Quality of Care for Vulnerable Older Patients
Authors: Stephanie L. Garrett, James G. O'Brien, Toni P. Miles
Journal: Annals of Internal Medicine (2006)

Letters7 February 2006Quality of Care for Vulnerable Older PatientsStephanie L. Garrett, MD, James G. O'Brien, MD, and Toni P. Miles, MD, PhDStephanie L. Garrett, MDFrom the University of Louisville, Louisville, KY 40202.Search for more papers by this author, James G. O'Brien, MDFrom the University of Louisville, Louisville, KY 40202.Search for more papers by this author, and Toni P. Miles, MD, PhDFrom the University of Louisville, Louisville, KY 40202.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-144-3-200602070-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In a recent meeting of our fellows and departmental faculty, we discussed the findings of Higashi and colleagues (1). We were considerably excited because we are committed to quality care for our frail older patients. To our surprise, the analyses as presented did not support the conclusions.The authors state that for 8 of the 9 quality indicators that they defined, “patients who received recommended care were less likely to die than those who did not receive such care (Table 2).” Only 1 of these 9 quality indicators was significant—the exact opposite of the text. Pneumococcal vaccine ...References1. Higashi T, Shekelle PG, Adams JL, Kamberg CJ, Roth CP, Solomon DH, et al. Quality of care is associated with survival in vulnerable older patients. Ann Intern Med. 2005;143:274-81. [PMID: 16103471] LinkGoogle Scholar2. Saliba D, Elliott M, Rubenstein LZ, Solomon DH, Young RT, Kamberg CJ, et al. The Vulnerable Elders Survey: a tool for identifying vulnerable older people in the community. J Am Geriatr Soc. 2001;49:1691-9. [PMID: 11844005] CrossrefMedlineGoogle Scholar3. Shekelle PG, MacLean CH, Morton SC, Wenger NS. ACOVE quality indicators. Ann Intern Med. 2001;135:653-67. [PMID: 11601948] LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From the University of Louisville, Louisville, KY 40202.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoACOVE Quality IndicatorsACOVE Quality IndicatorsElectronic Health Records: Just around the Corner? Or over the Cliff? Richard J. Baron , Elizabeth L. Fabens , Melissa Schiffman , and Erica Wolf Quality of Care Is Associated with Survival in Vulnerable Older Patients Takahiro Higashi , Paul G. Shekelle , John L. Adams , Caren J. Kamberg , Carol P. Roth , David H. Solomon , David B. Reuben , Lillian Chiang , Catherine H. MacLean , John T. Chang , Roy T. Young , Debra M. Saliba , and Neil S. Wenger Quality of Care for Vulnerable Older Patients Takahiro Higashi , Neil Wenger , and Paul Shekelle Metrics 7 February 2006Volume 144, Issue 3Page: 219KeywordsAge distributionAge groupsConflicts of interestElderlyEnd of life careHealth care qualityPalliative careRisk managementVaccines ePublished: 7 February 2006 Issue Published: 7 February 2006 CopyrightCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...