Featured Publications
Decision Making for Older Adults With Multiple Chronic Conditions: Executive Summary for the American Geriatrics Society Guiding Principles on the Care of Older Adults With Multimorbidity
Boyd C, Smith CD, Masoudi FA, Blaum CS, Dodson JA, Green AR, Kelley A, Matlock D, Ouellet J, Rich MW, Schoenborn NL, Tinetti ME. Decision Making for Older Adults With Multiple Chronic Conditions: Executive Summary for the American Geriatrics Society Guiding Principles on the Care of Older Adults With Multimorbidity. Journal Of The American Geriatrics Society 2019, 67: 665-673. PMID: 30663782, DOI: 10.1111/jgs.15809.Peer-Reviewed Original ResearchConceptsMultiple chronic conditionsPatients' health prioritiesHealth priorityAmerican Geriatrics SocietyOlder adultsChronic conditionsSpecialty careGeriatrics SocietySystematic reviewHealth trajectoriesOlder peopleAction stepsCareAdultsMultimorbidityCliniciansCommunication scriptsExecutive summaryHealthPotential benefitsAlign decisionsPatientsReviewGeriatriciansCardiologists
2024
Challenges in Health Care for Persons With Multiple Chronic Conditions—Where to Go and How to Get There?
Ouellet G, Ouellet J, Tinetti M. Challenges in Health Care for Persons With Multiple Chronic Conditions—Where to Go and How to Get There? JAMA Network Open 2024, 7: e2439837. PMID: 39418026, DOI: 10.1001/jamanetworkopen.2024.39837.Peer-Reviewed Original Research“What Matters” in the Emergency Department
Chera T, Tinetti M, Travers J, Galske J, Venkatesh A, Southerland L, Dresden S, McQuown C, Gettel C. “What Matters” in the Emergency Department. Medical Care 2024, 62: s50-s56. PMID: 39514495, PMCID: PMC11548826, DOI: 10.1097/mlr.0000000000002053.Peer-Reviewed Original ResearchConceptsOlder adultsEmergency departmentEmergency careED visitsAssociated with meetingAssociated with older adultsEnd-of-lifeFollow-upPatient characteristicsMultivariate logistic regression modelCare of oneselfLogistic regression modelsFollow-up interviewsMulticenter prospective observational studyHealthcare settingsED encountersFunctional independenceProspective observational studySecondary analysisSymptom identificationAssess concernsSecondary outcomesPrimary outcomeCareObservational studyPatient Priorities Care: Priorities Aligned Decision Making for Persons with Multiple Chronic Conditions
Ouellet J, Samper-Ternent R, Tinetti M, Bonds Johnson K, Mecca M. Patient Priorities Care: Priorities Aligned Decision Making for Persons with Multiple Chronic Conditions. 2024, 353-358. DOI: 10.1007/978-3-031-56204-4_37.ChaptersMultiple chronic conditionsChronic conditionsOlder adultsHealth outcome goalsSelf-management tasksFragmented careGuideline-recommended treatmentSpecialist visitsDisease-basedCombination of medicationsOutcome goalsSilo approachAdultsDecision-makingDiagnostic testsCareClinical trialsHealthVisitsCliniciansHarmMedicationPersonsRecommendationsOne Size Fits All—An Underappreciated Health Inequity
Tinetti M, Hladek M, Ejem D. One Size Fits All—An Underappreciated Health Inequity. JAMA Internal Medicine 2024, 184: 7-8. PMID: 37983054, DOI: 10.1001/jamainternmed.2023.6035.Peer-Reviewed Original Research
2019
IMPLEMENTATION OF PATIENT PRIORITIES CARE WITHIN A VA GERIATRICS CLINIC
Freytag J, Dindo L, Catic A, Naik A, Tinetti M. IMPLEMENTATION OF PATIENT PRIORITIES CARE WITHIN A VA GERIATRICS CLINIC. Innovation In Aging 2019, 3: s774-s774. PMCID: PMC6846413, DOI: 10.1093/geroni/igz038.2844.Peer-Reviewed Original ResearchPatient Priorities CareMultiple chronic conditionsGeriatric clinicPatient prioritiesUsual careOlder adultsSingle disease guidelinesRetrospective cohort studySelf-care recommendationsMore recommendationsUC patientsCohort studyPrimary clinicianChronic conditionsMedical recordsMultimorbid adultsSame clinicianCare workflowClinicCliniciansPatientsWay cliniciansCareMedicationsPriority careChallenges and strategies in patients’ health priorities-aligned decision-making for older adults with multiple chronic conditions
Tinetti M, Dindo L, Smith CD, Blaum C, Costello D, Ouellet G, Rosen J, Hernandez-Bigos K, Geda M, Naik A. Challenges and strategies in patients’ health priorities-aligned decision-making for older adults with multiple chronic conditions. PLOS ONE 2019, 14: e0218249. PMID: 31181117, PMCID: PMC6557523, DOI: 10.1371/journal.pone.0218249.Peer-Reviewed Original ResearchConceptsPatients' health prioritiesMultiple chronic conditionsHealth priorityChronic conditionsPatient prioritiesPatient Priorities CarePrimary care cliniciansCare of patientsCare cliniciansPrimary carePatient outcomesCardiology practicePatientsCare optionsCare PilotCliniciansOlder adultsSerial trialsCarePriority careImplementation teamQualitative studyMultiple conditionsAdditional settingsMultiplicity of problems
2016
Patient Priority–Directed Decision Making and Care for Older Adults with Multiple Chronic Conditions
Tinetti ME, Esterson J, Ferris R, Posner P, Blaum CS. Patient Priority–Directed Decision Making and Care for Older Adults with Multiple Chronic Conditions. Clinics In Geriatric Medicine 2016, 32: 261-275. PMID: 27113145, DOI: 10.1016/j.cger.2016.01.012.Peer-Reviewed Original Research
2001
The Design and Implementation of a Restorative Care Model for Home Care
Baker D, Gottschalk M, Eng C, Weber S, Tinetti M. The Design and Implementation of a Restorative Care Model for Home Care. The Gerontologist 2001, 41: 257-263. PMID: 11327492, DOI: 10.1093/geront/41.2.257.Peer-Reviewed Original ResearchConceptsFunctional outcomeOlder adultsAcute disease processHome careMultidisciplinary work groupHome health aidesHome-based careOlder patientsChronic disabilityPractice patternsHome care agenciesCare modelPatient progressRehabilitative interventionsDisease processMedical treatmentHealth aidesFunctional independenceCareCare agenciesPersonal careAdultsOutcomesPatientsWork groups
1999
Older persons' preferences for site of terminal care.
Fried T, Doorn C, O'Leary J, Tinetti M, Drickamer M. Older persons' preferences for site of terminal care. Annals Of Internal Medicine 1999, 131: 109-12. PMID: 10419426, DOI: 10.7326/0003-4819-131-2-199907200-00006.Peer-Reviewed Original ResearchConceptsTerminal careOlder persons' preferencesCommunity-dwelling persons 65 yearsChronic obstructive pulmonary diseaseCongestive heart failureObstructive pulmonary diseasePersons 65 yearsSite of careLong-term care needsCare of disabilitiesFamily membersNonterminal illnessHeart failurePulmonary diseaseQuantitative interviewsPatient preferencesLife careCare needsNursing homesQualitative interviewsTerminal illnessParticipants' homesOlder personsHospitalCareGoal-setting in clinical medicine
Bradley E, Bogardus S, Tinetti M, Inouye S. Goal-setting in clinical medicine. Social Science & Medicine 1999, 49: 267-278. PMID: 10414834, DOI: 10.1016/s0277-9536(99)00107-0.Peer-Reviewed Original Research
1998
A Taxonomy for Goal Setting in the Care of Persons with Dementia
T. B, Bradley E, Tinetti M. A Taxonomy for Goal Setting in the Care of Persons with Dementia. Journal Of General Internal Medicine 1998, 13: 675-680. PMID: 9798814, PMCID: PMC1500896, DOI: 10.1046/j.1525-1497.1998.00203.x.Peer-Reviewed Original ResearchConceptsPrimary family caregiversCare of personsFamily caregiversCase managersLarge academic medical centerPhysicians of patientsGoals of careAcademic medical centerGoal-setting processGeriatric assessmentConsecutive patientsMedical CenterNegotiation of goalsPatientsPatient careCareCaregiversDementiaConstant comparative methodPhysiciansKey informant interviewsReported goalsQualitative studyOpen-ended interviewsMain measurementsOlder Persons’ Preferences for Site of Treatment in Acute Illness. ANNOUNCEMENT
Fried T, Van Doorn C, Tinetti M, Drickamer M. Older Persons’ Preferences for Site of Treatment in Acute Illness. ANNOUNCEMENT. Journal Of General Internal Medicine 1998, 13: 522-527. PMID: 9734788, PMCID: PMC1496998, DOI: 10.1046/j.1525-1497.1998.00162.x.Peer-Reviewed Original ResearchConceptsAcute illnessHome care servicesHome treatmentHome careCare servicesChronic obstructive pulmonary diseaseCongestive heart failureObstructive pulmonary diseaseProcess of careLower intensity servicesSite of treatmentOlder persons' preferencesPersons age 65Health care systemHeart failurePulmonary diseasePatient preferencesHospital careMedical careAge 65Older personsHospitalIllness experienceCare systemCare
1988
Identifying Mobility Dysfunctions in Elderly Patients: Standard Neuromuscular Examination or Direct Assessment?
Tinetti M, Ginter S. Identifying Mobility Dysfunctions in Elderly Patients: Standard Neuromuscular Examination or Direct Assessment? JAMA 1988, 259: 1190-1193. DOI: 10.1001/jama.1988.03720080024022.Peer-Reviewed Original ResearchNeuromuscular findingsElderly patientsNeuromuscular examinationKnee flexionNeuromuscular abnormalitiesFunctional mobilityClinical careMobility dysfunctionHip flexionMobility problemsElderly personsPatientsFlexionExaminationSubjectsSimple assessmentFindingsDirect assessmentManeuversDysfunctionAbnormalitiesCliniciansHipCare