Universal Health Outcome Measures for Older Persons with Multiple Chronic Conditions

被引：93

作者：

Adams, Karen

Bayliss, Elizabeth ^{[2
]}

Blumenthal, David ^{[3
]}

Boyd, Cynthia

Guralnik, Jack ^{[5
]}

Krist, Alexander H. ^{[6
]}

LaCroix, Andrea ^{[7
]}

Naylor, Mary D. ^{[8
]}

Patrick, Donald L. ^{[9
]}

Reuben, David ^{[10
]}

Tinetti, Mary ^{[11
]}

Wallace, Robert B. ^{[12
]}

Ware, John E., Jr. ^{[13
]}

Wolff, Jennifer L. ^{[4
]}

Hadley, Evan

Salive, Marcel E. ^{[1
]}

机构：

[1] NIA, Geriatr Branch, Div Geriatr & Clin Gerontol, NIH, Bethesda, MD 20892 USA

[2] Kaiser Permanente, Inst Hlth Res, Oakland, CA USA

[3] Massachusetts Gen Hosp, Boston, MA 02114 USA

[4] Johns Hopkins Univ, Sch Med, Baltimore, MD 21218 USA

[5] Univ Maryland, Sch Med, Baltimore, MD 21201 USA

[6] Virginia Commonwealth Univ, Med Ctr, Richmond, VA 23284 USA

[7] Fred Hutchinson Canc Res Ctr, Seattle, WA USA

[8] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA

[9] Univ Washington, Seattle, WA 98195 USA

[10] UCLA Sch Med, Los Angeles, CA USA

[11] Yale Univ, Sch Med, New Haven, CT 06520 USA

[12] Univ Iowa, Coll Publ Hlth, Iowa City, IA 52242 USA

[13] Univ Massachusetts, Sch Med, Amherst, MA 01003 USA

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 2012年 / 60卷 / 12期

基金：

美国医疗保健研究与质量局;

关键词：

geriatrics; chronic disease; comorbidity; outcome assessment; quality measurement; GENERALIZED ANXIETY DISORDER; QUALITY-OF-LIFE; PHYSICAL FUNCTION; SYMPTOM ASSESSMENT; FAMILY CAREGIVERS; PERFORMANCE; CANCER; CONCORDANCE; VALIDITY; PEOPLE;

D O I：

10.1111/j.1532-5415.2012.04240.x

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

030301 [社会学]; 100201 [内科学];

摘要：

Older adults with multiple chronic conditions (MCCs) require considerable health services and complex care. Because the persistence and progression of diseases and courses of treatments affect health status in multiple dimensions, well-validated universal outcome measures across diseases are needed for research, clinical care, and administrative purposes. An expert panel meeting held by the National Institute on Aging in September 2011 recommends that older persons with MCCs complete a brief initial composite measure that includes general health; pain; fatigue; and physical health, mental health, and social role function, along with gait speed measurement. Suitable composite measures include the Medical Outcomes Study 8 (SF-8) and 36 (SF-36) -item Short-Form Survey and the Patient Reported Outcomes Measurement Information System 29-item Health Profile. Based on responses to items in the initial measure, short follow-on measures should be selectively targeted to symptom burden, depression, anxiety, and daily activities. Persons unable to walk a short distance to assess gait speed should be assessed using a physical function scale. Remaining gaps to be considered for measure development include disease burden, cognitive function, and caregiver burden. Routine outcome assessment of individuals with MCCs could facilitate system-based care improvement and clinical effectiveness research. J Am Geriatr Soc 60: 2333-2341, 2012.

引用

页码：2333 / 2341

页数：9

共 46 条

[1]

Aaronson N, 2002, QUAL LIFE RES, V11, P193

[2]

Adelman RD, 2000, CLIN GERIATR MED, V16, P1, DOI 10.1016/S0749-0690(05)70004-5

[3]

[Anonymous], 1998, HLTH TECHNOL ASSESS

[4]

[Anonymous], 2009, Measuring Health: A Guide to Rating Scales and Questionnaires