Determinants of health-related quality of life in older primary care patients: results of the longitudinal observational AgeCoDe Study

Eisele, Marion; Kaduszkiewicz, Hanna; König, Hans‐Helmut; Lange, Carolin; Wiese, Birgitt; Prokein, Jana; Weyerer, Siegfried; Werle, Jochen; Riedel‐Heller, Steffi G.; Luppa, Melanie; Heser, Kathrin; Koppara, Alexander; Mösch, Edelgard; Weeg, Dagmar; Fuchs, Ângela; Pentzek, Michael; Maier, Wolfgang; Scherer, Martin; Hajek, André

doi:10.3399/bjgp15x687337

Cited by 62 publications

(48 citation statements)

References 27 publications

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“…Previous longitudinal studies with similar outcome variables showed that it is important to take time-constant unobserved factors such as genetic disposition into consideration in order to get unbiased estimates [12,13]. While pooled ordinary least squares (OLS) regressions only provide consistent estimates under the absence of time-constant unobserved factors, random effects (RE) strategies provide consistent estimates even if time-constant unobserved factors exist.…”

Section: Methodsmentioning

confidence: 98%

“…However, RE regression techniques only provide consistent estimates when these time-constant unobserved factors are not systematically correlated with the predictors. Actually, this is a very strong assumption which is often violated [12,13]. Consequently, FE regressions were used since they provide consistent estimates (under the assumption of strict exogeneity) even if time-constant unobserved factors are correlated with the predictors [14].…”

Section: Methodsmentioning

confidence: 99%

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The Curvilinear Effect of BMI on Functional Health - Evidence of the Long-Running German Ageing Survey

Hajek

König²

2017

Obes Facts

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Aims: We aimed at determining the effect of BMI on functional health among older Germans longitudinally. Methods: Data from four waves (2002-2014) of the German Ageing Survey (‘Deutscher Alterssurvey'; DEAS), a representative sample of community-dwelling individuals aged 40 years and above, were used. Functional health was quantified by the subscale ‘physical functioning' of the 36-Item Short Form Health Survey (SF-36). Fixed effects regressions were used to estimate the predictors of functional health. Linear, quadratic, and cubic terms were included for BMI (self-reported). Results: Fixed effects regressions showed significant linear, quadratic, and cubic effects of BMI on functional health in the total sample and in both sexes. Furthermore, regressions revealed that functional health decreased with increasing age in the total sample and in both sexes. In addition, changes in marital and employment status were significantly associated with changes in functional health in men, but not in women. Conclusion: Our data indicate that the greater the extreme of BMI (either higher or lower), the greater the risk for functional decline. Nutrition programs aimed at preventing changes to extreme BMI might be productive.

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Section: Methodsmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

The Curvilinear Effect of BMI on Functional Health - Evidence of the Long-Running German Ageing Survey

Hajek

König²

2017

Obes Facts

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“…2 We encourage improvement by championing examples of good, innovative, and outstanding practice. 3 Indeed, the vast majority of England's GP practices are providing a good service to their patients, so why are the 4% rated inadequate falling significantly short? As identified in our State of Health Care report, 4 the key may be in effective leadership.…”

Section: Doi: 103399/bjgp16x683089mentioning

confidence: 99%

Response from the CQC: the importance of effective leadership

2015

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“…A longitudinal study of the determinants of HRQoL in older primary care patients showed that motivating patients to increase their weekly physical activity and to focus on preserving their ability to walk is a promising approach to improving HRQoL in older age [8]. In another large study focused on HRQoL in primary care patients, it was reported that, in order to enhance the functional capacity of primary care patients with co-existing chronic disease and depressive symptoms, health care interventions should be aimed at improving the physical aspects of HRQoOL [9].…”

Section: Definition Of Hrqolmentioning

confidence: 99%

Health-Related Quality of Life or Quality of Medical Service? Current challenges for family doctors

Kanecki¹,

Nitsch–Osuch²,

Tyszko³

2016

fmpcr

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A -Study Design, B -Data Collection, C -Statistical Analysis, D -Data Interpretation, E -Manuscript Preparation, F -Literature Search, G -Funds Collection Maximizing Health-Related Quality of Life (HRQoL) is one of the most important goals in the work of the family doctor. Providing a high quality of medical services (QMS) should be among the most important challenges in primary health care organizations (PHCOs). In practice, these two areas of activity require continuous improvement, and can complement each other and enhance their mutual impact on the health of patients. The objective of this article is to present selected areas of HRQoL and QMS improvement in the practice of a family doctor, which might contribute to patients' health, to cost reduction, and to a beneficial reposition of a health center within the medical service market. The paper presents proposals for improving HRQoL and QMS through the use of data from questionnaires filled out by patients, through the cooperation of all the people involved in the delivery of medical services, through adaptation of the IT infrastructure to meet the needs of PHCOs, and through improvements in quality as the result of a process model. QMS is of great importance, especially for both consumers and providers of medical services, including PHCOs. Improvement in quality should be considered as operating on both HRQoL and QMS. This paper presents strategies for selected areas that may contribute to improving QMS, both with respect to the opinions of patients and the functioning of PHCOs.

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Determinants of health-related quality of life in older primary care patients: results of the longitudinal observational AgeCoDe Study

Cited by 62 publications

References 27 publications

The Curvilinear Effect of BMI on Functional Health - Evidence of the Long-Running German Ageing Survey

The Curvilinear Effect of BMI on Functional Health - Evidence of the Long-Running German Ageing Survey

Response from the CQC: the importance of effective leadership

Health-Related Quality of Life or Quality of Medical Service? Current challenges for family doctors

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