Universal health outcome measures for older persons with multiple chronic conditions
Authors
Adams, KarenBayliss, Elizabeth A.
Blumenthal, David
Boyd, Cynthia
Guralnik, Jack M.
Krist, Alexander H.
LaCroix, Andrea Z.
Patrick, Donald L.
Naylor, Mary D.
Reuben, David
Tinetti, Mary
Wallace, Robert B.
Ware, John E. Jr.
Salive, Marcel E.
Wolff, Jennifer L.
Hadley, Evan
UMass Chan Affiliations
Department of Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
2012-11-29Keywords
Activities of Daily LivingAged
Chronic Disease
Cognition
*Comorbidity
Gait
*Health Status Indicators
Humans
Interpersonal Relations
Mental Health
*Outcome Assessment (Health Care)
Quality Assurance, Health Care
Social Support
Walking
Biostatistics
Epidemiology
Health Services Research
Metadata
Show full item recordAbstract
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. Geriatrics Society. ConditionsSource
Epub 2012 Nov 29. Link to article on publisher's siteDOI
10.1111/j.1532-5415.2012.04240.xPermanent Link to this Item
http://hdl.handle.net/20.500.14038/46636PubMed ID
23194184Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1111/j.1532-5415.2012.04240.x
Scopus Count
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