ArticleAge and ageing2014
Self-reported quality of care for older adults from 2004 to 2011: a cohort study.
Article in Age and ageing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03786315 (Exploring 'VOLITION' in Context - a Study to Inform the Implementation of a New Intervention), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Exploring 'VOLITION' in Context - a Study to Inform the Implementation of a New Intervention
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions for involving older patients with multi-morbidity in decision-making during primary care consultations.The Cochrane database of systematic reviews · 2019Pooled it
- Integrated Care for Older Adults Improves Perceived Quality of Care: Results of a Randomized Controlled Trial of Embrace.Journal of general internal medicine · 2017Trial
- Primary care supply and quality of care in England.The European journal of health economics : HEPAC : health economics in prevention and care · 2018Article
- Enhancing delivery of osteoarthritis care in the general practice consultation: evaluation of a behaviour change intervention.BMC family practice · 2018Article
- Using the Theoretical Domains Framework (TDF) to understand adherence to multiple evidence-based indicators in primary care: a qualitative study.Implementation science : IS · 2016Article
- Prevalence and risk factors of lens opacities in rural populations living at two different altitudes in China.International journal of ophthalmology · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundlittle is known about changes in the quality of medical care for older adults over time.
objectiveto assess changes in technical quality of care over 6 years, and associations with participants' characteristics.
designa national cohort survey covering RAND Corporation-derived quality indicators (QIs) in face-to-face structured interviews in participants' households.
participantsa total of 5,114 people aged 50 or more in four waves of the English Longitudinal Study of Ageing.
methodsthe percentage achievement of 24 QIs in 10 general medical and geriatric clinical conditions was calculated for each time point, and associations with participants' characteristics were estimated using logistic regression.
resultsparticipants were eligible for 21,220 QIs. QI achievement for geriatric conditions (cataract, falls, osteoarthritis and osteoporosis) was 41% [95% confidence interval (CI): 38-44] in 2004-05 and 38% (36-39) in 2010-11. Achievement for general medical conditions (depression, diabetes mellitus, hypertension, ischaemic heart disease, pain and cerebrovascular disease) improved from 75% (73-77) in 2004-05 to 80% (79-82) in 2010-11. Achievement ranged from 89% for cerebrovascular disease to 34% for osteoarthritis. Overall achievement was lower for participants who were men, wealthier, infrequent alcohol drinkers, not obese and living alone.
conclusionsubstantial system-level shortfalls in quality of care for geriatric conditions persisted over 6 years, with relatively small and inconsistent variations in quality by participants' characteristics. The relative lack of variation by participants' characteristics suggests that quality improvement interventions may be more effective when directed at healthcare delivery systems rather than individuals.
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