As the population ages and health care improves, more Americans are living with multiple chronic conditions and disabilities. This has significant implications for providing, tracking and evaluating the quality of patient care, according to this essay in Health Services Research in 2020.
Current health care reform is based on efforts to improve data and move toward evidence-based performance measures and performance-based payments. This could have important consequences for people with multiple chronic conditions (MCCs) or disabilities. The author argues these people must be specifically considered when performing comparative effectiveness research; and suggests data that should be included.
The author includes a list of eight specific research recommendations for health services research concerning people with MCCs and disabilities. The author notes that, while improving the efficiency and quality of health care are obvious goals, attention must be paid to improving the quality of life and health outcomes for these individuals.