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    Universal health outcome measures for older persons with multiple chronic conditions

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    Authors
    Adams, Karen
    Bayliss, 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
    Show allShow less
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2012-11-29
    Keywords
    Activities of Daily Living
    Aged
    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
    Show allShow less
    
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    Link to Full Text
    http://dx.doi.org/10.1111/j.1532-5415.2012.04240.x
    Abstract
    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. Conditions
    Source
    Epub 2012 Nov 29. Link to article on publisher's site
    DOI
    10.1111/j.1532-5415.2012.04240.x
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46636
    PubMed ID
    23194184
    Related Resources
    Link to Article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1532-5415.2012.04240.x
    Scopus Count
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    Population and Quantitative Health Sciences Publications

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