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Functional status decline as a measure of adverse events in home health care: an observational study |
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| Authors: | Tanya Pollack Scharpf Natalie Colabianchi Elizabeth A Madigan Duncan Neuhauser Timothy Peng Penny H Feldman John FP Bridges |
| Affiliation: | (1) Department of Epidemiology and Biostatistics, Case Western Reserve University, 10900 Euclid Avenue, 44106 Cleveland, OH, USA;(2) Case Western Reserve University,Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, 44106 Cleveland, OH, USA;(3) The Center for Home Care Policy and Research, Visiting Nurse Service of New York, 107 East 70th Street, 10021 New York, New York, USA;(4) Department of Tropical Hygiene and Public Health, University of Heidelberg – Medical School, Im Neuenheimer Feld 324, D-69120, Heidelberg, Germany |
| Abstract: | BackgroundResearch that examines the quality of home health care is complex because no gold standard exists for measuring adverse outcomes, and because the patient and clinician populations are highly heterogeneous. The objectives in this study are to develop models to predict functional decline for three indices of functional status as measures of adverse events in home health care and determine which index is most appropriate for risk-adjusting for future quality research. |
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