Aging

Abstract

Older adults are major consumers of health care. Within the context of an ageing society, their presence in the health care system will continue to grow. Ageist stereotypes and discrimination against older adults have an impact on the health and well-being of older citizens and are potential barriers to health equality. This chapter addresses ageism at different levels of the health care setting with a review of empirical research and health care policy. At the micro (personal) level, manifestations of ageism include attitudes toward older adults among physicians, nurses, and other health care professionals. Ageist communication styles used with older patients, age-biased clinical decision-making regarding diagnostics and treatments, and self-directed ageism in older patients are also discussed. Macro-level (institutional or structural) aspects of ageism are then examined, as reflected in health care reimbursement structures, participation of older adults in clinical trials, institutional policies governing care, and the lack of emphasis on geriatric-specific training for health care professionals. The chapter closes with an integration of the findings and a discussion of the challenges in identifying and reducing ageism in this setting. Conclusions are drawn and recommendations for future research and practice are made.

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Research works printed but not linked: 4

  1. Gawande, A. (2014). Being mortal. London: Profile Books, Wellcome Collection.
  2. International Longevity Center. (2006). Ageism in America. New York: International Longevity Center.
  3. Lievesley, N. (2009). Ageism and age discrimination in secondary health care in the United Kingdom: A review from the literature. London: Centre for Policy on Aging Department of Health.
  4. World Health Organization. (2008). Global burden of disease: 2004 update. Geneva: World Health Organization.

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Metadata

Authors
Wyman, M. F., Shiovitz-Ezra, S., & Bengel, J.
Affiliations
  • University of Wisconsin–Madison (US)
  • University of Freiburg (DE)
Corresponding author
Wyman, Mary F.
Venue
International Perspectives on Aging
Published
2018
Pages
193-212
ISSN
  • 2197-5841 (ISSN-L)
  • 2197-585X
OpenAlex
W2804527861
Cited by
263
References
106
Citations by year
2026: 25 · 2025: 37 · 2024: 35 · 2023: 36 · 2022: 44 · 2021: 41 · 2020: 29 · 2019: 10 · 2018: 5
FWCI
57.21
Type
book chapter
Language
en
Open access
Locations
International perspectives on aging (publishedVersion, cc-by)
Topics
  • Social Sciences › Psychology › Developmental and Educational Psychology › Aging and Gerontology Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords
ageism, ageism in healthcare, older adults, ageist stereotypes, age discrimination, health care reimbursement, clinical trials in older adults, geriatric training, health equality, health policy

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