Houseworth James, Kilaberia Tina, Ticha Renata, Abery Brian
Institute on Community Integration, University of Minnesota Twin Cities, Minneapolis, MN, United States.
Betty Irene Moore School of Nursing, University of California, Davis, Davis, CA, United States.
Front Rehabil Sci. 2022 Mar 29;3:830175. doi: 10.3389/fresc.2022.830175. eCollection 2022.
The purpose of this study was to review and evaluate existing research that used risk adjusters in disability research. Risk adjustment controls for individual characteristics of persons when examining outcomes. We have conducted a systematic review and an evaluation of existing studies that included risk adjusters for outcomes of people with disabilities receiving services (home or community based). The process included coding each study according to the type(s) of risk adjusters employed and their relation to the specific population and outcomes within a framework. Panels were utilized to prioritize the risk adjusters. Findings indicate that four risk adjusters can be tentatively recommended as potential candidate risk adjusters: chronic conditions, functional disability, mental health status, and cognitive functioning. Holistic Health and Functioning far outweighed other outcomes studied to date. Further, there is a need for testing recommended risk adjusters across multiple outcomes and different populations of people with disabilities.
本研究的目的是回顾和评估在残疾研究中使用风险调整因素的现有研究。风险调整在考察结果时控制个体特征。我们对现有研究进行了系统回顾和评估，这些研究包括针对接受服务（居家或社区服务）的残疾人结果的风险调整因素。该过程包括根据所采用的风险调整因素类型及其在一个框架内与特定人群和结果的关系对每项研究进行编码。利用专家小组对风险调整因素进行优先排序。研究结果表明，有四个风险调整因素可被初步推荐为潜在的候选风险调整因素：慢性病、功能残疾、心理健康状况和认知功能。整体健康和功能远超过迄今为止研究的其他结果。此外，有必要在多个结果和不同残疾人群体中对推荐的风险调整因素进行测试。
