FIMA, the questionnaire for health-related resource use in the elderly population: validity, reliability, and usage of the Polish version in clinical practice

Abstract

PurposeThe purpose of this study was to determine the validity and reliability of the Polish version of the Questionnaire for Health-Related Resource Use in an Elderly Population [Fragebogen zur Inanspruchnahme medizinischer und nicht-medizinischer Versorgungsleistungen im Alter (FIMA)].Patients and methodsThis was a cross-sectional study conducted in a rehabilitation care unit in Poland between January and June of 2017. Sixty-one patients aged ≥65 years who had been admitted to the unit were enrolled into the study. Each participant was evaluated twice: once within 48 hours of admission (T1) and once after 2 weeks (T2).ResultsThe translated instrument was understood by most respondents in a selected population and it maintained a reading and comprehension level that was accessible by most respondents, even of a low education level. With the aid of the prevalence-adjusted bias-adjusted kappa (PABAK) and intraclass correlation coefficient (ICC), 100% test–retest reliability for 10 out of the 12 questions that were subjected to analysis was indicated. The most frequent health-related resource uses were appointments at the general practitioner (90.2%) and orthopedist (54.1%), medication (93.4%), and the necessity to have glasses as supportive equipment (70.5%).ConclusionThe Polish FIMA demonstrated very good test–retest reliability, good validity, and ease of use for elderly people. Further investigation is required. In the future, the routine use of this instrument could be encouraged to assess the use and demand for medical and nonmedical services among the elderly.

Validierung des FIMA-Fragebogens zur Inanspruchnahme von Versorgungsleistungen anhand von Routinedaten der Krankenversicherung: Welchen Einfluss hat der Erinnerungszeitraum?

“…einfach eingestuft. Der Median der Aus füllzeit lag bei 15 Min und stimmt mit den bereits erfolgten Studi en überein [6,7]. Die durchschnittliche Ausfüllzeit unterschied sich zwischen den Gruppen signifikant und war in der Gruppe 1 mit 26,18 Min am höchsten.…”

“…Aus diesem Grund wurde der stan dardisierte, generische Fragebogen zur Inanspruchnahme Medizi nischer und nichtmedizinischer Versorgungsleistungen im Alter (FIMA) zur Erfassung direkter medizinischer und nichtmedizini scher Ressourcenverbräuche in der älteren Bevölkerung entwickelt und pilotiert [6]. Er wurde bereits in einer polnischen Studie vali diert, in der sich eine gute Retestreliabilität zeigte [7], aber kein Vergleich mit Routinedaten erfolgte.…”

The Use of Medical and Non-Medical Services by the Elderly during the SARS-CoV-2 Pandemic Differs between General and Specialist Practice: A One-Center Study in Poland

“…The original FIMA questionnaire contains 28 questions. The first eighteen questions concern the medical and paramedical services used by the elderly, while the further questions (19)(20)(21)(22)(23)(24)(25)(26)(27)(28) focus on the socio-demographic data and assess the degree of difficulty and time needed to complete the questionnaire by the patient (Table 1). Because of differences in the Polish model of health insurance, questions 17 and 18 are not included in the Polish version of FIMA.…”

“…Because of differences in the Polish model of health insurance, questions 17 and 18 are not included in the Polish version of FIMA. That version was successfully validated by our team three years ago [22]. Healthcare in Poland is insurance-based, and is delivered through a publicly funded healthcare system called the National Health Fund (NHF).…”

Questionnaire development and validation for designing a health telemonitoring system for frail elderly people

“…21,22 In this regard, provision of a questionnaire to determine the requirements and applications of such systems is essential. Previous studies in other countries have surveyed the validity and reliability of questionnaires in various related topics such as an “online fall-risk questionnaire for non-frail community-dwelling elderly persons”, 23 “Pfeffer questionnaire for the Brazilian elderly population”, 24 “the questionnaire for health-related resource use in the elderly population” 25 and “international physical activity questionnaire (IPAQ) in elderly adults”. 26 However, there is no specific tool to determine monitoring system requirements for the elderly in Iran.…”