Development of the Home Care Quality Assessment Index (HCQAI)
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- Arai Yumiko
- Department of Gerontological Policy (Health Policy for the Aged), NILS, National Center for Gerontology and Geriatrics (NCGG)
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- Kumamoto Keigo
- Department of Gerontological Policy (Health Policy for the Aged), NILS, National Center for Gerontology and Geriatrics (NCGG)
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- Sugiura Midori
- Department of Gerontological Policy (Health Policy for the Aged), NILS, National Center for Gerontology and Geriatrics (NCGG) Faculty of Home Economics, Aichi Gakusen University
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- Washio Masakazu
- Department of Gerontological Policy (Health Policy for the Aged), NILS, National Center for Gerontology and Geriatrics (NCGG) Department of Public Health, School of Medicine, Sapporo Medical University
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- Miura Hiroko
- Department of Gerontological Policy (Health Policy for the Aged), NILS, National Center for Gerontology and Geriatrics (NCGG) Department of Speech Therapy, Faculty of Health Science, Kyushu University of Health and Welfare
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- Kudo Kei
- Department of Gerontological Policy (Health Policy for the Aged), NILS, National Center for Gerontology and Geriatrics (NCGG) Research Unit for Health Policy Sciences, Graduate School of Nursing, Miyagi University
Bibliographic Information
- Other Title
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- 在宅ケアの質評価法(Home Care Quality Assessment Index:HCQAI)の開発
- ザイタク ケア ノ シツ ヒョウカホウ Home Care Quality Assessment Index HCQAI ノ カイハツ
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Abstract
Aim<br>To develop a Home Care Quality Assessment Index (HCQAI) that may be used for overall assessment of home care in three areas: 1) conditions of the impaired elderly (outcome); 2) caregiver and caregiving situation (process); and 3) the home care environment (input).<br>Methods<br>To develop the HCQAI, a list of items for assessment was drawn up, and the reliability of each item was verified. Reliability was investigated by a) test-retest reliability, and b) inter-rater reliability. Impaired elderly and their family caregivers who used the visiting nurse station of the Okazaki Medical Association were surveyed. A κ coefficient of 0.4 or greater generally served as the inclusion criteria for test-retest and inter-rater reliability of each item. A factor analysis was conducted for items satisfying the above criteria, using 10 scales.<br>Results<br>Cronbach's α showing internal consistency (reliability) for these scales was 0.6-0.9. Two scales corresponded to care within the home: the “barrier-free” and “improvement of water facilities”; three to the caregiver situation: “dressing appropriate for the season, ” “mistreatment by the elderly, ” and “hygiene and assistance”; and five involved conditions of the impaired elderly: “cognition, ” “paralysis, ” “vision and hearing, ” “ADL, ” and “gross motor.”<br>Conclusion<br>The HCQAI developed in the present study, consisting of 41 items, can assess quality of home care both objectively and comprehensively, based on professional staff observation. Few indexes of this kind exist worldwide to scientifically assess input, process and outcome in the delivery of quality home care for the impaired elderly.
Journal
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- Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics
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Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 42 (4), 432-443, 2005
The Japan Geriatrics Society
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Details 詳細情報について
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- CRID
- 1390001205024819200
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- NII Article ID
- 130003653028
- 40006869783
- 10018513798
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- NII Book ID
- AN00199010
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- NDL BIB ID
- 7443170
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- ISSN
- 03009173
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- PubMed
- 16117485
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
- KAKEN
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- Abstract License Flag
- Disallowed