The relationship between quality of life, health and care transition: an empirical comparison in an older post-acute population

Health and Quality of Life Outcomes

Research

Leah Couzner¹  Maria Crotty¹  Julie Ratcliffe² 

[1] Department of Rehabilitation and Aged Care, Flinders University, Adelaide, South Australia, Australia;Flinders Centre for Clinical Change and Health Care Research, Flinders University, Adelaide, South Australia, Australia;

关键词: Aged;    Geriatrics;    Rehabilitation;    Quality of life;    Health services for the aged;    Health economics;   

DOI  :  10.1186/1477-7525-10-69

 received in 2011-12-09, accepted in 2012-05-22,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe aim of this study was to explore, via empirical comparison, the relationship between quality of life, as measured by the ICECAP-O capability index (a new instrument designed to measure and value quality of life in older people), with both self-reported health status and the quality of care transition in adults aged 65 and over participating in two post-acute rehabilitation programs (outpatient day rehabilitation and the Australian National Transition Care residential program).MethodsThe ICECAP-O was administered to patients receiving either outpatient day rehabilitation (n = 53) or residential transition care (n = 29) during a face to face interview. The relationships between the ICECAP-O and other instruments, including the EQ-5D (a self-reported measure of health status) and CTM-3 (a self-reported measure of the quality of care transitions), the type of post-acute care being received and socio-demographic characteristics were examined.ResultsThe mean ICECAP-O score for the total sample was 0.81 (SD: 0.15). Patients receiving outpatient day rehabilitation generally reported higher levels of capability, than patients receiving residential transition care (mean 0.82 [SD: 0.15] and 0.79 [SD: 0.164] respectively), however these differences were not statistically significant. The mean EQ-5D score for the total sample was somewhat lower than the ICECAP-O (mean 0.52; SD: 0.27) indicating significant levels of health impairment with the outpatient day rehabilitation group demonstrating slightly higher levels of health status than the transition care group (mean 0.54 [SD: 0.254] and mean 0.49 [SD: 0.30]). The ICECAP-O was found to be positively correlated with both the CTM-3 (Spearman’s r =0.234; p ≤ 0.05) and the EQ-5D (Spearman’s r = 0.437; p ≤ 0.001). The relationships between the total EQ-5D and CTM-3 scores and the individual attributes of the ICECAP-O indicate health status and quality of care transition in this patient population to be influential in some, but not all aspects of capability.ConclusionsThe correlations between the ICECAP-O, EQ-5D and CTM-3 instruments illustrate that capability is strongly and positively associated with health-related quality of life and the quality of care transitions. However further research is required to further examine the construct validity of the ICECAP-O and to examine its potential for incorporation into economic evaluation.

【 授权许可】

CC BY   
© Couzner et al.; licensee BioMed Central Ltd. 2012