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Research Priorities to Advance the Health and Health Care of Older Adults with Multiple Chronic Conditions.
- Source :
- Journal of the American Geriatrics Society; Jul2017, Vol. 65 Issue 7, p1549-1553, 5p, 2 Charts
- Publication Year :
- 2017
-
Abstract
- Objectives To prioritize research topics relevant to the care of the growing population of older adults with multiple chronic conditions ( MCCs). Design Survey of experts in MCC practice, research, and policy. Topics were derived from white papers, funding announcements, or funded research projects relating to older adults with MCCs. Setting Survey conducted through the Health Care Systems Research Network ( HCSRN) and Claude D. Pepper Older Americans Independence Centers ( OAICs) Advancing Geriatrics Infrastructure and Network Growth Initiative, a joint endeavor of the HCSRN and OAICs. Participants Individuals affiliated with the HCSRN or OAICs and national MCC experts, including individuals affiliated with funding agencies having MCC-related grant portfolios. Measurements A 'top box' methodology was used, counting the number of respondents selecting the top response on a 5-point Likert scale and dividing by the total number of responses to calculate a top box percentage for each of 37 topics. Results The highest-ranked research topics relevant to the health and healthcare of older adults with MCCs were health-related quality of life in older adults with MCCs; development of assessment tools (to assess, e.g., symptom burden, quality of life, function); interactions between medications, disease processes, and health outcomes; disability; implementation of novel (and scalable) models of care; association between clusters of chronic conditions and clinical, financial, and social outcomes; role of caregivers; symptom burden; shared decision-making to enhance care planning; and tools to improve clinical decision-making. Conclusion Study findings serve to inform the development of a comprehensive research agenda to address the challenges relating to the care of this 'high-need, high-cost' population and the healthcare delivery systems responsible for serving it. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL care research
PRIORITY (Philosophy)
MEDICAL care for older people
CHRONICALLY ill patient care
LIKERT scale
COMORBIDITY
CHRONIC disease treatment
GERIATRICS
DISEASES
ATTITUDE (Psychology)
CHRONIC diseases & psychology
CAREGIVERS
CHRONIC diseases
DECISION making
DRUG interactions
EXPERIMENTAL design
RESEARCH methodology
MEDICAL care
EVALUATION of medical care
MEDICAL needs assessment
MEDICAL quality control
MEDICAL personnel
MEDICAL research
PEOPLE with disabilities
QUESTIONNAIRES
RESEARCH evaluation
SCALE analysis (Psychology)
SOCIAL support
DESCRIPTIVE statistics
SYMPTOMS
OLD age
ECONOMICS
Subjects
Details
- Language :
- English
- ISSN :
- 00028614
- Volume :
- 65
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Journal of the American Geriatrics Society
- Publication Type :
- Academic Journal
- Accession number :
- 124071869
- Full Text :
- https://doi.org/10.1111/jgs.14943