Surprising study reveals what seniors want most — It is not health

Researchers say understanding the preferences can help clinicians deliver care that genuinely aligns with what matters most to older patients

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If you assumed it is health, you are mistaken.

While health is important, a recent study published in JAMA Network Open found that adults aged 65 and older ranked social activities and inclusiveness even higher. American researchers analysed responses from 88,046 patients treated at around 900 walk-in ambulatory care clinics across 35 US states.

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When asked, “What matters most to you?” nearly half (48.6 per cent) cited social activities and inclusiveness, followed by health (21 per cent), independence (17 per cent) and family togetherness (10.5 per cent).

Demographically, about two-thirds of respondents were women and three-quarters were white. Black, Hispanic, and Asian patients made up 5 per cent, 4.7 per cent and 2.7 per cent of the group, respectively. Yet, responses were consistent across sex, race and ethnicity.

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“I would have thought health would have been a little bit higher since this is an acute-care setting," the lead researcher said. "But I think it just shows that older adults—like everybody else—are very complex and have other needs that are just as much a priority." The goal of the study is to improve patient care and outcomes by aligning treatment with what matters most to patients. For instance, if independence is a priority, clinicians might adjust medications to reduce fall risk or recommend mobility aids.

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