Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases

Cynthia M. Boyd; Jonathan Darer; Chad Boult; Linda P. Fried; Lisa Boult; Albert W. Wu

doi:10.1001/jama.294.6.716

Abstract

This review suggests that adhering to current CPGs in caring for an older person with several comorbidities may have undesirable effects. Basing standards for quality of care and pay for performance on existing CPGs could lead to inappropriate judgment of the care provided to older individuals with complex comorbidities and could create perverse incentives that emphasize the wrong aspects of care for this population and diminish the quality of their care. Developing measures of the quality of the care needed by older patients with complex comorbidities is critical to improving their care.

Keywords

MedicineQuality of life (healthcare)GuidelineComorbidityLife expectancyIntensive care medicinePhysical therapyHealth careMEDLINEPopulationDiseaseFamily medicineInternal medicineNursingEnvironmental health

Affiliated Institutions

Johns Hopkins University US

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Publication Info

Year: 2005
Type: article
Volume: 294
Issue: 6
Pages: 716-716
Citations: 2472
Access: Closed

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APA Style

                            
                                
                                    Cynthia M. Boyd, 
                                
                                    Jonathan Darer, 
                                
                                    Chad Boult
                                
                                et al.
                            
                            (2005). 
                            Clinical Practice Guidelines and Quality of Care for Older Patients With Multiple Comorbid Diseases. 
                            JAMA
                            , 294
                            (6)
                            , 716-716.
                            https://doi.org/10.1001/jama.294.6.716
                        

Identifiers

DOI: 10.1001/jama.294.6.716