TY - JOUR AU - Sherrington Cathie AU - Akpan Asangaedem AU - Roberts Charlotte AU - Bandeen-Roche Karen AU - Batty Barbara AU - Bausewein Claudia AU - Bell Diane AU - Bramley David AU - Bynum Julie AU - Cameron Ian AU - Chen Liang-Kung AU - Ekdahl Anne AU - Fertig Arnold AU - Gentry Tom AU - Harkes Marleen AU - Haslehurst Donna AU - Hope Jonathon AU - Hurtado Diana AU - Lyndon Helen AU - Lynn Joanne AU - Martin Mike AU - Isden Ruthe AU - Raso Francesco AU - Shaibu Sheila AU - Shand Jenny AU - Sinha Samir AU - Turner Gill AU - De Vries Nienke AU - Yi George AU - Young John AU - Banerjee Jay AB -
BACKGROUND: The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons. The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. An additional benefit will be the opportunity to compare variations in outcomes which encourages and supports learning between different health care systems that drives quality improvement. These outcome measures were not developed for use in research. They are aimed at non researchers in healthcare provision and those who pay for these services.
METHODS: A modified Delphi technique utilising a value based healthcare framework was applied by an international panel to arrive at consensus decisions.To inform the panel meetings, information was sought from literature reviews, longitudinal ageing surveys and a focus group.
RESULTS: The outcome measures developed and recommended were participation in decision making, autonomy and control, mood and emotional health, loneliness and isolation, pain, activities of daily living, frailty, time spent in hospital, overall survival, carer burden, polypharmacy, falls and place of death mapped to a three tier value based healthcare framework.
CONCLUSIONS: The first global health standard set of outcome measures in older persons has been developed to enable health care systems improve the quality of care provided to older persons.
BT - BMC Geriatr C1 - https://www.ncbi.nlm.nih.gov/pubmed/29394887?dopt=Abstract DO - 10.1186/s12877-017-0701-3 IS - 1 J2 - BMC Geriatr LA - eng N2 -BACKGROUND: The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons. The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. An additional benefit will be the opportunity to compare variations in outcomes which encourages and supports learning between different health care systems that drives quality improvement. These outcome measures were not developed for use in research. They are aimed at non researchers in healthcare provision and those who pay for these services.
METHODS: A modified Delphi technique utilising a value based healthcare framework was applied by an international panel to arrive at consensus decisions.To inform the panel meetings, information was sought from literature reviews, longitudinal ageing surveys and a focus group.
RESULTS: The outcome measures developed and recommended were participation in decision making, autonomy and control, mood and emotional health, loneliness and isolation, pain, activities of daily living, frailty, time spent in hospital, overall survival, carer burden, polypharmacy, falls and place of death mapped to a three tier value based healthcare framework.
CONCLUSIONS: The first global health standard set of outcome measures in older persons has been developed to enable health care systems improve the quality of care provided to older persons.
PY - 2018 EP - 36 T2 - BMC Geriatr TI - Standard set of health outcome measures for older persons. VL - 18 SN - 1471-2318 ER -