Challenges of Change

Bornheim, Stefan P.; Weppler, Jutta; Ohlen, Oliver

doi:10.1057/9780230508446_2

E-Roadmapping 2001

DOI: 10.1057/9780230508446_2

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Challenges of Change

Stefan P. Bornheim¹,

Jutta Weppler²,

Oliver Ohlen³

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2008

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It takes a village to prevent falls: reconceptualizing fall prevention and management for older adults

Ganz

Alkema

2008

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Systematic evidence reviews support the efficacy of physical activity programs and multifactorial strategies for fall prevention. However, community settings where fall prevention programs occur often differ substantially from the research settings in which efficacy was first demonstrated. Because of these differences, alternative approaches are needed to judge the adequacy of fall prevention activities occurring as part of standard medical care or community efforts. This paper uses the World Health Organization Innovative Care for Chronic Conditions (ICCC) framework to rethink how fall prevention programs might be implemented routinely in both medical and community settings. We highlight examples of innovative programs and policies that provide fall prevention strategies consistent with the ICCC framework, and provide evidence where available on the effects of these strategies on processes and outcomes of care. We close by proposing a “no wrong door” approach to fall prevention and management, in which older adults who are found to be at risk for falls in either a medical or community setting are linked to a standard fall risk evaluation across three domains (physical activity, medical risks and home safety).

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It takes a village to prevent falls: reconceptualizing fall prevention and management for older adults

Ganz

Alkema

2008

Inj Prev

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Challenges of Change

Cited by 1 publication

References 4 publications

It takes a village to prevent falls: reconceptualizing fall prevention and management for older adults

It takes a village to prevent falls: reconceptualizing fall prevention and management for older adults

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