TY - JOUR
T1 - Standard set of health outcome measures for older persons
AU - Akpan, Asangaedem
AU - Roberts, Charlotte
AU - Bandeen-Roche, Karen
AU - Batty, Barbara
AU - Bausewein, Claudia
AU - Bell, Diane
AU - Bramley, David
AU - Bynum, Julie
AU - Cameron, Ian D.
AU - Chen, Liang Kung
AU - Ekdahl, Anne
AU - Fertig, Arnold
AU - Gentry, Tom
AU - Harkes, Marleen
AU - Haslehurst, Donna
AU - Hope, Jonathon
AU - Hurtado, Diana Rodriguez
AU - Lyndon, Helen
AU - Lynn, Joanne
AU - Martin, Mike
AU - Isden, Ruthe
AU - Raso, Francesco Mattace
AU - Shaibu, Sheila
AU - Shand, Jenny
AU - Sherrington, Cathie
AU - Sinha, Samir
AU - Turner, Gill
AU - De Vries, Nienke
AU - Yi, George Jia Chyi
AU - Young, John
AU - Banerjee, Jay
N1 - Publisher Copyright:
© 2018 The Author(s).
PY - 2018/2/2
Y1 - 2018/2/2
N2 - 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.
AB - 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.
KW - Health outcomes
KW - Older people
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U2 - 10.1186/s12877-017-0701-3
DO - 10.1186/s12877-017-0701-3
M3 - Article
C2 - 29394887
AN - SCOPUS:85041584269
SN - 1471-2318
VL - 18
JO - BMC geriatrics
JF - BMC geriatrics
IS - 1
M1 - 36
ER -