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Introducing the Adults with Chronic Healthcare Needs (ACHCN) definition and screening instrument: Rationale,
Stephen P Gulley1, Elizabeth K Rasch2, Barbara M Altman3
1The Heller School for Social Policy and Management, Brandeis University, Waltham, MA, United States; National Institutes of Health, Clinical Research Center, Rehabilitation Medicine Department, Bethesda, MD, United States.
Disability and Health Journal
|August 22, 2017
Summary
A new definition and screener for Adults with Chronic Healthcare Needs (ACHCN) were developed to consistently identify and stratify this population in health services research.
Area of Science:
- Health Services Research
- Population Health
- Chronic Disease Management
Background:
- Working-age adults in the U.S. represent a large, diverse group needing extensive healthcare services.
- Current definitions and measurements of this population in research are inconsistent.
- A standardized approach is needed to accurately identify and study adults with chronic healthcare needs.
Purpose of the Study:
- To develop a population-level definition for Adults with Chronic Healthcare Needs (ACHCN).
- To create a screening instrument for identifying and stratifying the ACHCN population in health surveys.
- To establish a consistent methodology for health services research.
Main Methods:
- Convened an expert panel by the National Institutes of Health.
- Conducted scoping literature reviews.
- Performed quantitative analyses using national data sources and cognitive testing.
Main Results:
- Defined ACHCN as adults (18-65) with ongoing health conditions or functional difficulties needing extensive support services.
- Developed a screener assessing chronic conditions, functional difficulties, and healthcare service use/needs.
- The definition and screener provide a common standard for ACHCN identification.
Conclusions:
- The developed definition and screener offer a standardized method for identifying Adults with Chronic Healthcare Needs.
- This provides a common denominator for consistent measurement in health services research.
- The approach is aligned with existing frameworks like the HHS Multiple Chronic Condition Framework.
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