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dc.contributor.authorFoebel, Andrea D
dc.contributor.authorvan Hout, Hein P
dc.contributor.authorvan der Roest, Henriëtte G
dc.contributor.authorTopinkova, Eva
dc.contributor.authorGarms-Homolova, Vjenka
dc.contributor.authorFrijters, Dinnus
dc.contributor.authorFinne-Soveri, Harriet
dc.contributor.authorJónsson, Pálmi V
dc.contributor.authorHirdes, John P
dc.contributor.authorBernabei, Roberto
dc.contributor.authorOnder, Graziano
dc.date.accessioned2016-03-15T12:54:57Zen
dc.date.available2016-03-15T12:54:57Zen
dc.date.issued2015en
dc.date.submitted2016en
dc.identifier.citationBMC Geriatr. 2015, 15:148en
dc.identifier.issn1471-2318en
dc.identifier.pmid26572734en
dc.identifier.doi10.1186/s12877-015-0146-5en
dc.identifier.urihttp://hdl.handle.net/2336/601359en
dc.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.en
dc.description.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.
dc.description.abstractData 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.
dc.description.abstractA 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.
dc.description.abstractThe 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.
dc.description.sponsorshipinfo:eu-repo/grantAgreement/EC/FP7/305912en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relationinfo:eu-repo/grantAgreement/EC/FP7/305912en
dc.relation.urlhttp://dx.doi.org/10.1186/s12877-015-0146-5en
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4647796/en
dc.rightsopenAccessen
dc.subjectAldraðiren
dc.subject.meshActivities of Daily Livingen
dc.subject.meshHome Care Services/standards*en
dc.subject.meshCohort Studiesen
dc.subject.meshEuropeen
dc.subject.meshHome Care Services/standards*en
dc.subject.meshQuality Indicators, Health Care/standards*en
dc.subject.meshAgeden
dc.titleQuality of care in European home care programs using the second generation interRAI Home Care Quality Indicators (HCQIs).en
dc.typearticleen
dc.contributor.department[ 1 ] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden [ 2 ] Univ Cattolica Sacro Cuore, Dept Geriatr Neurosci & Orthoped, I-00168 Rome, Italy [ 3 ] Vrije Univ Amsterdam Med Ctr, EMGO Inst Hlth & Care Res, Dept Gen Practice & Elderly Care Med, Amsterdam, Netherlands [ 4 ] Charles Univ Prague, Fac Med 1, Dept Geriatr, Prague, Czech Republic [ 5 ] Univ Appl Sci Technol & Econ, HTW Berlin, Berlin, Germany [ 6 ] Natl Inst Hlth & Welf, Helsinki, Finland [ 7 ] Univ Iceland, Fac Med, Dept Geriatr, Reykjavik, Iceland [ 8 ] Univ Waterloo, Sch Publ Hlth & Hlth Syst, Waterloo, ON N2L 3G1, Canadaen
dc.identifier.journalBMC geriatricsen
dc.rights.accessOpen Access - Opinn aðganguren
refterms.dateFOA2018-09-12T15:48:39Z
html.description.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.
html.description.abstractData 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.
html.description.abstractA 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.
html.description.abstractThe 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.


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