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

Healthc (Amst)

Durham VA Health Care System, Durham, NC; 508 Fulton Street (152), Durham, NC, 27705, USA; Duke University School of Medicine, Department of Population Health Sciences, Durham, NC, USA; Duke University School of Medicine, Department of Medicine, Division of Geriatrics, Durham, NC, USA; Duke University School of Medicine, Center for the Study of Aging, Durham, NC, USA.

Published: December 2020

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.

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http://dx.doi.org/10.1016/j.hjdsi.2020.100463DOI Listing

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