Standardised approach to measuring goal-based outcomes among older disabled adults: results from a multisite pilot. (Record no. 10877)

MARC details
000 -LEADER
fixed length control field 03458nam a22004697a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 201229s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2044-5415
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33037142
245 ## - TITLE STATEMENT
Title Standardised approach to measuring goal-based outcomes among older disabled adults: results from a multisite pilot.
251 ## - Source
Source BMJ Quality & Safety. 30(2):157-166, 2021 02.
252 ## - Abbreviated Source
Abbreviated source BMJ Qual Saf. 30(2):157-166, 2021 02.
252 ## - Abbreviated Source
Former abbreviated source BMJ Qual Saf. 2020 Oct 09
253 ## - Journal Name
Journal name BMJ quality & safety
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2021
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
266 ## - Date added to catalog
Date added to catalog 2020-12-29
268 ## - Previous citation
-- BMJ Quality & Safety. 2020 Oct 09
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Older adults with complex care needs face trade-offs in determining the right course of treatment. The Centers for Medicare and Medicaid Services identified 'Care is personalized and aligned with patient's goals' as a key meaningful measures category, yet existing quality measures typically assess disease-specific care and may not effectively evaluate what is most important to older adults and family members. Measures based on individualised goals and goal-based outcomes have been proposed as an alternative but are not routinely assessed or implemented.
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: Goal-based outcomes have the potential to both improve the way healthcare is provided and fill a critical gap in value-based payment. Copyright (c) Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
520 ## - SUMMARY, ETC.
Abstract METHODS: A prospective cohort study of feasibility in seven sites (33 clinicians) of the two approaches with 229 individuals. We calculated performance on a measure of achievement of individually identified goals.
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Abstract OBJECTIVES: We tested two approaches to assessing goal-based outcomes that allow individuals to set goals based on their own priorities and measure progress-(1) goal attainment scaling and (2) existing, validated patient-reported outcome measures (PROM).
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Abstract RESULTS: Both approaches were successfully implemented in a non-randomly selected population, and a goal-based outcome could be calculated for 189 (82%) of participants. Most individuals met their goal-based outcome (73%) with no statistical difference between the goal attainment scaling approach (74%) and the patient-reported outcomes approach (70%). Goals were heterogeneous ranging from participating in activities, health management, independence and physical health. Clinicians chose to use goal attainment scaling (n=184, 80%) more often than PROMs (n=49, 20%) and rated the goal attainment scaling approach as useful for providing patient care.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Goals
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element *Outcome Assessment, Health Care
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Aged
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Family
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Humans
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Medicare
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Prospective Studies
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element United States
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Giovannetti, Erin R
790 ## - Authors
All authors Bowman A, Clair CA, Giovannetti ER, Jennings LA, Reuben DB, Sandberg SF, Scholle SH
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1136/bmjqs-2019-010742">https://dx.doi.org/10.1136/bmjqs-2019-010742</a>
Public note https://dx.doi.org/10.1136/bmjqs-2019-010742
858 ## - ORCID
ORCID text Giovannetti, Erin R
Orcid <a href="http://orcid.org/0000-0003-4416-9732">http://orcid.org/0000-0003-4416-9732</a>
Name http://orcid.org/0000-0003-4416-9732
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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          MedStar Authors Catalog MedStar Authors Catalog 12/29/2020   33037142 33037142 12/29/2020 12/29/2020 Journal Article

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