Universal health outcome measures for older persons with multiple chronic conditions.
Universal health outcome measures for older persons with multiple chronic conditions.
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DOI：
10.1111/j.1532-5415.2012.04240.x
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发表时间：
2012-12
影响因子：
6.3
通讯作者：
Working Group on Health Outcomes for Older Persons with Multiple Chronic Conditions
中科院分区：
文献类型：
--
作者：
Working Group on Health Outcomes for Older Persons with Multiple Chronic Conditions
患有多种慢性病（MCC）的老年人需要大量的卫生服务和复杂的护理。由于健康状况受疾病的持续和进展以及治疗过程的沿着多个维度的影响，研究、临床护理和行政管理需要经过充分验证的跨疾病通用结局指标。2011年9月，国家老龄问题研究所举行的一次专家小组会议建议，患有MCC的老年人应完成一项简短的初步综合测量，其中包括一般健康、疼痛、疲劳以及身体、心理健康和社会角色功能，沿着步态速度测量。合适的复合测量包括简明量表8（SF-8）和36（SF-36）以及患者报告结局测量信息系统29项健康状况（PROMIS-29）。根据对初始测量项目的反应，短期后续测量应选择性地针对以下领域：症状负担、抑郁、焦虑和日常活动。不能短距离步行的人应使用身体功能量表进行步态速度评估。在制定衡量标准时需要考虑的剩余差距包括疾病负担、认知功能和照顾者负担。对MCC患者进行常规结局评估有助于系统护理改进和临床疗效研究。
Older adults with multiple chronic conditions (MCC) require considerable health services and complex care. As health status is affected along multiple dimensions by the persistence and progression of diseases and courses of treatments, 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 (NIA) in September 2011 recommends that older persons with MCC complete a brief initial composite measure that includes general health, pain, fatigue, and physical, mental health and social role function, along with gait speed measurement. Suitable composite measures include the Short-form 8 (SF-8) and 36 (SF-36) and the Patient Reported Outcomes Measurement Information System29-item Health Profile (PROMIS-29). Based on responses to items within the initial measure, short follow-on measures should be selectively targeted to the following areas: symptom burden, depression, anxiety and daily activities. Persons unable to walk a short distance for 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 MCC patients could facilitate system-based care improvement and clinical effectiveness research.
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通讯作者：
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