Measuring the outcomes of long-term care
Measuring the outcomes of long-term care
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DOI：
10.1016/j.socscimed.2011.09.023
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发表时间：
2011-12-01
影响因子：
5.4
通讯作者：
Caiels, James
中科院分区：
文献类型：
--
作者：
Forder, Julien E.;Caiels, James
我们应该如何衡量长期（社会）关怀的价值？本文描述了一种与护理相关的生活质量仪器（ASCOT），并考虑了其有效性的各个方面。具体而言，目的是评估ASCOT是否比EQ5D健康相关生活质量指标更适合于衡量长期护理服务的影响。长期护理服务往往更关心解决长期状况的日常后果。因此，衡量生活质量不应过分关注服务对个人能力的潜在影响，而应考虑服务如何直接帮助人们在日常生活中发挥作用。结构效度是通过评估测量的生活质量改善与生活质量与家庭护理服务使用之间的理论正相关的程度来判断的。在2008/9年英格兰使用护理服务的人的样本中，我们发现服务使用的影响在ASCOT测量时显着，但在使用EQ5D时不显着。结果支持我们的假设，即在这种情况下，ASCOT具有更大的结构效度。(C) 2011 Elsevier Ltd.版权所有。
How should we measure the value of long-term (social) care? This paper describes a care-related quality of life instrument (ASCOT) and considers aspects of its validity. In particular the aim is to assess whether ASCOT is better suited to measuring the impact of long-term care services than the EQ5D health-related quality of life measure. Long-term care services tend to be more concerned with addressing the day-today consequences of long-term conditions. As such, a quality of life measure should not be overly focused on the potential impact of services on personal ability and should instead consider how services directly help people to function in everyday life. Construct validity was judged by assessing the degree to which measured quality of life improvement was consistent with the theorised positive correlation between quality of life and the use of home care services. In a 2008/9 sample of people using care services in England, we found that the impact of service use was significant when measured by ASCOT, but not significant when using EQ5D. The results support our hypothesis that ASCOT has greater construct validity in this case. (C) 2011 Elsevier Ltd. All rights reserved.