Quality of care in European home care programs using the second generation interRAI Home Care Quality Indicators (HCQIs).
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AuthorsFoebel, Andrea D
van Hout, Hein P
van der Roest, Henriëtte G
Jónsson, Pálmi V
Hirdes, John P
MetadataShow full item record
CitationBMC Geriatr. 2015, 15:148
AbstractEvaluating the quality of care provided to older individuals is a key step to ensure that needs are being met and to target interventions to improve care. To this aim, interRAI's second-generation home care quality indicators (HCQIs) were developed in 2013. This study assesses the quality of home care services in six European countries using these HCQIs as well as the two derived summary scales.
Data for this study were derived from the Aged in Home Care (AdHOC) study - a cohort study that examined different models of community care in European countries. The current study selected a sub-sample of the AdHOC cohort from six countries whose follow-up data were complete (Czech Republic, Denmark, Finland, Germany, Italy and the Netherlands). Data were collected from the interRAI Home Care instrument (RAI-HC) between 2000 and 2002. The 23 HCQIs of interest were determined according to previously established methodology, including risk adjustment. Two summary measures, the Clinical Balance Scale and Independence Quality Scale were also determined using established methodology.
A total of 1,354 individuals from the AdHOC study were included in these analyses. Of the 23 HCQIs that were measured, the highest proportion of individuals experienced declines in Instrumental Activities of Daily Living (IADLs) (48.4 %). Of the clinical quality indicators, mood decline was the most prevalent (30.0 %), while no flu vaccination and being alone and distressed were the most prevalent procedural and social quality indicators, respectively (33.4 and 12.8 %). Scores on the two summary scales varied by country, but were concentrated around the median mark.
The interRAI HCQIs can be used to determine the quality of home care services in Europe and identify areas for improvement. Our results suggest functional declines may prove the most beneficial targets for interventions.
DescriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access.
- Variations in quality of Home Care between sites across Europe, as measured by Home Care Quality Indicators.
- Authors: Bos JT, Frijters DH, Wagner C, Carpenter GI, Finne-Soveri H, Topinkova E, Garms-Homolová V, Henrard JC, Jónsson PV, Sørbye L, Ljunggren G, Schroll M, Gambassi G, Bernabei R
- Issue date: 2007 Aug
- interRAI home care quality indicators.
- Authors: Morris JN, Fries BE, Frijters D, Hirdes JP, Steel RK
- Issue date: 2013 Nov 19
- Scaling functional status within the interRAI suite of assessment instruments.
- Authors: Morris JN, Berg K, Fries BE, Steel K, Howard EP
- Issue date: 2013 Nov 21
- Development of a novel benchmark method to identify and characterize best practices in home care across six European countries: design, baseline, and rationale of the IBenC project.
- Authors: van der Roest HG, van Eenoo L, van Lier LI, Onder G, Garms-Homolová V, Smit JH, Finne-Soveri H, Jónsson PV, Draisma S, Declercq A, Bosmans JE, van Hout HPJ, IBenC project.
- Issue date: 2019 May 15
- Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (SHELTER) study.
- Authors: Onder G, Carpenter I, Finne-Soveri H, Gindin J, Frijters D, Henrard JC, Nikolaus T, Topinkova E, Tosato M, Liperoti R, Landi F, Bernabei R, SHELTER project.
- Issue date: 2012 Jan 9