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Standard set of health outcome measures for older persons

  • Asangaedem Akpan*
  • , Charlotte Roberts
  • , Karen Bandeen-Roche
  • , Barbara Batty
  • , Claudia Bausewein
  • , Diane Bell
  • , David Bramley
  • , Julie Bynum
  • , Ian D. Cameron
  • , Liang Kung Chen
  • , Anne Ekdahl
  • , Arnold Fertig
  • , Tom Gentry
  • , Marleen Harkes
  • , Donna Haslehurst
  • , Jonathon Hope
  • , Diana Rodriguez Hurtado
  • , Helen Lyndon
  • , Joanne Lynn
  • , Mike Martin
  • Ruthe Isden, Francesco Mattace Raso, Sheila Shaibu, Jenny Shand, Cathie Sherrington, Samir Sinha, Gill Turner, Nienke De Vries, George Jia Chyi Yi, John Young, Jay Banerjee
*Corresponding author for this work
  • International Consortium on Health Outcomes Measurement
  • Liverpool University Hospitals NHS Foundation Trust
  • International Consortium on Health Outcomes Measurement
  • Johns Hopkins University
  • Oxfordshire Clinical Commissioning Group
  • Ludwig Maximilian University of Munich
  • COBIC
  • NHS Plymouth
  • Dartmouth College
  • University of Sydney
  • National Yang Ming Chiao Tung University
  • Veterans General Hospital-Taipei
  • Karolinska Institutet
  • Cambridgeshire and Peterborough Clinical Commissioning Group
  • Age UK
  • Havenziekenhuis
  • Older Person representative
  • Universidad Peruana Cayetano Heredia
  • Altarum Institute
  • University of Zurich
  • Erasmus University Rotterdam
  • Sigma Theta Tau International Honor Society of Nursing
  • University College London
  • University of Toronto
  • University Health Network
  • British Geriatrics Society
  • Radboud University Nijmegen
  • Family caregiver
  • University of Leeds
  • University Hospitals of Leicester NHS Trust

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Article number36
JournalBMC Geriatrics
Volume18
Issue number1
DOIs
Publication statusPublished - 2 Feb 2018

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 16 - Peace, Justice and Strong Institutions
    SDG 16 Peace, Justice and Strong Institutions

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Keywords

  • Health outcomes
  • Older people

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