Integrated Care: A Collaborative ADVANTAGE for Frailty

Abstract

Frailty is increasingly recognised as a public health priority due to the associated demand for acute and longer term health and social care support, and the impact on the lives of individuals, caregivers and families. Integrated care is widely considered to be most effective when applied to an older population, but there is limited data on outcomes and costs from studies of integrated care to prevent and manage frailty. This paper describes work by the ADVANTAGE Joint Action (JA), co-funded by the European Union and 22 Member States, to develop a common European approach to the prevention and management of frailty. The authors reflect on the emerging evidence and experience of implementing integrated care for frailty, and invite readers to participate in ongoing dialogue on this topic through the ADVANTAGE JA website and IFIC Academy activities.

Primary care interventions to address physical frailty among community-dwelling adults aged 60 years or older: A meta-analysis

“…Giné-Garriga and colleagues' 2014 systematic review and meta-analysis noted that there will certainly be differences in the type of interventions suitable for non-frail older adults compared with those who are frail-for example the latter may require shorter-duration, performance-based sessions. [54] Future research should also focus on contextual factors supporting frailty interventions, such as health resources provisioning, [55] linkages between acute and long-term care services, [56] configuration of care packages, [57] and public and patient involvement in co-designing interventions. [58] There is also some incompatibility between frailty measures themselves, necessitating caution in comparing outcomes.…”

Development of frailty subtypes and their associated risk factors among the community-dwelling elderly population

“…In short, frailty severely affects work and quality of life in the elderly, increasing the social and family burden [7]. Thus, frailty should be recognized as a public health priority [8].…”

La experiencia europea ADVANTAGE para el manejo de la fragilidad: claves sobre su aplicabilidad en América Latina

“…Revisión de la bibliografía científica existente sobre el abordaje de la fragilidad, tanto a nivel individual como poblacional, con el fin de identificar el modelo ideal —o gold stantard— de abordaje integral de la fragilidad para aplicar en Europa. Estas revisiones sistemáticas se realizaron sin excluir ningún idioma y sin fechas límites, y abarcaron también la llamada literatura gris; la metodología se explica con mayor detalle en las publicaciones resultantes ( 6 , 10 - 20 )…”

“…Más de 20 artículos en revistas científicas ( 6 , 10 - 20 ) a , 85 artículos en medios de comunicación masiva, 49 reuniones (técnicas, científicas y divulgativas), y 146 ponencias y 71 comunicaciones en congresos, entre otras…”