Avoidable Hospitalizations in Frail Older Adults: The Role of Sociodemographic, Clinical, and Care-Related Factors

Tazzeo, Clare; Rizzuto, Debora; Calderón-Larrañaga, Amaia; Gentili, Susanna; Lennartsson, Carin; Xia, Xin; Fratiglioni, Laura; Vetrano, Davide L.

doi:10.1016/j.jamda.2024.105225

Journal of the American Medical Directors Association

2024

DOI: 10.1016/j.jamda.2024.105225

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Avoidable Hospitalizations in Frail Older Adults: The Role of Sociodemographic, Clinical, and Care-Related Factors

Clare Tazzeo,

Debora Rizzuto,

Amaia Calderón-Larrañaga

et al.

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2024

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The health care needs of multidimensional frail elderly patients with multimorbidity in non-inpatient settings: a qualitative study

Zhao,

Chang,

et al. 2024

Preprint

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Purpose Our study aimed to explore the health care needs of older adults with multimorbidity assessed as multidimensionally frail from their perspective in Beijing, China, in a predominantly ambulatory setting. Methods This study was conducted using a qualitative approach involving semi-structured interviews of 21 at the Outpatient clinics, in four primary health care institutions (PHCIs), Beijing, China. The subjects were drawn from a cross-sectional survey that assessed frailty in older adults with multimorbidity. The Participants meeting the criteria were selected through purposive sampling until subject saturation. The interviews were transcribed and organized verbatim and then subjected to thematic analysis using inductive approach. Results A total of four themes on the needs of the multidimensional frail elderly patients with multimorbidity were identified, including enhancing self-management ability, reconstructing family intergenerational support, obtaining high-quality primary healthcare services, and improving the community home-based care service system. Conclusion This exploratory study is helpful to understand the healthcare needs of the frail elderly with multimorbidity from the perspectives of individuals, families, communities and society, in turn formulate healthcare promotion strategies. Appropriate policies and measures should be taken, such as assessing comprehensively the physiological, psychological and social functional status, determining priority interventions, improving family support functions, and formulating medical checklists for the frail elderly,as well as building a community- and home-based care service model that combines medical and nursing care.

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The health care needs of multidimensional frail elderly patients with multimorbidity in non-inpatient settings: a qualitative study

Zhao,

Chang,

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

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Avoidable Hospitalizations in Frail Older Adults: The Role of Sociodemographic, Clinical, and Care-Related Factors

Cited by 1 publication

References 37 publications

The health care needs of multidimensional frail elderly patients with multimorbidity in non-inpatient settings: a qualitative study

The health care needs of multidimensional frail elderly patients with multimorbidity in non-inpatient settings: a qualitative study

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