Table 3 Participants’ level of agreement with the value of QI of care provided to older adults with frailty
Quality Indicator (QI) | Level of agreement ranging from 1 (strongly disagree) to 5 (strongly agree) | |
|---|---|---|
Mean (SD) | Median (min; max) | |
1) Increase in quality of life of the patient | 4.7 (0.5) | 5 (3; 5) |
2) Increase in healthcare staff skills | 4.5 (1.6) | 5 (3; 5) |
3) Decrease in symptoms | 4.5 (1.7) | 5 (2; 5) |
4) Decrease in caregiver’s burden (psychological, physical, or financial costs experienced by a caregiver providing homecare to a older adult with frailty) | 4.4 (1.7) | 5 (2; 5) |
5) Increase in patient satisfaction with care | 4.4 (1.7) | 5 (3; 5) |
6) Increase in family doctor continuity of care over the last year of life | 4.4 (1.7) | 5 (3; 5) |
7) Decrease in the rate of o who have experienced non-beneficial medical care during their last year of life (ventilation, resuscitation, operating room/surgery) | 4.3 (1.7) | 5 (2; 5) |
8) Decrease in the rate of hospital readmission | 4.3 (1.7) | 4 (1; 5) |
9) Decrease in risk of falling | 4.3 (1.7) | 4 (2; 5) |
10) Decrease in the rate of visits to the emergency department | 4.2 (1.7)* | 4 (2; 5) |
11) Increase in healthcare staff knowledge | 4.2 (1.6)* | 4 (3; 5) |
12) Increase in the ability of patient to cope with difficulties, changes, and emotional struggles that arise with aging (coping effectiveness) | 4.2 (1.7) | 4 (2; 5) |
13) Increase in patient empowerment (becoming self-sufficient) | 4.2 (1.7) | 4 (2; 5) |
14) Decrease in unmet needs of the patient | 4.2 (1.7) | 4 (2; 5) |
15) Increase in physical capacity (gait, balance) | 4.2 (1.7)* | 4 (2; 5) |
16) Decrease in depression (having the blues) | 4.2 (1.7) | 4 (2; 5) |
17) Decrease in the number of hospital days during last year of life | 4.2 (1.8)* | 4 (1; 5) |
18) Increase in healthcare staff’s respect of best practices | 4.2 (1.8) | 4 (2; 5) |
19) Decrease in the number of intensive care unit admissions during last year of life | 4.1 (1.9) | 4,5 (1; 5) |
20) Decrease in the number of new hospital admissions during last year of life | 4.1 (1.8) | 4 (1; 5) |
21) Decrease in patient helplessness (feeling of being powerless) | 4.1 (1.7) | 4 (3; 5) |
22) Decrease in the use of acute inpatient hospital services, such as receiving short-term treatment for a severe injury or episode of illness, an urgent medical condition, or during recovery from surgery | 4.1 (1.8) | 4 (2; 5) |
23) Decrease in the rate of falls | 4.1 (1.8) | 4 (2; 5) |
24) Increase in patient independence (autonomy) | 4.0 (2.0) | 4 (2; 5) |
25) Decrease in social isolation of the patient | 4.0 (2.0) | 4 (3; 5) |
26) Decrease in the number of placements in long-term care/nursing homes | 4 (1.8) | 4 (2; 5) |
27) Increase in the rate of older adults with frailty who receive care from a palliative care organization | 3.9 (1.7) | 4 (2; 5) |
28) Increase in nutritional status | 3.9 (1.7) | 4 (2; 5) |
29) Location where the older adult with frailty spent the majority of their time during last year of life | 3.97 (1.8) | 4 (2; 5) |
30) Increase in multidisciplinary care: rate of family doctor visits over all visits made at clinics during the last year of life | 3.892 (1.8) | 4 (2; 5) |
31) Increase in the rate of family doctor visits over all doctor visits during the last year of life | 3.7 (1.8) | 4 (2; 5) |
32) Increase in mental function (cognitive performance) | 3.7 (1.9)* | 4 (1; 5) |
33) Receiving at least one physician house call during last year of life | 3.6 (1.7) | 4 (2; 5) |
34) Increase in the number of family doctor visits during last year of life | 3.4 (1.8) | 3 (2; 5) |
35) Decrease in the number of visits to specialists at a clinic during last year of life | 3.3 (1.8) | 3 (2; 5) |
36) Decrease in risk of death | 3.1 (1.8) | 3 (1; 5) |