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Care transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree?

Care transition outcome measures of importance after emergency care: Do emergency clinicians and... Emergency department (ED)‐to‐community care transitions represent a time of substantial vulnerability for older adults, with an increased risk of ED revisits, hospitalization, and mortality.1 Historically, researchers and policymakers have focused on health care utilization outcomes for evaluation given their relative ease of capture. However, the assessment of patient‐reported outcome measures (PROMs) has gained momentum and may be of particular value for the geriatric emergency medicine (EM) population, which has unique perspectives and priorities in comparison to younger patients.2,3Older adults are increasingly prioritizing PROMs (e.g., functional status, quality of life) during and after ED visits.4 To what extent older adults and clinicians prioritize similar outcomes following an ED visit is unknown. Discrepancies between priorities may result in older patients receiving misaligned ED care and inadequate guidance regarding the subsequent expected course. We sought to determine the degree to which older adults and EM clinicians agree on which topics relevant to care transitions should be assessed following ED visits.This cross‐sectional analysis identifies the degree of agreement in the importance of survey items between cognitively intact older adults and expert clinicians and is part of a larger ongoing study to develop and validate the novel Patient‐Reported Outcome Measure–Older adult care Transitions from http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Academic Emergency Medicine Wiley

Care transition outcome measures of importance after emergency care: Do emergency clinicians and older adults agree?

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References (9)

Publisher
Wiley
Copyright
Copyright © 2023 Society for Academic Emergency Medicine
ISSN
1069-6563
eISSN
1553-2712
DOI
10.1111/acem.14732
Publisher site
See Article on Publisher Site

Abstract

Emergency department (ED)‐to‐community care transitions represent a time of substantial vulnerability for older adults, with an increased risk of ED revisits, hospitalization, and mortality.1 Historically, researchers and policymakers have focused on health care utilization outcomes for evaluation given their relative ease of capture. However, the assessment of patient‐reported outcome measures (PROMs) has gained momentum and may be of particular value for the geriatric emergency medicine (EM) population, which has unique perspectives and priorities in comparison to younger patients.2,3Older adults are increasingly prioritizing PROMs (e.g., functional status, quality of life) during and after ED visits.4 To what extent older adults and clinicians prioritize similar outcomes following an ED visit is unknown. Discrepancies between priorities may result in older patients receiving misaligned ED care and inadequate guidance regarding the subsequent expected course. We sought to determine the degree to which older adults and EM clinicians agree on which topics relevant to care transitions should be assessed following ED visits.This cross‐sectional analysis identifies the degree of agreement in the importance of survey items between cognitively intact older adults and expert clinicians and is part of a larger ongoing study to develop and validate the novel Patient‐Reported Outcome Measure–Older adult care Transitions from

Journal

Academic Emergency MedicineWiley

Published: Oct 1, 2023

Keywords: agreement; care transition; emergency; older adults; patient‐reported outcome measure

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