Targeting elders for geriatric evaluation and management: reliability, validity, and practicality of a questionnaire.
Targeting elders for geriatric evaluation and management: reliability, validity, and practicality of a questionnaire.
复制标题
针对老年人的老年评估和管理：问卷的信度、效度和实用性。
DOI：
10.1007/bf03324307
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Boult,LB
中科院分区：
文献类型：
--
作者：
Boult,C;Pacala,JT;Boult,LB
Geriatric evaluation and management (GEM) is most cost-effective when provided to persons at high risk for functional decline or heavy use of health services. Identifying high-risk members of elderly populations is, therefore, the first step in conducting successful GEM programs. We have developed and tested a mailed, self-administered, eight-item questionnaire to identify home-dwelling elders at risk for heavy use of hospitals. Scored by a logistic formula, this questionnaire estimates each respondent’s probability of repeated admission (Pra) to a hospital within four years. Its primary purpose is to help select elders who are likely to benefit from outpatient GEM. We created this instrument by analyzing data from half the subjects in the Longitudinal Study of Aging (LSOA); its test-retest reliability is high (r=0.78). In a preliminary test of its predictive validity among the other half of the LSOA subjects, the instrument prospectively identified high-risk elders who went on to use hospitals at twice the rate of their lower-risk peers. In a separate study of its predictive validity among low-income urban elders, the instrument again identified a high-risk group that went on to use hospital days at twice the rate of its lower-risk counterpart. In a pilot study, we used the questionnaire to identify potential recipients of outpatient GEM. The identified elders appeared to be appropriate candidates for GEM. They averaged 9.6 significant medical problems, 6.7 significant prescription medications, and two IADL limitations. We are now using this instrument to identify subjects for a randomized clinical trial of outpatient GEM. (Aging Clin. Exp. Res. 7: 159-164, 1995)
