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Building evidence on chronic disease in old age
 — standardised assessments and databases offer one way of building the evidence
Author(s)G I Carpenter, R Bernabei, J P Hirdes
Journal titleBritish Medical Journal, vol 320, no 7234, 26 February 2000
Pagespp 528-529
KeywordsChronic illness ; Care homes ; Nursing homes ; Evaluation ; Measurement.
AnnotationOutside hospitals, there is great variability in assessment tools used by social service departments (SSDs) and the documentation in nursing homes. In the US, a uniform, comprehensive, standardised assessment for routine long term care of older people, the Minimum Data Set - Resident Assessment Instrument (MDS-RAI) has been introduced into all nursing homes. While improvements in care have been reported, there are also unanswered questions concerning use of some treatments. In the UK, the trend is towards use of performance indicators and evidence-based medicine. Standardised assessment scales using the same set of items as the MDS-RAI have now been developed for community care, mental health, acute and post-acute care of older people; and systematic evaluations are now under way. (RH).
Accession NumberCPA-000306202 A
ClassmarkCI: KW: LHB: 4C: 3R *

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