Integrated Care and Perceived Quality of Life Outcome Measures

Date of Award

Spring 2025

Document Type

Dissertation

Degree Name

Doctor of Healthcare Administration (DHA)

Committee Chair

Gail Frankle

Committee Member

Usha Palaniswamy

Committee Member

Jesse Florang

Abstract

The rapidly aging population in the United States, combined with increased healthcare costs, has led to an increased use of integrated models of care. Despite the patient lying at the theoretical center of integrated care, existing research has focused on clinical outcomes and cost efficacy rather than whether or not the model is meeting the participant's unique needs. This quantitative, exploratory study intended to identify the relationship between perceived quality of life outcome measures and integrated care participation among a cluster of senior living communities in Michigan. This study was guided by Donabedian’s model, which described patient-centeredness as a core construct in pursuing innovative models of care (Berwick & Fox, 2016). Participants were split into integrated and non-integrated care subgroups, each with 88 participants. The study found a significant relationship between perceived quality of life outcome measures and integrated care participation (p< 0.001). However, the Mann-Whitney U test found no significant relationship between the two groups with a p-value of 0.058. Additionally, findings indicated that socioeconomic status does have a significant moderating effect on the relationship between integrated care participation and perceived quality of life, with a p-value of < 0.001. These findings will encourage future integrated care researchers to focus on patient centered outcome measures to improve comprehension, allowing patients to participate in the informed consent process when enrolling in an integrated model of care.

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