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Assessing health-related quality of life in chronic care populations
Author(s)Steven M Albert
Journal titleJournal of Mental Health and Aging, vol 3, no 1, Spring 1997
Pagespp 101-118
KeywordsChronic illness ; Health [elderly] ; Quality of life ; Evaluation ; United States of America.
AnnotationThe content of generic, health-related quality of life (HRQL) instruments are assessed according to their coverage of four intermediate domains of QOL: physical and occupational function; psychological function; social interaction; and somatic symptoms. Assessment instruments were included in the review if they: minimally included measures of both physical function and mental health; were explicitly developed as generic QOL indicators (as opposed to more general health assessment tools); or have come to be used as generic HRQL tools despite other origins. Features of chronic care populations - for example the institutional setting of care, and high prevalence of cognitive impairment - constrain HRQL assessment, which in the case of demented patients poses special problems. A combination of observed and reported behaviours will be required for adequate QOL assessment of demented older people. Although good measures for assessing QOL in chronic care populations are not lacking, better instruments will emerge as we pay more attention to the texture of daily life and better understand how older people adapt to states of health limitation. (RH).
Accession NumberCPA-981020252 A
ClassmarkCI: CC: F:59: 4C: 7T

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