Title
Universal health outcome measures for older persons with multiple chronic conditions
UMMS Affiliation
Department of Quantitative Health Sciences
Publication Date
2012-11-29
Document Type
Article
Subjects
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
Disciplines
Biostatistics | Epidemiology | Health Services Research
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
DOI of Published Version
10.1111/j.1532-5415.2012.04240.x
Source
Epub 2012 Nov 29. Link to article on publisher's site
Journal/Book/Conference Title
Journal of the American Geriatrics Society
PubMed ID
23194184
Related Resources
Repository Citation
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.; and Hadley, Evan, "Universal health outcome measures for older persons with multiple chronic conditions" (2012). Quantitative Health Sciences Publications and Presentations. 1098.
https://escholarship.umassmed.edu/qhs_pp/1098
