Department of Medicine for the Elderly, Aintree University Hospital NHS Foundation Trust, Lower Lane, Liverpool, L9 7AL, UK.
International Consortium on Health Outcomes Measurement, London, UK.
BMC Geriatr. 2018 Feb 2;18(1):36. doi: 10.1186/s12877-017-0701-3.
The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article describes how the ICHOM Older Person Working Group followed a consensus-driven modified Delphi technique to develop multiple global outcome measures in older persons. The standard set of outcome measures developed by this group will support the ability of healthcare systems to improve their care pathways and quality of care. An additional benefit will be the opportunity to compare variations in outcomes which encourages and supports learning between different health care systems that drives quality improvement. These outcome measures were not developed for use in research. They are aimed at non researchers in healthcare provision and those who pay for these services.
A modified Delphi technique utilising a value based healthcare framework was applied by an international panel to arrive at consensus decisions.To inform the panel meetings, information was sought from literature reviews, longitudinal ageing surveys and a focus group.
The outcome measures developed and recommended were participation in decision making, autonomy and control, mood and emotional health, loneliness and isolation, pain, activities of daily living, frailty, time spent in hospital, overall survival, carer burden, polypharmacy, falls and place of death mapped to a three tier value based healthcare framework.
The first global health standard set of outcome measures in older persons has been developed to enable health care systems improve the quality of care provided to older persons.
国际健康结果测量联合会（ICHOM）成立于 2012 年，旨在为不同的病症和人群提出基于共识的测量工具和文档。本文描述了 ICHOM 老年人工作组如何遵循共识驱动的改良 Delphi 技术，为老年人制定多个全球结局测量工具。该工作组制定的标准结局测量工具套件将支持医疗保健系统改善其护理路径和护理质量。额外的好处是有机会比较结果的差异，这鼓励和支持不同医疗保健系统之间的学习，推动质量改进。这些结局测量工具不是为研究而开发的。它们针对的是医疗保健服务提供非研究人员以及为这些服务付费的人员。
一个国际小组利用基于价值的医疗保健框架应用改良 Delphi 技术达成共识决策。为了为小组会议提供信息，从文献综述、纵向老龄化调查和焦点小组中寻求信息。
制定和推荐的结局测量工具包括参与决策、自主和控制、情绪和心理健康、孤独和隔离、疼痛、日常生活活动、脆弱性、住院时间、总生存、照顾者负担、多种药物治疗、跌倒和死亡地点，映射到基于价值的三层医疗保健框架。
为了使医疗保健系统能够改善对老年人的护理质量，已经制定了第一套全球老年人健康标准结局测量工具。
