Abstract:
OBJECTIVES:To prioritize research topics relevant to the care of the growing population of older adults with multiple chronic conditions (MCCs). DESIGN:Survey of experts in MCC practice, research, and policy. Topics were derived from white papers, funding announcements, or funded research projects relating to older adults with MCCs. SETTING:Survey conducted through the Health Care Systems Research Network (HCSRN) and Claude D. Pepper Older Americans Independence Centers (OAICs) Advancing Geriatrics Infrastructure and Network Growth Initiative, a joint endeavor of the HCSRN and OAICs. PARTICIPANTS:Individuals affiliated with the HCSRN or OAICs and national MCC experts, including individuals affiliated with funding agencies having MCC-related grant portfolios. MEASUREMENTS:A "top box" methodology was used, counting the number of respondents selecting the top response on a 5-point Likert scale and dividing by the total number of responses to calculate a top box percentage for each of 37 topics. RESULTS:The highest-ranked research topics relevant to the health and healthcare of older adults with MCCs were health-related quality of life in older adults with MCCs; development of assessment tools (to assess, e.g., symptom burden, quality of life, function); interactions between medications, disease processes, and health outcomes; disability; implementation of novel (and scalable) models of care; association between clusters of chronic conditions and clinical, financial, and social outcomes; role of caregivers; symptom burden; shared decision-making to enhance care planning; and tools to improve clinical decision-making. CONCLUSION:Study findings serve to inform the development of a comprehensive research agenda to address the challenges relating to the care of this "high-need, high-cost" population and the healthcare delivery systems responsible for serving it.
journal_name
J Am Geriatr Socjournal_title
Journal of the American Geriatrics Societyauthors
Tisminetzky M,Bayliss EA,Magaziner JS,Allore HG,Anzuoni K,Boyd CM,Gill TM,Go AS,Greenspan SL,Hanson LR,Hornbrook MC,Kitzman DW,Larson EB,Naylor MD,Shirley BE,Tai-Seale M,Teri L,Tinetti ME,Whitson HE,Gurwitz JHdoi
10.1111/jgs.14943subject
Has Abstractpub_date
2017-07-01 00:00:00pages
1549-1553issue
7eissn
0002-8614issn
1532-5415journal_volume
65pub_type
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