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115772 1 (1981-07-12)

handle is hein.gao/gaobacuvq0001 and id is 1 raw text is: 





               APPLICATIONS OF AN INFORMATION

               SYSTEM FOR GERIATRIC PLANNIN

               George L. Maddox, Ph.D., Dan Blazer, M.D.,
               and William F. Laurie, CPA


     The Duke University Center for the Study of Aging and Human

Development through its basic research on program evaluation and

service planning has developed a comprehensive planning and

resource allocation strategy.  This strategy, called the Duke

Older American Resources and Services (OARS) Strategy, includes

three basic elements:

     --a reliable valid multidimensional, functional assessment
       instrument that can be economically used for individual
       clinical assessment and in community surveys,

     --a systematic procedure for disaggregating complex services
       into standard and costable units; and

     --a matrix that relates the impact of known service inter-
       ventions of the functional capacity of identified
       populations.

     OARS is, therefore, an information system that meets the

conditions of quasi-experimental design, which is important for health

services research and program evaluation; but its components can

also be used separately for a variety of purposes by clinicians, program

analysts, and resource allocators.

     As indicated previously, part of the OARS strategy includes the

use of a functional assessment instrument.  At the Duke University

Center a questionnaire called a Multidimensional Functional Assessment

Questionnaire (MFAQ), was developed that assesses the older person's

functional status in five areas of functioning:  (1) social,


*Presented at the XII International Congress of Gerontology in
Hamburg,  Federal Republic of Germany on July 12-17, 1981.