Retrospective evaluation reveals how client traits and home care services influence health quality in older adults, suggesting intervention focus areas.
Key Points
This study evaluates the changes in health-related quality of life (HRQoL) among older adult home care clients based on individual characteristics and services used.
Conducted a retrospective, exploratory observational evaluation of HRQoL changes.
Used a validated mapping process to estimate Health Utility Index 3 (HUI3) scores from Resident Assessment Instrument – Home Care assessments.
Included data from 8743 clients over approximately 1 year.
Baseline HUI3 score was 0.382, which decreased to 0.298 over the year.
Older age (75+) and higher comorbidity index scores are linked to reduced HRQoL.
Increased utilization of clinical specialties and non-regulated supports was associated with lower HRQoL.