Patient-centered outcomes and outcome measurements for people aged 65 years and older-a scoping review.
Older people
Patient-centered
Patient-centered outcomes
Patient-centered outcomes measurements
What matters the most
Journal
BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548
Informations de publication
Date de publication:
18 Jun 2024
18 Jun 2024
Historique:
received:
26
02
2024
accepted:
10
06
2024
medline:
19
6
2024
pubmed:
19
6
2024
entrez:
18
6
2024
Statut:
epublish
Résumé
The aging population is a challenge for the healthcare system that must identify strategies that meet their needs. Practicing patient-centered care has been shown beneficial for this patient-group. The effect of patient-centered care is called patient-centered outcomes and can be appraised using outcomes measurements. The main aim was to review and map existing knowledge related to patient-centered outcomes and patient-centered outcomes measurements for older people, as well as identify key-concepts and knowledge-gaps. The research questions were: How can patient-centered outcomes for older people be measured, and which patient-centered outcomes matters the most for the older people? Scoping review. Search for relevant publications in electronical databases, grey literature databases and websites from year 2000 to 2021. Two reviewers independently screened titles and abstracts, followed by full text review and extraction of data using a data extraction framework. Eighteen studies were included, of which six with involvement of patients and/or experts in the process on determine the outcomes. Outcomes that matter the most to older people was interpreted as: access to- and experience of care, autonomy and control, cognition, daily living, emotional health, falls, general health, medications, overall survival, pain, participation in decision making, physical function, physical health, place of death, social role function, symptom burden, and time spent in hospital. The most frequently mentioned/used outcomes measurements tools were the Adult Social Care Outcomes Toolkit (ASCOT), EQ-5D, Gait Speed, Katz- ADL index, Patient Health Questionnaire (PHQ9), SF/RAND-36 and 4-Item Screening Zarit Burden Interview. Few studies have investigated the older people's opinion of what matters the most to them, which forms a knowledge-gap in the field. Future research should focus on providing older people a stronger voice in what they think matters the most to them.
Identifiants
pubmed: 38890618
doi: 10.1186/s12877-024-05134-7
pii: 10.1186/s12877-024-05134-7
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
528Informations de copyright
© 2024. The Author(s).
Références
World population ageing 2019 (ST/ESA/SER.A/444) p. 1-3. https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2019-Report.pdf .
Mahishale V. Ageing world: health care challenges. J Sci Soc. 2015;42(3):139.
Fulmer T, Reuben DB, Auerbach J, Fick DM, Galambos C, Johnson KS. Actualizing better health and health care for older adults: commentary describes six vital directions to improve the care and quality of life for all older Americans. Health Aff (Millwood). 2021;40(2):219–25.
pubmed: 33476185
doi: 10.1377/hlthaff.2020.01470
Greene SM, Tuzzio L, Cherkin D. A framework for making patient-centered care front and center. Perm J. 2012;16(3):49–53.
pubmed: 23012599
pmcid: 3442762
doi: 10.7812/TPP/12-025
Berntsen GKR, Dalbakk M, Hurley JS, Bergmo T, Solbakken B, Spansvoll L, Bellika JG, Skrøvseth SO, Brattland T, Rumpsfeld M. Person-centred, integrated and pro-active care for multi-morbid elderly with advanced care needs: a propensity score-matched controlled trial. BMC Health Serv Res. 2019;19(1):2.
doi: 10.1186/s12913-019-4397-2
Helping measure person-centred care. Chapter. 5. Measurement tools. https://www.health.org.uk/sites/default/files/HelpingMeasurePersonCentredCare.pdf .
Xian Y, O’Brien EC, Fonarow GC, Olson DM, Schwamm LH, Hannah D, Lindholm B, Maisch L, Lytle BL, Greiner MA, et al. Patient-centered research into outcomes stroke patients prefer and effectiveness research: implementing the patient-driven research paradigm to aid decision making in stroke care. Am Heart J. 2015;170(1):36-45.e11.
pubmed: 26093862
doi: 10.1016/j.ahj.2015.04.008
Gore JL. Patient-centered outcomes in bladder cancer. Curr Urol Rep. 2018;19(12):105.
pubmed: 30370443
doi: 10.1007/s11934-018-0858-0
Staibano P, Perelman I, Lombardi J, Davis A, Tinmouth A, Carrier M, Stevenson C, Saidenberg E. Patient-centered outcomes in the management of anemia: a scoping review. Transfus Med Rev. 2019;33(1):7–11.
pubmed: 30100259
doi: 10.1016/j.tmrv.2018.07.001
Anise A, Hasnain-Wynia R. Patient-centered outcomes research to improve asthma outcomes. J Allergy Clin Immunol. 2016;138(6):1503–10.
pubmed: 27931532
doi: 10.1016/j.jaci.2016.10.003
Ahmed S, Djurkovic A, Manalili K, Sahota B, Santana MJ. A qualitative study on measuring patient-centered care: Perspectives from clinician-scientists and quality improvement experts. Health Sci Rep. 2019;2:e140.
pubmed: 31890898
pmcid: 6920695
doi: 10.1002/hsr2.140
Winn K, Ozanne E, Sepucha K. Measuring patient-centered care: an updated systematic review of how studies define and report concordance between patients’ preferences and medical treatments. Patient Educ Couns. 2015;98(7):811–21.
pubmed: 25846191
doi: 10.1016/j.pec.2015.03.012
Rathert C, Wyrwich MD, Boren SA. Patient-centered care and outcomes: a systematic review of the literature. Med Care Res Rev. 2012;70(4):351–79.
pubmed: 23169897
doi: 10.1177/1077558712465774
Akpan A, Roberts C, Bandeen-Roche K, Batty B, Bausewein C, Bell D, Bramley D, Bynum J, Cameron ID, Chen L-K, et al. Standard set of health outcome measures for older persons. BMC Geriatr. 2018;18(1):36.
pubmed: 29394887
pmcid: 5797357
doi: 10.1186/s12877-017-0701-3
Salive ME. Multimorbidity in older adults. Epidemiol Rev. 2013;35(1):75–82.
pubmed: 23372025
doi: 10.1093/epirev/mxs009
Chapter 11: Scoping reviews (2020 version). In: Aromataris E, Munn Z, editors. JBI manual for evidence synthesis. 2020. https://jbi-global-wiki.refined.site/space/MANUAL/4687342/Chapter+11%3A+Scoping+reviews .
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32.
doi: 10.1080/1364557032000119616
Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5:69.
pubmed: 20854677
pmcid: 2954944
doi: 10.1186/1748-5908-5-69
Patient-centered outcomes and patient-centered outcomes measurements for elderly: a scoping review protocol. https://osf.io/mtg64/ .
Österholm JH, Larsson Ranada Å. Characteristics of research with older people (over 65 years) in occupational therapy journals, 2013–2017. Scand J Occup Ther. 2020;27(4):240–7.
pubmed: 31361178
doi: 10.1080/11038128.2019.1645877
Ouchi Y, Rakugi H, Arai H, Akishita M, Ito H, Toba K, Kai I, on behalf of the Joint Committee of Japan Gerontological S, Japan Geriatrics Society on the d, classification of the e. Redefining the elderly as aged 75 years and older: proposal from the Joint Committee of Japan Gerontological Society and the Japan Geriatrics Society. Geriatr Gerontol Int. 2017;17(7):1045–7.
pubmed: 28670849
doi: 10.1111/ggi.13118
Ebrahimi Z, Patel H, Wijk H, Ekman I, Olaya-Contreras P. A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings. Geriatr Nurs. 2021;42(1):213–24.
pubmed: 32863037
doi: 10.1016/j.gerinurse.2020.08.004
Kogan AC, Wilber K, Mosqueda L. Person-centered care for older adults with chronic conditions and functional impairment: a systematic literature review. J Am Geriatr Soc. 2016;64(1):1–7.
doi: 10.1111/jgs.13873
Brownie S, Nancarrow S. Effects of person-centered care on residents and staff in aged-care facilities: a systematic review. Clin Interv Aging. 2013;8:1–10.
pubmed: 23319855
pmcid: 3540911
doi: 10.2147/CIA.S38589
de Jong MJ, Huibregtse R, Masclee AAM, Jonkers DMAE, Pierik MJ. Patient-reported outcome measures for use in clinical trials and clinical practice in inflammatory bowel diseases: a systematic review. Clin Gastroenterol Hepatol. 2018;16(5):648–63.
pubmed: 29074448
doi: 10.1016/j.cgh.2017.10.019
Preyde M, Brassard K. Evidence-based risk factors for adverse health outcomes in older patients after discharge home and assessment tools: a systematic review. J Evid Based Soc Work. 2011;8(5):445–68.
pubmed: 22035470
doi: 10.1080/15433714.2011.542330
Kersting C, Kneer M, Barzel A. Patient-relevant outcomes: what are we talking about? A scoping review to improve conceptual clarity. BMC Health Serv Res. 2020;20(1):596.
pubmed: 32600321
pmcid: 7325243
doi: 10.1186/s12913-020-05442-9
Constand M, Macdermid J, Bello-Haas V, Law M. Scoping review of patient-centered care approaches in healthcare. BMC Health Serv Res. 2014;14:271.
pubmed: 24947822
pmcid: 4079171
doi: 10.1186/1472-6963-14-271
Poitras M-E, Maltais M-E, Bestard-Denommé L, Stewart M, Fortin M. What are the effective elements in patient-centered and multimorbidity care? A scoping review. BMC Health Serv Res. 2018;18(1):446.
pubmed: 29898713
pmcid: 6001147
doi: 10.1186/s12913-018-3213-8
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71.
pubmed: 33782057
pmcid: 8005924
doi: 10.1136/bmj.n71
Bayliss EA, Ellis JL, Shoup JA, McQuillan DB, Steiner JF, Zeng C. Association between continuity of care and health-related quality of life. J Am Board Fam Med. 2017;30(2):205–12.
pubmed: 28379827
pmcid: 8565337
doi: 10.3122/jabfm.2017.02.160225
Bayliss EA, Ellis JL, Shoup JA, Zeng C, McQuillan DB, Steiner JF. Association of patient-centered outcomes with patient-reported and ICD-9-based morbidity measures. Ann Fam Med. 2012;10(2):126–33.
pubmed: 22412004
pmcid: 3315135
doi: 10.1370/afm.1364
Bearon LB, Crowley GM, Chandler J, Robbins MS, Studenski S. Personal functional goals: a new approach to assessing patient-centered outcomes. J Appl Gerontol. 2000;19(3):326–44.
doi: 10.1177/073346480001900305
Berg AI, Hoffman L, Hassing LB, McClearn GE, Johansson B. What matters, and what matters most, for change in life satisfaction in the oldest-old? A study over 6 years among individuals 80+. Aging Ment Health. 2009;13(2):191–201.
pubmed: 19347686
doi: 10.1080/13607860802342227
Drouin H, Walker J, McNeil H, Elliott J, Stolee P. Measured outcomes of chronic care programs for older adults: a systematic review. BMC Geriatr. 2015;15(1):139.
pubmed: 26503159
pmcid: 4621859
doi: 10.1186/s12877-015-0136-7
Berglund H, Hasson H, Kjellgren K, Wilhelmson K. Effects of a continuum of care intervention on frail older persons’ life satisfaction: a randomized controlled study. J Clin Nurs. 2015;24(7–8):1079–90.
pubmed: 25293644
doi: 10.1111/jocn.12699
Hong SH, Liu J, Tak S, Vaidya V. The impact of patient knowledge of patient-centered medication label content on quality of life among older adults. Res Social Adm Pharm. 2013;9(1):37–48.
pubmed: 22554393
doi: 10.1016/j.sapharm.2012.02.004
Kane AR, Lum YT, Cutler JL, Degenholtz BH, Yu T. Resident outcomes in small-house nursing homes: a longitudinal evaluation of the initial green house program. J Am Geriatr Soc. 2007;55:832–9.
pubmed: 17537082
doi: 10.1111/j.1532-5415.2007.01169.x
Lee W-J, Peng L-N, Lin C-H, Lin S-Z, Loh C-H, Kao S-L, Hung T-S, Chang C-Y, Huang C-F, Tang T-C, et al. First insights on value-based healthcare of elders using ICHOM older person standard set reporting. BMC Geriatr. 2020;20(1):335.
pubmed: 32907535
pmcid: 7487791
doi: 10.1186/s12877-020-01734-1
Lee H, Shi SM, Kim DH. Home time as a patient-centered outcome in administrative claims data: home time as a patient-centred outcome. J Am Geriatr Soc. 2019;67(2):347–51.
pubmed: 30578532
doi: 10.1111/jgs.15705
Leff B, Sheehan OC, Harrison KL, Eaton England A, Mickler A, Basyal PS, Garrigues SK, Schuchman M, Perissinotto C, Garrett SB, et al. A home-based care research agenda by and for homebound older adults and caregivers. J Appl Gerontol. 2021;40(12):1715–21.
pubmed: 33792428
pmcid: 8604613
doi: 10.1177/07334648211004731
Roberts TJ, Gilmore-Bykovskyi A, Lor M, Liebzeit D, Crnich CJ, Saliba D. Important care and activity preferences in a nationally representative sample of nursing home residents. J Am Med Dir Assoc. 2018;19(1):25–32.
pubmed: 28843525
doi: 10.1016/j.jamda.2017.06.028
Working Group on Health Outcomes for Older Persons with Multiple Chronic C. Universal health outcome measures for older persons with multiple chronic conditions. J Am Geriatr Soc. 2012;60(12):2333–41.
doi: 10.1111/j.1532-5415.2012.04240.x
Shankar KN, Bhatia BK, Schuur JD. Toward patient-centered care: a systematic review of older adults’ views of quality emergency care. Ann Emerg Med. 2014;63(5):529-550.e521.
pubmed: 24051211
doi: 10.1016/j.annemergmed.2013.07.509
Stock R, Mahoney ER, Reece D, Cesario L. Developing a senior healthcare practice using the chronic care model: effect on physical function and health-related quality of life. J Am Geriatr Soc. 2008;56:1342–8.
pubmed: 18503521
doi: 10.1111/j.1532-5415.2008.01763.x
You EC, Dunt D, Doyle C, Hsueh A. Effects of case management in community aged care on client and carer outcomes: a systematic review of randomized trials and comparative observational studies. BMC Health Serv Res. 2012;12(1):395.
pubmed: 23151143
pmcid: 3508812
doi: 10.1186/1472-6963-12-395
Wald HL, Leykum LK, Mattison MLP, Vasilevskis EE, Meltzer DO. A patient-centered research agenda for the care of the acutely Ill older patient: research agenda for older patient care. J Hosp Med. 2015;10(5):318–27.
pubmed: 25877486
doi: 10.1002/jhm.2356
Davis K, Schoenbaum SC, Audet A-M. A 2020 vision of patient-centered primary care. J Gen Intern Med. 2005;20(10):953–7.
pubmed: 16191145
pmcid: 1490238
doi: 10.1111/j.1525-1497.2005.0178.x
What is patient-centered care? NEJM Catalyst. https://catalyst.nejm.org/doi/full/10.1056/CAT.17.0559?targetBtn=articleToolSaveBtn .
Pirhonen L, Gyllensten H, Olofsson EH, Fors A, Ali L, Ekman I, Bolin K. The cost-effectiveness of person-centred care provided to patients with chronic heart failure and/or chronic obstructive pulmonary disease. Health Policy Open. 2020;1:100005.
pubmed: 37383310
pmcid: 10297760
doi: 10.1016/j.hpopen.2020.100005
Stewart M, Ryan BL, Bodea C. Is patient-centred care associated with lower diagnostic costs? Healthcare Policy. 2011;6(4):27–31.
pubmed: 22548095
pmcid: 3107114
Gyllensten H, Koinberg I, Carlström E, Olsson LE, Olofsson EH. Economic analysis of a person-centered care intervention in head and neck oncology: Hanna Gyllensten. Eur J Public Health. 2017;27(Supplement 3):ckx187.336.