Advancing the science of population-based measures of home-time

Healthc (Amst). 2020 Dec;8(4):100463. doi: 10.1016/j.hjdsi.2020.100463. Epub 2020 Sep 21.

Abstract

The "home time" measure is gaining appeal in evaluating outcomes for multiple patient populations including post-surgery or intervention and the last 6 months of life. Advancing the science of home time measures will require obtaining the perspectives of patients and caregivers to arrive at a population-based measure of quality of life. Additionally, measure development requires considerations of what care settings denote time away from home, observation period, and thresholds that are clinically significant. We explore examples and challenges from current research and our own experience. Being able to advance such measures could also inform payment models and policy design.

Keywords: Administrative claims data; Aging; Long term care; Person-centered measure; Quality of life.

MeSH terms

  • Home Care Services / standards*
  • Home Care Services / trends
  • Humans
  • Patient-Centered Care / methods*
  • Quality of Life / psychology
  • Time Factors*
  • United States
  • United States Department of Veterans Affairs / organization & administration
  • United States Department of Veterans Affairs / statistics & numerical data