Standard set of health outcome measures for older persons

被引：143

作者：

Akpan, Asangaedem ^{[1
]}

Roberts, Charlotte ^{[2
,3
]}

Bandeen-Roche, Karen ^{[4
]}

Batty, Barbara ^{[5
]}

Bausewein, Claudia ^{[6
]}

Bell, Diane ^{[7
]}

Bramley, David ^{[8
]}

Bynum, Julie ^{[9
]}

Cameron, Ian D. ^{[10
]}

Chen, Liang-Kung ^{[11
,12
]}

Ekdahl, Anne ^{[13
]}

Fertig, Arnold ^{[14
]}

Gentry, Tom ^{[15
]}

Harkes, Marleen ^{[16
]}

Haslehurst, Donna ^{[17
]}

Hope, Jonathon

Hurtado, Diana Rodriguez ^{[18
]}

Lyndon, Helen ^{[8
]}

Lynn, Joanne ^{[19
]}

Martin, Mike ^{[20
]}

Isden, Ruthe ^{[15
]}

Raso, Francesco Mattace ^{[21
]}

Shaibu, Sheila ^{[22
]}

Shand, Jenny ^{[23
]}

Sherrington, Cathie ^{[24
]}

Sinha, Samir ^{[25
,26
,27
,28
]}

Turner, Gill ^{[29
]}

De Vries, Nienke ^{[30
]}

Yi, George Jia-Chyi ^{[31
]}

Young, John ^{[8
,32
,33
]}

Banerjee, Jay ^{[34
]}

机构：

[1] Aintree Univ Hosp NHS Fdn Trust, Dept Med Elderly, Lower Lane, Liverpool L9 7AL, Merseyside, England

[2] Int Consortium Hlth Outcomes Measurement, London, England

[3] Int Consortium Hlth Outcomes Measurement, Cambridge, MA USA

[4] Johns Hopkins Older Amer Independence Ctr, Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA

[5] Oxfordshire Clin Commissioning Grp, Oxford, England

[6] Munich Univ Hosp, LMU Munchen, Munich, Germany

[7] COBIC, London, England

[8] NHS England, London, England

[9] Dartmouth Inst Hlth Policy & Clin Practice, Lebanon, NH USA

[10] Univ Sydney, Sydney Med Sch, John Walsh Ctr Rehabil Res, Sydney, NSW, Australia

[11] Natl Yang Ming Univ, Ageing & Hlth Res Ctr, Taipei, Taiwan

[12] Taipei Vet Gen Hosp, Ctr Geriatr & Gerontol, Taipei, Taiwan

[13] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Sect Clin Geriatr, Stockholm, Sweden

[14] Cambridgeshire & Peterborough Clin Commissioning, Cambridge, England

[15] AgeUK, London, England

[16] Havenziekenhuis, Rotterdam, Netherlands

[17] Older Person Representat, Kingston, ON, Canada

[18] Univ Peruana Cayetano, Fac Med, Int Med Geriatr, Lima, Peru

[19] Altarum Inst, Ann Arbor, MI USA

[20] Univ Zurich, Zurich, Switzerland

[21] Erasmus Univ, Med Ctr, Rotterdam, Netherlands

[22] Sigma Theta Tau Int Honor Soc Nursing, Indiana, PA USA

[23] UCL Partners, London, England

[24] Univ Sydney, George Inst Global Hlth, Sydney, NSW, Australia

[25] Univ Toronto, Inst Hlth Policy Management & Evaluat, Dept Med, Toronto, ON, Canada

[26] Univ Toronto, Inst Hlth Policy Management & Evaluat, Dept Family & Community Med, Toronto, ON, Canada

[27] Sinai Hlth Syst, Toronto, ON, Canada

[28] Univ Hlth Network, Toronto, ON, Canada

[29] British Geriatr Soc, London, England

[30] Univ Nijmegen, Med Ctr, Nijmegen, Netherlands

[31] Family Caregiver, Taipei, Taiwan

[32] Univ Leeds, Leeds, W Yorkshire, England

[33] Univ Hosp Leicester NHS Trust, Leicester, Leics, England

[34] NHS Digital, Leeds, W Yorkshire, England

来源：

BMC GERIATRICS | 2018年 / 18卷

关键词：

Older people; Health outcomes; FRAILTY; ADULTS; INDEX;

D O I：

10.1186/s12877-017-0701-3

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：

Background: The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations. This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons. The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. An additional benefit will be the opportunity to compare variations in outcomes which encourages and supports learning between different health care systems that drives quality improvement. These outcome measures were not developed for use in research. They are aimed at non researchers in healthcare provision and those who pay for these services. Methods: A modified Delphi technique utilising a value based healthcare framework was applied by an international panel to arrive at consensus decisions. To inform the panel meetings, information was sought from literature reviews, longitudinal ageing surveys and a focus group. Results: The outcome measures developed and recommended were participation in decision making, autonomy and control, mood and emotional health, loneliness and isolation, pain, activities of daily living, frailty, time spent in hospital, overall survival, carer burden, polypharmacy, falls and place of death mapped to a three tier value based healthcare framework. Conclusions: The first global health standard set of outcome measures in older persons has been developed to enable health care systems improve the quality of care provided to older persons.

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