TY - JOUR T1 - Ten recommendations for advancing patient-centered outcomes measurement for older persons JF - Annals of Internal Medicine Y1 - 2003 A1 - McHorney, C. A. KW - *Health Status Indicators KW - Aged KW - Geriatric Assessment/*methods KW - Humans KW - Patient-Centered Care/*methods KW - Research Support, U.S. Gov't, Non-P.H.S. AB - The past 50 years have seen great progress in the measurement of patient-based outcomes for older populations. Most of the measures now used were created under the umbrella of a set of assumptions and procedures known as classical test theory. A recent alternative for health status assessment is item response theory. Item response theory is superior to classical test theory because it can eliminate test dependency and achieve more precise measurement through computerized adaptive testing. Computerized adaptive testing reduces test administration times and allows varied and precise estimates of ability. Several key challenges must be met before computerized adaptive testing becomes a productive reality. I discuss these challenges for the health assessment of older persons in the form of 10 "Ds": things we need to deliberate, debate, decide, and do. VL - 139 N1 - 1539-3704Journal ArticleReview ER -