OARS METHODOLOGY - A DECADE OF EXPERIENCE IN GERIATRIC ASSESSMENT

OARS METHODOLOGY - A DECADE OF EXPERIENCE IN GERIATRIC ASSESSMENT
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DOI:
10.1111/j.1532-5415.1985.tb06317.x
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发表时间:
1985-01-01
影响因子:
6.3
通讯作者:
FILLENBAUM, GG
FILLENBAUM, GG
中科院分区:
医学1区
文献类型:
--
作者:
GEORGE, LK;FILLENBAUM, GG

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美国老年人资源和服务(OARS)方法的目的是评估五个方面的功能能力(社会资源,经济资源,心理健康,身体健康和日常生活活动),并衡量使用和需要24种类型的通用服务。OARS问卷现已在150多个研究和实践环境中使用。OARS方法的最新改进包括关于有效性和可靠性的新信息,功能状态的五个维度的计算机化摘要评级,以及在五个维度内测量功能的特定方面的11个量表。本文介绍的概念基础,适当的用途,心理测量特性,以及最近的改进OARS方法。来自老年诊所人群的经验数据用于说明目的。本文根据十多年的经验,对OARS方法的优点和局限性进行了评估。特别注意的是在何种程度上的功能状态的措施可以与卫生服务使用的措施,以告知老年医学的研究和实践。
The Older Americans Resources and Services (OARS) methodology was designed to assess functional capacity in five dimensions (social resources, economic resources, mental health, physical health, and activities of daily living) and to measure use of and need for 24 types of generic services. The OARS questionnaire now has been used in more than 150 research and practice settings. Recent refinements in the OARS methodology include new information about validity and reliability, computerized summary ratings for the five dimensions of functional status, and eleven scales that measure specific aspects of functioning within the five dimensions. This paper describes the conceptual foundation, appropriate uses, psychometric properties, and recent refinements in the OARS methodology. Empirical data from a geriatric clinic population are used for purposes of illustration. The paper presents an assessment of the strengths and limitations of the OARS methodology based on more than a decade of experience. Particular attention is paid to the degree to which the measures of functional status can be related to health service use measures to inform geriatric research and practice.