Long term care for elderly people.

Ebrahim, Shah; Wallis, Chris; Brittis, Sarajane; Harwood, Rupert; Graham, Nori

doi:10.1136/qshc.2.3.198

Cited by 14 publications

(6 citation statements)

References 20 publications

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“…Professionals rely on objective, easily quanti¢able functional criteria whereas older people are more concerned with issues of self-identity and the preservation of meaning in their lives (Clark 1995;Koch et al 1995;Porter 1995). It has been suggested that the search for scienti¢c measures of quality of life should be abandoned as the models produced are inappropriate to the individual and fail to capture the complexity of caring for the elderly (Ebrahim et al 1993).…”

Section: DI F F E R I Ng Pe R S Pec T I V E Smentioning

confidence: 99%

Measuring the quality of later life

O'Boyle

1997

Phil. Trans. R. Soc. Lond. B

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M M A RYThis paper examines quality of life as a scienti¢c construct with a wide range of applications. The assessment of patients' quality of life is assuming increasing importance in medicine and health care. Illnesses, diseases and their treatments can have signi¢cant impacts on such areas of functioning as mobility, mood, life satisfaction, sexuality, cognition and ability to ful¢l occupational, social and family roles. The emerging quality of life construct may be viewed as a paradigm shift in outcome measurement since it shifts the focus of attention from symptoms to functioning. This holistic approach more clearly establishes the patient as the centre of attention and subsumes many of the traditional measures of outcome. Quality of life assessment is particularly relevant to ageing populations both for healthy elderly and for those who develop chronic diseases where maintenance of quality of life rather than cure may be the primary goal of treatment. This paper introduces the concept of quality of life and describes the signi¢cant di¤culties in de¢nition, measurement and interpretation that must be addressed before such measures can be used as reliable and valid indicators of disease impact and treatment outcomes. It is argued that approaches to quality of life assessment in the elderly should incorporate advances in knowledge about the psychological adaptation to ageing. Consequently, the unique perspective of the individual on his or her own quality of life must be incorporated into outcome assessments aimed at improving the quality of health care. Incorporating measures of subjective outcome such as quality of life into policy decisions on resource allocation in health care will prove one of the major challenges for health services over the next decade.

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Section: DI F F E R I Ng Pe R S Pec T I V E Smentioning

confidence: 99%

Measuring the quality of later life

O'Boyle

1997

Phil. Trans. R. Soc. Lond. B

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“…In India, deaths from noncommunicable causes are projected to almost double from about 4.5 million in 1998 to about 8 million a year in 2020. [5] In the developing world as a whole, deaths from noncommunicable diseases are expected to rise from 47% of the burden to almost 70%. [6] There is no exact data system in India in which specific morbidity of old aged people of the country is available.…”

Section: Introductionmentioning

confidence: 99%

An epidemiological study of prevalence of morbidity patterns among geriatric age group in an urban slum of Mumbai

Sahukaiah¹,

Shenoy²,

Bc³

2015

Int J Med Sci Public Health

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“…In the absence of studies of eYcacy, it is considered as appropriate to consider standards of care for their contribution to comprehensiveness, coordination, and continuity as to see them as goals in their own right. 35 Process measures therefore should gain more weight in quality assurance of chronic care. Apart from this discussion on process and outcome indicators, more attention should be paid to quality assessments on the basis of the need approach.…”

Section: Outcome Approachmentioning

confidence: 99%