Evidence map›Paper›PMID 26572734›Full record

ArticleBMC geriatrics2015

Quality of care in European home care programs using the second generation interRAI Home Care Quality Indicators (HCQIs).

Andrea D Foebel, Hein P van Hout, Henriëtte G van der Roest, Eva Topinkova, Vjenka Garms-Homolova, Dinnus Frijters, Harriet Finne-Soveri, Pálmi V Jónsson, John P Hirdes, Roberto Bernabei and 1 more

Abstract read
In one paragraph

Article in BMC geriatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Adjusting Client-Level Risks Impacts on Home Care Organization Ranking.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Andrea D FoebelDepartment of Medical Epidemiology and Biostatistics, Karolinska Institute, Stockholm, Sweden. andrea.foebel@ki.se.
Hein P van HoutDepartment of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. hpj.vanhout@vumc.nl.
Henriëtte G van der RoestDepartment of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. hg.vanderroest@vumc.nl.
Eva TopinkovaDepartment of Geriatrics, First Faculty of Medicine, Charles University, Prague, Czech Republic. eva.topinkova@vfn.cz.
Vjenka Garms-HomolovaHTW Berlin, University of Applied Sciences in Technology and Economics, Berlin, Germany. garmsho@htw-berlin.de.
Dinnus FrijtersDepartment of General Practice and Elderly Care Medicine, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. d.frijters@vumc.nl.
Harriet Finne-SoveriNational Institute for Health and Welfare, Helsinki, Finland. harriet.finne-soveri@thl.fi.
Pálmi V JónssonDepartment of Geriatrics, Faculty of Medicine, University of Iceland, Reykjavik, Iceland. palmivj@landspitali.is.
John P HirdesSchool of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada. hirdes@uwaterloo.ca.
Roberto BernabeiDepartment of Geriatrics, Neuroscience and Orthopedics, Catholic University, Rome, Italy. roberto.bernabei@rm.unicatt.it.
Graziano OnderDepartment of Geriatrics, Neuroscience and Orthopedics, Catholic University, Rome, Italy. graziano.onder@rm.unicatt.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvaluating the quality of care provided to older individuals is a key step to ensure that needs are being met and to target interventions to improve care. To this aim, interRAI's second-generation home care quality indicators (HCQIs) were developed in 2013. This study assesses the quality of home care services in six European countries using these HCQIs as well as the two derived summary scales.

methodsData for this study were derived from the Aged in Home Care (AdHOC) study - a cohort study that examined different models of community care in European countries. The current study selected a sub-sample of the AdHOC cohort from six countries whose follow-up data were complete (Czech Republic, Denmark, Finland, Germany, Italy and the Netherlands). Data were collected from the interRAI Home Care instrument (RAI-HC) between 2000 and 2002. The 23 HCQIs of interest were determined according to previously established methodology, including risk adjustment. Two summary measures, the Clinical Balance Scale and Independence Quality Scale were also determined using established methodology.

resultsA total of 1,354 individuals from the AdHOC study were included in these analyses. Of the 23 HCQIs that were measured, the highest proportion of individuals experienced declines in Instrumental Activities of Daily Living (IADLs) (48.4 %). Of the clinical quality indicators, mood decline was the most prevalent (30.0 %), while no flu vaccination and being alone and distressed were the most prevalent procedural and social quality indicators, respectively (33.4 and 12.8 %). Scores on the two summary scales varied by country, but were concentrated around the median mark.

conclusionsThe interRAI HCQIs can be used to determine the quality of home care services in Europe and identify areas for improvement. Our results suggest functional declines may prove the most beneficial targets for interventions.

Indexed as

AgingHome Care ServicesQuality of LifeActivities of Daily LivingAgedAged, 80 and overCohort StudiesCzech RepublicDenmarkEthnicityFemaleFinlandGeriatric AssessmentGermanyHumansItaly

Identifiers

PMID26572734
PMCPMC4647796

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.