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Centre for Policy on Ageing | |
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| Measuring the adequacy of home care for frail elders | | Author(s) | John Capitman, Ruby Abrahams, Grant Ritter |
| Journal title | The Gerontologist, vol 37, no 3, June 1997 |
| Pages | pp 303-313 |
| Keywords | Therapeutic services [domiciliary] ; Quality ; Evaluation ; Consumer ; United States of America. |
| Annotation | There is a lack of consensus on the definition or measurement of quality for acute care and long-term care services, although there appears to be a new focus on process quality, sometimes referred to as adequacy. In this US study, one approach to the development of adequacy measures for home care is examined, and the validity of the measures as predictors of health and other outcomes is assessed. A sample of 330 community-dwelling older people with disabilities were interviewed by telephone three times: twice at baseline using both computer-assisted telephone interviews (CATI) and nurse clinicians, and once at four-month follow-up using CATI. The study found that measurement format influenced both reliability and observed levels of adequacy but alternative adequacy measures converged and were not closely linked to functional status. The predictive validity of measures based on clinical standards with respect to health outcomes was also demonstrated. These findings lend support to emerging approaches in primary care and home health quality measurement that consider multiple dimensions of user response to formal and informal care. (AKM). |
| Accession Number | CPA-980812402 A |
| Classmark | N3: 59: 4C: WY: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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