Research Priorities to Advance the Health and Health Care of Older Adults with Multiple Chronic Conditions.
Research Priorities to Advance the Health and Health Care of Older Adults with Multiple Chronic Conditions.
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DOI：
10.1111/jgs.14943
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发表时间：
2017-07
影响因子：
6.3
通讯作者：
Gurwitz JH
中科院分区：
文献类型：
--
作者：
Tisminetzky M;Bayliss EA;Magaziner JS;Allore HG;Anzuoni K;Boyd CM;Gill TM;Go AS;Greenspan SL;Hanson LR;Hornbrook MC;Kitzman DW;Larson EB;Naylor MD;Shirley BE;Tai-Seale M;Teri L;Tinetti ME;Whitson HE;Gurwitz JH
关于患有多种慢性病（MCCs）的老年人的健康和医疗保健，存在大量知识空白。我们试图对与照顾这一不断增长的人群相关的研究课题进行优先级排序。
对MCC实践、研究和/或政策方面的专家进行调查。研究课题源自与患有MCCs的老年人相关的白皮书、资助公告或已获资助的研究项目。
该调查是通过医疗保健系统研究网络 - 美国老年人独立中心老龄化倡议（HCSRN - OAICs AGING Initiative）进行的，这是医疗保健系统研究网络（HCSRN）和克劳德·D·佩珀美国老年人独立中心（OAICs）的一项联合行动。
与HCSRN或OAICs有关联的人员，以及全国MCC专家，包括与拥有MCC相关资助项目的资助机构有关联的人员。
我们采用了“最高选项”方法，统计在五点李克特量表上选择最高选项的受访者数量，然后除以回复总数，以计算37个主题中每个主题的最高选项百分比。
与患有MCCs的老年人的健康和医疗保健相关的排名最高的研究课题包括：患有MCCs的老年人的健康相关生活质量；评估工具的开发（例如，评估症状负担、生活质量和功能等）；药物、疾病进程和健康结果之间的相互作用；残疾；新型（且可扩展的）护理模式的实施；慢性病集群与临床、财务和社会结果的关联；照顾者的角色；症状负担；加强护理规划的共同决策；以及改善临床决策的工具。
我们的研究结果有助于为制定一个全面的研究议程提供信息，以应对与照顾这一“高需求、高成本”人群相关的挑战，以及负责为他们提供服务的医疗保健服务系统所面临的挑战。
Substantial gaps in knowledge exist surrounding the health and healthcare of older adults with multiple chronic conditions (MCCs). We sought to prioritize research topics relevant to the care of this growing population. Survey of experts in MCC practice, research, and/or policy. Topics were derived from white papers, funding announcements, or funded research projects relating to older adults with MCCs. Survey conducted through the HCSRN-OAICs AGING Initiative, a joint endeavor of the Health Care Systems Research Network (HCSRN) and Claude D. Pepper Older Americans Independence Centers (OAICs). Individuals affiliated with the HCSRN or OAICs, and national MCC experts, including individuals affiliated with funding agencies having MCC-related grant portfolios. We employed “top box” methodology, counting the number of respondents selecting the top response on a five-point Likert scale, then dividing by total number of responses to calculate a top box percentage for each of 37 topics. Highest ranked research topics relevant to the health and healthcare of older adults with MCCs included: health related quality of life in older adults with MCCs; development of assessment tools (e.g., to assess symptom burden, quality of life, and function, etc.); interactions between medications, disease processes, and health outcomes; disability; implementation of novel (and scalable) models of care; association of clusters of chronic conditions with clinical, financial, and social outcomes; the role of the caregiver; symptom burden; shared decision-making to enhance care planning; and tools to improve clinical decision-making. Our findings serve to inform the development of a comprehensive research agenda to address the challenges relating to the care of this “high-need, high-cost” population, and the healthcare delivery systems responsible for serving them.
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影响因子：
120.7
作者：
Tinetti, Mary E.;Fried, Terri R.;Boyd, Cynthia M.
通讯作者：
Boyd, Cynthia M.
影响因子：
3.3
作者：
Parekh, Anand K.;Goodman, Richard A.;Koh, Howard K.
通讯作者：
Koh, Howard K.
影响因子：
11.1
作者：
Marengoni, A.;von Strauss, E.;Fratiglioni, L.
通讯作者：
Fratiglioni, L.
影响因子：
6.3
作者：
Bayliss, Elizabeth A.;McQuillan, Deanna B.;Zulman, Donna M.
通讯作者：
Zulman, Donna M.
DOI：
10.1093/gerona/63.6.603
发表时间：
2008-06-01
影响因子：
5.1
作者：
Newman, Anne B.;Boudreau, Robert M.;Harris, Tamara B.
通讯作者：
Harris, Tamara B.