Integrated Care: Enhancing the Role of the Primary Health Care Professional in Preventing Functional Decline: A Systematic Review |
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| Authors: | John E. Morley Hidenori Arai Li Cao Birong Dong Reshma A. Merchant Bruno Vellas Renuka Visvanathan Jean Woo |
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| Affiliation: | 1. Division of Geriatric Medicine, Saint Louis University School of Medicine, St Louis, MO;2. National Center for Geriatrics and Gerontology, Obu, Japan;3. Center of Gerontology and Geriatrics, West China Medical School/West China hospital, Sichuan University, Chengdu, China;4. Division of Advanced Internal Medicine, Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore;5. Gérontopôle, CHU Toulouse, Toulouse, France;6. Adelaide Geriatrics Training and Research with Aged Care Centre, School of Medicine, University of Adelaide and Aged & Extended Care Services, The Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, South Australia;7. Department of Medicine & Therapeutics, and the Jockey Club Institute of Aging, The Chinese University of Hong Kong, Hong Kong SAR, China |
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| Abstract: | BackgroundAlthough the older population is increasing worldwide, there is a marked deficit in the number of persons trained in geriatrics. It is now recognized that early detection and treatment of geriatric syndromes (frailty, sarcopenia, anorexia of aging, and cognitive decline) will delay or avert the development of disability.ObjectivesTo identify simple screening programs available for primary health professionals to identify geriatric syndromes.Data sourcesPubMed for the last 5 years and study authors.ResultsA number of screening programs for early detection of geriatric syndromes have been developed for use by primary care health providers, for example, EasyCare, Gérontopôle Frailty Screening Tool, the Rapid Geriatric Assessment, the Kihon Checklist, and others.LimitationsThis is an evolving area with limited information on the outcomes of intervention and possible harms.ConclusionValidated screening programs exist but more work is required to determine their utility in improving outcomes of older persons. |
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| Keywords: | Integrated care function primary care aging |
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