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Measuring Health Outcomes for Older People Using the Sage Database

Published online by Cambridge University Press:  29 November 2010

Giovanni Gambassi ,
Kate L. Lapane ,
Antonio Sgadari ,
Francesco Landi ,
Vincent Mor  and
Roberto Bernabei
Giovanni Gambassi
Affiliation:
Università Cattolica del Sacro Cuore
Kate L. Lapane
Affiliation:
Brown University
Antonio Sgadari
Affiliation:
Università Cattolica del Sacro Cuore
Francesco Landi
Affiliation:
Università Cattolica del Sacro Cuore
Vincent Mor
Affiliation:
Brown University
Roberto Bernabei
Affiliation:
Università Cattolica del Sacro Cuore
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Abstract

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We establish the potential for outcomes evaluation of a long-term care population-based dataset. Data come from the Health Care Financing Administration's case-mix and quality demonstration project including all Medicare/ Medicaid certified homes of five U.S. states during 1992–1994. Using the Minimum Data Set, we identified nearly 70,000 residents over 65 years of age with congestive heart failure. We provide a preliminary analysis of pharmacotherapy of congestive heart failure and its effects on decline in physical functioning. Functional outcome, expressed as the rate of ADL decline, was improved for patients on combination therapy relative to those on digoxin or ACE-inhibitors alone. The availability of a population-based data set provides a means of evaluating current policies and practices.

Résumé

RÉSUMÉ

Cet article cherche à établir le potentiel d'évaluation des programmes d'une base de données sur les soins de longue durée dans la communauté. Les données proviennent d'un projet-pilote sur la qualité et la clientèle du Health Care Financing Administration, incluant tous les établissements couverts par Medicare/ Medicaid de cinq états américains entre 1992 et 1994. À l'aide du Minimum Data Set, 70 000 résidents de plus de 65 ans souffrant d'insuffisance cardiaque globale ont été identifiés. L'analyse préliminaire de la pharmacothérapie de l'insuffisance cardiaque globale et de ses effets sur le déclin des fonctions physiques est présentée. L'état des fonctions physiques, mesuré par le taux de déclin des activités instrumentales de la vie quotidienne des patients qui suivent une thérapie combinée s'améliore par rapport à ceux qui prennent seulement de la digoxine ou des inhibiteurs de l'enzyme convertissant l'angiotensine. La disponibilité d'un ensemble de donnees sur la population fournit done une méthode d'évaluation des politiques et des pratiques courantes.

Keywords

AgedAdministrative DatabaseHealth OutcomesMinimum Data SetNursing HomeObservational StudiesPharmaco-epidemiologyAîné(e)sbase de données administrativerésultats de santéminimum data setmaison de soins infirmiersétudes par observationpharmaco-épidémiologie
Type
Research Article
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 19 , supplement S2 , Fall/Automne 2000 , pp. 67 - 86
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Canadian Association on Gerontology 2000

Footnotes

1

Center for Gerontology and Health Care Research, Brown University, Box G-B222, 171 Meeting Street, Providence, RI, 02912, (Kate_Lapane@brown.edu)

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