Ten recommendations for advancing patient-centered outcomes measurement for older persons

Article Abstract:

The past 50 years have seen great progress in the measurement of patient-based outcomes for older populations. Most of the measures now used were created under the umbrella of a set of assumptions and procedures known as classical test theory. A recent alternative for health status assessment is item response theory. Item response theory is superior to classical test theory because it can eliminate test dependency and achieve more precise measurement through computerized adaptive testing. Computerized adaptive testing reduces test administration times and allows varied and precise estimates of ability. Several key challenges must be met before computerized adaptive testing becomes a productive reality. I discuss these challenges for the health assessment of older persons in the form of 10 "Ds": things we need to deliberate, debate, decide, and do.

Science & research, Research, Outcome and process assessment (Health Care), Outcome and process assessment (Medical care), Author Abstract

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Generic health measurement: past accomplishments and a measurement paradigm for the 21st century

Article Abstract:

Survey tools used to measure general health have evolved in the last 30 years and will likely continue to evolve into the 21st century. An overview of survey tools used by past researchers and proposals for future survey tools is presented. Future health survey tools should incorporate computerized methods for equalizing the contributions made by patients' underlying disease severity. Current general health survey tools are not accurate enough to be used in guiding treatment decisions.

History, Health surveys

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Successful aging and the humility of perspective

Article Abstract:

A supplement to the September 2, 2003 issue of the Annals of Internal Medicine contains conference papers from The Eighth Biennial Regenstrief Conference in Turkey Run State Park, Indiana. Researchers discussed the determinants of successful aging so doctors and public health officials can deliver the types of services that elderly people require to live a long and healthy life.

Conferences, meetings and seminars

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