Identifying Older Adults with Serious Illness: A Critical Step toward Improving the Value of Health Care

• Published in: Health services research Vol. 52; no. 1; pp. 113 - 131
• Main Authors: Kelley, Amy S., Covinsky, Kenneth E., Gorges, Rebecca J., McKendrick, Karen, Bollens‐Lund, Evan, Morrison, R. Sean, Ritchie, Christine S.
• Format: Journal Article
• Language: English
• Published: United States Health Research and Educational Trust 01.02.2017; Blackwell Publishing Ltd; John Wiley and Sons Inc
• Subjects: Activities of Daily Living; Adults; Aged; Aged, 80 and over; Analysis; Clinical outcomes; Cost and Resource Use; Critical Illness - economics; Critical Illness - epidemiology; Critical Illness - therapy; Data acquisition; Data collection; Definitions; Early Diagnosis; Female; geriatrics; Government programs; Health care; Health Care Costs - statistics & numerical data; Health care expenditures; Health status; Home health care; Hospitalization; Hospitalization - statistics & numerical data; Humans; Identification; Illnesses; Male; Medical conditions; Medical research; Medicare; Medicare - statistics & numerical data; Medicine, Experimental; Mortality; Nursing; Nursing homes; Nursing Homes - statistics & numerical data; Older people; palliative medicine; population health; Professional identity; Prospective Studies; Quality Improvement - organization & administration; Quality Improvement - standards; Retirement; Studies; United States; United States; geriatrics; population health; Medicare; palliative medicine
• ISSN: 0017-9124; 1475-6773; 1475-6773
• DOI: 10.1111/1475-6773.12479

Objective To create and test three prospective, increasingly restrictive definitions of serious illness. Data Sources Health and Retirement Study, 2000–2012. Study Design We evaluated subjects’ 1‐year outcomes from the interview date when they first met each definition: (A) one or more severe medica...