Standard set of health outcome measures for older persons

Asangaedem Akpan, Charlotte Roberts, Karen Bandeen-Roche, Barbara Batty, Claudia Bausewein, Diane Bell, David Bramley, Julie Bynum, Ian D. Cameron, Liang Kung Chen, Anne Ekdahl, Arnold Fertig, Tom Gentry, Marleen Harkes, Donna Haslehurst, Jonathon Hope, Diana Rodriguez Hurtado, Helen Lyndon, Joanne Lynn, Mike MartinRuthe Isden, Francesco Mattace Raso, Sheila Shaibu, Jenny Shand, Cathie Sherrington, Samir Sinha, Gill Turner, Nienke De Vries, George Jia Chyi Yi, John Young, Jay Banerjee

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Article number36
JournalBMC geriatrics
Volume18
Issue number1
DOIs
StatePublished - Feb 2 2018

Keywords

  • Health outcomes
  • Older people

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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