Significant changes to the Minimum Data Set (MDS), a standardized assessment of nursing home residents, aim to improve the tool's clinical utility.
A large number of chronic conditions, including cancer, are associated uniquely with decrements in health utility. The cumulative effects of comorbid conditions have substantial impact on daily functioning and well-being of Medicare beneficiaries.
Older women who live in a lower socioeconomic status neighborhood are more likely to exhibit lower cognitive functioning than women who live in more affluent neighborhoods—regardless of their own education level or income.
Sexual behavior among adolescents with HIV-positive mothers was less prevalent than among other adolescents, but was more likely to occur with adolescent alcohol use, lack of parental monitoring, and poorer physical functioning of HIV-positive mothers.
Functional status has a dramatic impact on life expectancy. 75-year-olds without limitations can expect to live 5 years longer than those with limitations in performing daily activities and more than 1 year longer than those with limited mobility.
Examines financial implications of the Centers for Medicare & Medicaid Services Hierarchical Condition Categories risk-adjustment model on Medicare payments for individuals with comorbid chronic conditions. Some payments were underpredicted.
This article describes the translation efforts and some of the problems that led policymakers to abandon the effort.
Evaluates the appropriateness of existing approaches to the assessment of health-related quality of life (HRQOL) for persons with disabilities.
The reliability and validity of the NEI VFQ-25 are comparable to those of the 51-item NEI VFQ field test version of the survey.
Functional limitations of persons living with HIV affect their care needs and ability to perform social roles such as employment.
Few data are available to evaluate health-related quality of life (HRQOL) of people with irritable bowel syndrome (IBS).
Develop a model estimating the probability of an adult patient having severe functional limitations 2 months after being hospitalized with one of nine serious illnesses.
Findings support the use of the SF-36 survey across the diverse populations studied.
Efforts are currently underway to develop a prospective payment system for inpatient medical rehabilitation.
In the assessment of psychological distress and well-being, long considered a primary indicator of mental health, two historic issues, affective vs. somatic symptoms and negative vs. positive emotions, have already been resolved.
Sexual functioning is commonly defined by sexual problems and dysfunction. The MOS limited the definition to include any impairment of the capacity of an adult man or woman to achieve sexual arousal and orgasm.
Health perceptions are personal beliefs and evaluations of general health status. These perceptions focus on health in general rather than on either physical or mental components specifically.
The MOS measures reflect the influence and contributions of many other investigators in the field of health assessment. The measures are based most directly on the health measures developed for the RAND Health Insurance Experiment (HIE), which in turn were based on the work of many others.
The construct validity of a set of nineteen of the most direct measures of health was examined in terms of the interrelationships among the health measures and their relationships to selected validity measures.
This chapter presents an overview of the essential steps necessary to validate health measures and indicates the types of validation studies that have been performed on the MOS measures.