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Health, Quality of Care and Quality of Life: A Case of Frail Older Adults

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Abstract

This study explores the relationship between health, quality of care of geriatric case management and quality of life for the purpose of furthering the understanding of the relationship between quality of life and geriatric case management. Using survey data from a group of frail older adults, this study assesses the relative merit of two mediation hypotheses: one considering health as a mediator for quality of care of geriatric case management and quality of life, and the other considering quality of care of geriatric case management as a mediator for health and quality of life. The study findings show that quality of care of geriatric case management, measured by client satisfaction, was not a mediator between health and quality of life (measured by life satisfaction). There was a significant positive association between quality of care of geriatric case management and quality of life. Although the significant association between quality of care of geriatric case management and quality of life could not be mediated by either self-rated health or self-reported physical activity levels, it was completely mediated by health satisfaction. These findings provided preliminary empirical evidence to support a significant relationship between quality of care of geriatric case management and quality of life.

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References

  • Adams, D. L. (1971). Correlates of satisfaction among the elderly. The Gerontologist, 11, 64–68.

    Google Scholar 

  • Applebaum, R. A., Straker, J. K., & Geron, S. M. (2000). Assessing satisfaction in health and long-term care: Practical approaches to hearing the voices of consumers. New York: Springer Publishing Company.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.

    Article  Google Scholar 

  • Belcher, J. R. (1993). The trade-offs of developing a case management model for chronically mentally ill people. Health and Social Work, 18, 20–31.

    Google Scholar 

  • Campbell, A., Converse, P. E., & Rogers, W. L. (1976). The quality of American life: Perceptions, evaluations, and satisfactions. New York: Russel Sage.

    Google Scholar 

  • Challis, D., Chessum, R., Chesterman, J., Luckett, R., & Woods, B. (1988). Community care for the frail elderly: An urban experiment. British Journal of Social Work, 18, 13–42.

    Google Scholar 

  • Coffey, D. S. (2003). Connection and autonomy in the case management relationship. Psychiatric Rehabilitation Journal, 26, 404–412. doi:10.2975/26.2003.404.412.

    Article  Google Scholar 

  • Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575. doi:10.1037/0033-2909.95.3.542.

    Article  Google Scholar 

  • Donnenwerth, G. V., & Peterson, L. R. (1992). Institutionalization and well-being among the elderly. Sociological Inquiry, 62, 437–449. doi:10.1111/j.1475-682X.1992.tb00293.x.

    Article  Google Scholar 

  • Drake, R. E., McHugo, G. J., Clark, R. E., Teague, G. B., Xie, H., Miles, K., et al. (1998). Assertive community treatment for patients with co-occurring severe mental illness and substance use disorder: A clinical trial. The American Journal of Orthopsychiatry, 68, 201–215. doi:10.1037/h0080330.

    Article  Google Scholar 

  • Draine, J. N. (1995). Case management for homeless mentally ill adult offenders: A reexamination of random field trial data. Unpublished doctoral dissertation, University of Pennsylvania.

  • Eckert, P. A. (1994). Cost control through quality improvement: The new challenge for psychology. Professional Psychology, Research and Practice, 25, 3–8. doi:10.1037/0735-7028.25.1.3.

    Article  Google Scholar 

  • Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. doi:10.1016/0022-3956(75)90026-6.

    Article  Google Scholar 

  • Gagnon, A. J., Schein, C., McVey, L., & Bergman, H. (1999). Randomized controlled trial of nurse case management of frail older people. Journal of the American Geriatrics Society, 47, 1118–1124.

    Google Scholar 

  • George, L. K. (1992). Economic status and subjective well-being: A review of literature and an agenda for future research. In N. E. Cutler, D. W. Gregg, & M. P. Lawton (Eds.), Aging, money, and life satisfaction: Aspects of financial gerontology (pp. 69–99). New York: Springer.

    Google Scholar 

  • George, L. K., & Bearon, L. B. (1980). Quality of life in older persons: Meaning and measurements. New York: Human Sciences Press.

    Google Scholar 

  • Geron, S. M., Smith, K., Tennstedt, S., Jette, A., Chassler, D., & Kasten, L. (2000). The Home Care Satisfaction Measure: A client-centered approach to assessing the satisfaction of frail older adults with home care services. Journals of Gerontology: Psychological Sciences and Social Sciences, 55B, S259–S270.

    Google Scholar 

  • Gibson, D. (1998). Aged care: Old policies, new problems. Cambridge: Cambridge University Press.

    Google Scholar 

  • Gupta, V., & Korte, C. (1994). The effects of a confidant and a peer group on the well-being of single elders. International Journal of Aging and Human Development, 39, 293–302.

    Google Scholar 

  • Huxley, P., Evans, S., Burns, T., Fahy, T., & Green, J. (2001). Quality of life outcome in a randomized controlled trial of case management. Social Psychiatry and Psychiatric Epidemiology, 36, 249–255. doi:10.1007/s001270170056.

    Article  Google Scholar 

  • Hsieh, C. M. (2006). Using client satisfaction to improve case management services for the elderly. Research on Social Work Practice, 16, 605–612. doi:10.1177/1087057106289360.

    Article  Google Scholar 

  • Ingram, B. L., & Chung, R. S. (1997). Client satisfaction data and quality improvement in managed mental health care organizations. Health Care Management Review, 22, 40–52.

    Google Scholar 

  • Kane, R. J., Bartlett, J., & Potthoff, S. (1995). Building an empirically based outcomes information system for managed mental health care. Psychiatric Services (Washington, D.C.), 46, 459–461.

    Google Scholar 

  • Klein, A. R., Cnaan, R. A., & Whitecraft, J. (1998). Significance of peer social support with dually diagnosed clients: Findings from a pilot study. Research on Social Work Practice, 8, 529–551. doi:10.1177/104973159800800503.

    Article  Google Scholar 

  • Katz, S., & Akbom, C. A. (1976). A measure of primary socio-biological functions. International Journal of Health Services, 6, 493–507. doi:10.2190/UURL-2RYU-WRYD-EY3K.

    Google Scholar 

  • Krause, N. (1991). Stressful events and life satisfaction among elderly men and women. Journal of Gerontology, 46, S84–S92.

    Google Scholar 

  • Larson, R. (1978). Thirty years of research on the subjective well-being of older Americans. Journal of Gerontology, 33, 109–125.

    Google Scholar 

  • Li, L. W. (2005). Predictors of ADL disability trajectories among low-income frail elders in the community. Research on Aging, 27, 615–642. doi:10.1177/0164027505279711.

    Article  Google Scholar 

  • Maddox, G. L. (1992). Aging and well-being. In N. E. Cutler, D. W. Gregg, & M. P. Lawton (Eds.), Aging, money, and life satisfaction: Aspects of financial gerontology (pp. 53–68). New York: Springer.

    Google Scholar 

  • Markides, K. S., & Martin, H. W. (1979). A causal model of life satisfaction among the elderly. Journal of Gerontology, 34, 86–93.

    Google Scholar 

  • Mendes de Leon, C. F., Guralnik, J. M., & Bandeen-Roche, K. (2002). Short-term change in physical function and disability: The women’s health and aging study. Journal of Gerontology: Social Sciences, 57B, S355–S365.

    Google Scholar 

  • Michalos, A. C. (2004). Social indicators research and health-related quality of life research. Social Indicators Research, 65, 27–72. doi:10.1023/A:1025592219390.

    Article  Google Scholar 

  • Naleppa, (2006). Case management services. In B. Berkman (Ed.), Handbook of social work in health and aging (pp. 521–527). New York: Oxford University Press.

    Google Scholar 

  • National Association of Social Workers (n.d.). Code of ethics of the National Association of Social Workers. Retrieved 5 May 2008, from https://www.socialworkers.org/pubs/code/ code.asp.

  • Neugarten, B., Havighurst, R., & Tobin, S. (1961). The measurement of life satisfaction. Journal of Gerontology, 16, 134–143.

    Google Scholar 

  • Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36, 717–731.

    Google Scholar 

  • Rife, J. C., First, R. J., Greenlee, R. W., Miller, L. D., & Feichter, M. A. (1991). Case management with homeless mentally ill people. Health and Social Work, 16, 58–67.

    Google Scholar 

  • Robinson, M. M. (2000). Case management for gerontological social workers. In R. L. Schneider, N. P. Kropf, & A. J. Kisor (Eds.), Gerontological social work (2nd ed., pp. 136–164). Belmont, CA: Wadsworth.

    Google Scholar 

  • Rossi, P. H., Freeman, H. E., & Lipsey, M. W. (2004). Evaluation: A systematic approach (7th ed.). Newbury Park, CA: Sage.

    Google Scholar 

  • Royse, D., Thyer, B. A., Padgett, D. K., & Logan, T. K. (2006). Program evaluation: An introduction (4th ed.). Belmont, CA: Wadsworth.

    Google Scholar 

  • Russell, R. (1990). Recreation and quality of life in old age: A causal analysis. Journal of Applied Gerontology, 9, 77–90. doi:10.1177/073346489000900107.

    Article  Google Scholar 

  • Rust, R. T., & Oliver, R. L. (Eds.). (1994). Service quality: New direction in theory and practice. Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  • Seed, P., & Kayer, G. (1994). Handbook for assessing and managing care in the community. London: Jessica Kingsley.

    Google Scholar 

  • Serrano, J. P., Latorre, J. M., Gatz, M., & Montanes, J. (2004). Life review therapy using autobiographical retrieval practice for older adults with depressive symptomatology. Psychology and Aging, 19, 272–277.

    Article  Google Scholar 

  • Solomon, P., & Draine, J. (1993). An assessment of gender as a factor among severely mentally disabled case management clients. Social Work in Health Care, 19, 39–60. doi:10.1300/J010v19n01_03.

    Article  Google Scholar 

  • Summers, N. (2006). Fundamentals of case management practice: Skills for the human services. Belmont, CA: Thomson Brooks/Cole.

    Google Scholar 

  • Tran, T. V. (1992). Subjective health and subjective well-being among minority elderly: Measurement issues. Journal of Social Service Research, 16(3/4), 133–146. doi:10.1300/J079v16n03_07.

    Google Scholar 

  • Usui, W. M., Keil, T. J., & Durig, K. R. (1985). Socioeconomic comparisons and life satisfaction of elderly adults. Journal of Gerontology, 40, 110–114.

    Google Scholar 

  • Veenhoven, R. (2000). The four qualities of life: Ordering concepts and measures of the good life. Journal of Happiness Studies, 1, 1–39. doi:10.1023/A:1010072010360.

    Article  Google Scholar 

  • Wagnild, G. (2003). Resilience and successful aging: Comparison among low and high income older adults. Journal of Gerontological Nursing, 29(12), 42–49.

    Google Scholar 

  • White, M. (1986). Case management. In G. L. Maddox (Ed.), The encyclopedia of aging (pp. 92–96). New York: Springer.

    Google Scholar 

  • Wood, V., Wylie, M., & Sheafor, B. (1969). An analysis of a short self-report measure of life satisfaction: Correlation with rater judgments. Journal of Gerontology, 24, 456–469.

    Google Scholar 

  • Wu, C. H., & Wu, C. Y. (2008). Life satisfaction in persons with schizophrenia living in the community: Validation of the satisfaction with life scale. Social Indicators Research, 85, 447–460. doi:10.1007/s11205-007-9136-0.

    Article  Google Scholar 

  • Yi, Y. (1990). A critical review of consumer satisfaction. In V. A. Zeithaml (Ed.), Review of marketing 1990. Chicago: American Marketing Association.

    Google Scholar 

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Hsieh, CM. Health, Quality of Care and Quality of Life: A Case of Frail Older Adults. Soc Indic Res 94, 61–73 (2009). https://doi.org/10.1007/s11205-008-9336-2

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