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Hendry A, Vanhecke E, Carriazo AM, López-Samaniego L, Espinosa JM, Sezgin D, O’Donovan M, Hammar T, Ferry P, Vella A, Bacaicoa OA, Braga M, Ciutan M, Velivasi A, Lamprini Koula M, Van der Heyden J, Liew A, O’Caoimh R. Integrated Care Models for Managing and Preventing Frailty: A Systematic Review for the European Joint Action on Frailty Prevention (ADVANTAGE JA). Transl Med UniSa 2019; 19:5-10. [PMID: 31360661 PMCID: PMC6581495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Frailty requires concerted integrated approaches to prevent functional decline. Although there is evidence that integrating care is effective for older people, there is insufficient data on outcomes from studies implementing integrated care to prevent and manage frailty. We systematically searched PubMed and Cochrane Library database for peer-reviewed medical literature on models of care for frailty, published from 2002 to 2017. We considered the effective and transferable components of the models of care and evidence of economic impact, where available. Information on European Union-funded projects or those registered with the European Innovation Partnership on Active and Healthy Ageing, and grey literature (including good practices) were also considered. We found 1,065 potential citations and 170 relevant abstracts. After excluding reports on specific diseases, processes or interventions and service models that did not report data, 42 full papers met the inclusion criteria. The evidence showed that few models of integrated care were specifically designed to prevent and tackle frailty in the community and at the interface between primary and secondary (hospital) care. Current evidence supports the case for a more holistic and salutogenic response to frailty, blending a chronic care approach with education, enablement and rehabilitation to optimise function, particularly at times of a sudden deterioration in health, or when transitioning between home, hospital or care home. In all care settings, these approaches should be supported by comprehensive assessment and multidimensional interventions tailored to modifiable physical, psychological, cognitive and social factors.
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Affiliation(s)
| | - E Vanhecke
- Ministry of Health and Social Affairs, France
| | - AM Carriazo
- Consejeria de Salud de la Junta de Andalucia, Sevilla, Spain
| | - L López-Samaniego
- Fundación Progreso y Salud, Consejería de Salud de la Junta de Andalucía, Sevilla, Spain
| | | | - D Sezgin
- Clinical Sciences Institute, National University of Ireland, Galway, Galway City, Ireland
| | - M O’Donovan
- Clinical Sciences Institute, National University of Ireland, Galway, Galway City, Ireland
| | - T Hammar
- National Institute for Health and Welfare, Finland, Helsinki, Finland
| | - P Ferry
- Ministry for the Family and Social Solidarity, Malta
| | - A Vella
- Ministry for the Family and Social Solidarity, Malta
| | - OA Bacaicoa
- Centro de Excelencia en Investigación en Cronicidad (KRONIKGUNE), Barakaldo, Spain
| | - M Braga
- Agenzia Nazionale per i Servizi Sanitari Regionali, Italy
| | - M Ciutan
- Scoala Nationala de Sanatate Publica, Management si Perfectionare in Domeniul Sanitar, Bucharest, Romania
| | - A Velivasi
- Society of Psychosocial Research and Intervention. Ioannina, Greece
| | - M Lamprini Koula
- Society of Psychosocial Research and Intervention. Ioannina, Greece
| | | | - A Liew
- Clinical Sciences Institute, National University of Ireland, Galway, Galway City, Ireland
| | - R O’Caoimh
- Clinical Sciences Institute, National University of Ireland, Galway, Galway City, Ireland
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