Integrated primary and geriatric care for frail older adults in the community: Implementation of a complex intervention into real life

European Journal of Internal Medicine
Marco InzitariMatteo Cesari

Abstract

Frailty is highly prevalent in older persons and associated with negative health-related events and costs. Despite successful clinical trials, translation of evidence into implementation of dedicated programs has been scarce. This is probably due to funding limitations and lack of generalizability of rigid schemes adopted in controlled studies. We propose a guidance to implement complex interventions against frailty in the community, and describe the design and early findings of the +AGIL Barcelona program. A guidance "decalogue" resulted from an experts' panel prioritization of recommendations by international independent bodies. On this basis, we reorganized existing primary care, geriatrics and community-based resources to implement our program, which includes a screening, a multi-component intervention modulated on the comprehensive geriatric assessment and integrated follow-up plus continuity through community-based resources. The pre-post impact of the program on physical function, as well as on clinical endpoints, person-center outcomes and costs will be assessed. Integrated care, multi-component, person-centered strategies to empower the final users in a flexible and adaptable way should be promoted after raising awaren...Continue Reading

Citations

Sep 29, 2019·The Journal of Nutrition, Health & Aging·L M PérezM Inzitari
Apr 17, 2020·European Geriatric Medicine·N GualM Inzitari
Jul 18, 2020·International Journal of Environmental Research and Public Health·Sunwei LiuYitong Kang
Nov 17, 2020·Experimental Gerontology·Stephen D AntonMarco Pahor

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