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Patient Visits Research Paper

¶ … older patients over the age of 80 due to complications in health such as dementia and depressive symptoms, do not go for additional follow-ups. Yes, the authors explain repeated in person visits help better identify risk factors. There is no obvious research question however they do highlight the use of a study to confirm the hypothesis of whether or not repeated in person follow-ups help with problems experienced as patient's age. "We hypothesized that the type of visit would be related to key demographic, lifestyle, health and function characteristics and that the oldest aged participants would have the poorest retention for in-person visits, particularly clinic visits" (Strotmeyer et al., 2010, p. 697). This is a directional hypothesis because the retention rates are directly associated with increase in age. It is a simple hypothesis because it directly states a cause and effect. The hypothesis was tested and it revealed in-home visits could help with retention of follow-ups for older patients. There was an intervention in the study. "All annual contacts through 1999 (N=43,772) and for the 2005 -- 06 visit (N=1942)" (Strotmeyer et al., 2010, p. 696). It is a longitudinal epidemiologic...

The design of the research goal is appropriate because it measures how the improvement of specific kinds of visits affects the retention rates of patients from a certain age group. I don't think there would have been a more appropriate design. They followed protocol and did what would be acceptable. No such power analysis procedure was used to determine whether or not sample size was large enough. The implication is the sample size is not measured or the authors or not concerned with determining if sample size was large enough. Sample size was in the thousands so that would indicate it was big enough.
"(N=5888; aged 65 -- 100 years at 1989 -- 90 or 1992 -- 93 enrollment; 58% women; 16% black) were contacted every 6 months, with annual assessments through 1999 and in 2005 -- 06 for the All Stars Study visit of the CHS cohort (aged 77 -- 102 years; 67% women; 17% black)" (Strotmeyer et al., 2010, p. 696). They explained the amount of patient in regards to gender, age, and race, correlate with that of the general population in the United States. The sampling criteria states most of the population with regards to aging and follow-ups will be white and female with around…

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Strotmeyer, E.S., Arnold, A.M., Boudreau, R.M., Ives, D.G., Cushman, M., Robbins, J.A., Newman, A.B. (2010). Long-Term Retention of Older Adults in the Cardiovascular Health Study: Implications for Studies of the Oldest Old. Journal of The American Geriatrics Society, 58(4), 696-701. doi:10.1111/j.1532-5415.2010.02770.x
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