Biomedical subjects

Gail Wagnild

Publications and source records attributed to Gail Wagnild.

3 recordsLinked to original sources

PubMed2006

Psychiatrists' satisfaction with telepsychiatry.

The purpose of this evaluation study was to learn more about psychiatrists' satisfaction with telepsychiatry. Telepsychiatry will succeed only if psychiatrists are satisfied with this service delivery method and offer it to their patients. While telepsychiatry appears to be effective and most patients report that they are satisfied with it, less information is available about factors that lead to psychiatrists' satisfaction. We interviewed psychiatrists who treat rural/frontier patients and asked them to describe factors that encouraged or discouraged their use of telepsychiatry. Only 4 were mostly satisfied with telepsychiatry and all offered suggestions for improving this delivery method. Most agreed that it was a hardship for many of their patients to travel 100 to 750 roundtrip miles over a 1-3 day period for a 20-minute consultation and that telepsychiatry could be a lifeline to many of them. Nevertheless, they identified significant technical and interpersonal barriers that discouraged their use of telepsychiatry.

Consumer Behavior↗

PubMed2004

Differences between frontier and urban elders with chronic heart failure.

The purpose of this study was to compare 136 frontier and 148 urban patients with chronic heart failure who were aged 60 years and older. Medical records from 2000 to 2002 were reviewed from a regional tertiary hospital in Montana. While the two groups did not differ with respect to New York Heart Association functional class and number of comorbid conditions, the frontier sample was more likely to be male, married, and younger. Frontier patients were more depressed and scored significantly lower on quality-of-life measures. Among those who had died, frontier patients survived an average of 7.7 months, in contrast to urban patients who survived an average of 13.4 months following index hospitalization. Frontier patients have few available health care services and providers may not treat patients as expertly or aggressively as urban providers. Frontier patients tend to be isolated due to illness, lack of transportation, travel distances, and weather-related barriers. Many may be falling through the cracks.

Aged↗

PubMed2003

Resilience and successful aging. Comparison among low and high income older adults.

1 Resilience, a personality characteristic that moderates the negative effects of stress and promotes adaptation, has been associated with better health in prior studies. 2 Successful aging can be defined as the enjoyment of health and vigor of the mind, body, and spirit into middle age and beyond. 3 Individuals with lower incomes may be less likely to achieve successful aging because of a higher prevalence of health risk factors. 4 Resilience appears to be positively and significantly associated with indicators of successful aging regardless of income.

Adaptation, Psychological↗