Development of Quality Indicators to Address Abuse and Neglect in Home-Based Primary Care and Palliative Care

被引：8

作者：

Sheehan, Orla C. ^{[1
]}

Ritchie, Christine S. ^{[2
]}

Fathi, Roya ^{[2
,3
]}

Garrigues, Sarah K. ^{[2
]}

Saliba, Debra ^{[4
,5
,6
]}

Leff, Bruce ^{[7
,8
,9
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Ctr Aging & Hlth, Div Geriatr Med & Gerontol, Baltimore, MD USA

[2] Univ Calif San Francisco, Div Geriatr, San Francisco, CA 94143 USA

[3] San Francisco VA Med Ctr, Vet Affairs Qual Scholars Fellowship Program, San Francisco, CA USA

[4] Univ Calif Los Angeles, Los Angeles, CA USA

[5] Jewish Home Borun Ctr, Los Angeles, CA USA

[6] Vet Affairs Geriatr Res, Los Angeles, CA USA

[7] Johns Hopkins Univ, Sch Med, Div Geriatr Med & Gerontol, Baltimore, MD USA

[8] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Dept Hlth Policy & Management, Baltimore, MD USA

[9] Johns Hopkins Univ, Sch Nursing, Dept Community & Publ Hlth, Baltimore, MD USA

来源：

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY | 2016年 / 64卷 / 12期

关键词：

abuse; neglect; quality indicators; home-based primary care; home-based palliative care; ELDER ABUSE; REPORTING MISTREATMENT; PHYSICIANS; SET; STANDARDS;

D O I：

10.1111/jgs.14365

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

OBJECTIVES: To develop candidate quality indicators (QIs) for the quality standard of "addressing abuse and neglect" in the setting of home-based medical care. DESIGN: Systematic literature review of both the peer-reviewed and gray literature. SETTING: Home-based primary and palliative care practices. PARTICIPANTS: Homebound community-dwelling older adults. MEASUREMENTS: Articles were identified to inform the development of candidate indicators of the quality by which home-based primary and palliative care practices addressed abuse and neglect. The literature guided the development of patient-level QIs and practice-level quality standards. A technical expert panel (TEP) representing exemplary home-based primary care and palliative care providers then participated in a modified Delphi process to assess the validity and feasibility of each measure and identify candidate QIs suitable for testing in the field. RESULTS: The literature review yielded 4,371 titles and abstracts that were reviewed; 25 publications met final inclusion criteria and informed development of nine candidate QIs. The TEP rated all but one of the nine candidate indicators as having high validity and feasibility. CONCLUSION: Translating the complex problem of addressing abuse and neglect into QIs may ultimately serve to improve care delivered to vulnerable home-limited adults who receive home-based medical care.

引用

页码：2577 / 2584

页数：8

共 45 条

[1] Elder Abuse and Neglect: When Home Is Not Safe [J].

Abbey, L. .

CLINICS IN GERIATRIC MEDICINE, 2009, 25 (01) :47-+

[2] Prevalence and Correlates of Emotional, Physical, Sexual, and Financial Abuse and Potential Neglect in the United States: The National Elder Mistreatment Study [J].

Acierno, Ron ;

Hernandez, Melba A. ;

Amstadter, Ananda B. ;

Resnick, Heidi S. ;

Steve, Kenneth ;

Muzzy, Wendy ;

Kilpatrick, Dean G. .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2010, 100 (02) :292-297

[3] Elder abuse and neglect: What physicians can and should do [J].

Ahmad, M ;

Lachs, MS .

CLEVELAND CLINIC JOURNAL OF MEDICINE, 2002, 69 (10) :801-808

[4]

Allison E J, 1998, Eur J Emerg Med, V5, P355

[5]

Allison WE, 2011, J GEN INTERN MED, V26, pS480

[6] Elder abuse identification and referral: The importance of screening tools and referral protocols [J].

Anetzberger, GJ .

JOURNAL OF ELDER ABUSE & NEGLECT, 2001, 13 (02) :3-22

[7]

[Anonymous], 2002, The Toronto Declaration on the global Prevention of Elder Abuse

[8]

[Anonymous], 2011, RAD NEW YORK STAT EL

[9]

Bonnie R.J., 2003, Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America, Committee on National Statistics

[10]

Brandl B, 2007, SPRINGER SERIES ETHI, P79

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