The relationship between health care providers and their older adult p
atients may suffer from miscommunication problems stemming from agist
stereotyping. Stereotypes of older adults by younger adults may be rev
ealed through patronizing speech--or elder-speak, which is the overacc
ommodation of speech interaction. Over- and underaccommodation strateg
ies based on these stereotypes are often used by young health care pro
viders when communicating with older adults. As the population ages an
d the demand for health care services increases, health care providers
must improve their communicative effectiveness with their older patie
nts. Attention to the individual needs of health care consumers, cogni
zance of age or role stereotyping, and proper training of health care
providers would increase communicative effectiveness and enhance the p
atient-provider relationship.