%0 Journal Article
%T The relationship between quality of life, health and care transition: an empirical comparison in an older post-acute population
%A Leah Couzner
%A Julie Ratcliffe
%A Maria Crotty
%J Health and Quality of Life Outcomes
%D 2012
%I BioMed Central
%R 10.1186/1477-7525-10-69
%X The ICECAP-O was administered to patients receiving either outpatient day rehabilitation (n£¿=£¿53) or residential transition care (n£¿=£¿29) during a face to face interview. The relationships between the ICECAP-O and other instruments, including the EQ-5D (a self-reported measure of health status) and CTM-3 (a self-reported measure of the quality of care transitions), the type of post-acute care being received and socio-demographic characteristics were examined.The mean ICECAP-O score for the total sample was 0.81 (SD: 0.15). Patients receiving outpatient day rehabilitation generally reported higher levels of capability, than patients receiving residential transition care (mean 0.82 [SD: 0.15] and 0.79 [SD: 0.164] respectively), however these differences were not statistically significant. The mean EQ-5D score for the total sample was somewhat lower than the ICECAP-O (mean 0.52; SD: 0.27) indicating significant levels of health impairment with the outpatient day rehabilitation group demonstrating slightly higher levels of health status than the transition care group (mean 0.54 [SD: 0.254] and mean 0.49 [SD: 0.30]). The ICECAP-O was found to be positively correlated with both the CTM-3 (Spearman¡¯s r =0.234; p£¿¡Ü£¿0.05) and the EQ-5D (Spearman¡¯s r£¿=£¿0.437; p£¿¡Ü£¿0.001). The relationships between the total EQ-5D and CTM-3 scores and the individual attributes of the ICECAP-O indicate health status and quality of care transition in this patient population to be influential in some, but not all aspects of capability.The correlations between the ICECAP-O, EQ-5D and CTM-3 instruments illustrate that capability is strongly and positively associated with health-related quality of life and the quality of care transitions. However further research is required to further examine the construct validity of the ICECAP-O and to examine its potential for incorporation into economic evaluation.
%K Aged
%K Geriatrics
%K Rehabilitation
%K Quality of life
%K Health services for the aged
%K Health economics
%U http://www.hqlo.com/content/10/1/69/abstract