![]() |
The 130th Annual Meeting of APHA |
Madalina C. Chirieac, MD, Monroe County Long Term Care Program, Inc., 349 W. Commercial St., Suite 2250, E. Rochester, NY 14445, 5852488770, mchirieac@mcltcp.org, Brenda Wamsley, MSW, Executive Director, Center for Aging & Healthcare in West Virginia, 517 Market Street, Dils Building, Parkersburg, WV 26101, Bruce Friedman, PhD, Department of Community and Preventive Medicine, University of Rochester, 601 Elmwood Avenue, Box 644, Rochester, NY 14642, and Gerald M. Eggert, PhD, Executive Director, Monroe County Long Term Care Program, Inc./ACCESS, 349 West Commercial Street, Suite 2250, East Rochester, NY 14445.
During the past decade health related quality of life (HRQOL) has become a construct that is regularly evaluated in health services research.
The aim of this study was to evaluate the HRQOL of 1609 Medicare beneficiaries enrolled in the CMS Demonstration "A Randomized Controlled Trial of Primary and Consumer-Directed Care for People with Chronic Illnesses".
Frail Medicare participants from upstate New York and the mid-Ohio valley (WV/OH) were randomly assigned to one of four groups: 1.A consumer-directed Voucher for home care services, 2. A Primary Care Health Promotion Nurse, 3. Combination of consumer-directed Voucher and Health Promotion Nurse, and 4. A Control group that receives usual community care.
An interviewer-administered self-reported battery of quality of life measures including the SF-36 were used to evaluate the hypothesis that the intervention impacted on quality of life, including functional status and health status.
We will report baseline and 22-month data that tests the hypothesis that better quality of life will be experienced: a. for the Voucher group compared to the Control group; b. for the Health Promotion Nurse group compared to the Control group; c. for the Combination group compared to the Control, Voucher or Health Promotion Nurse groups.
Learning Objectives:
Keywords: Frail Elderly, Quality of Life
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.