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#integratedcare

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Public
Matteo Cesari

Supporting countries to ensure the continuum of integrated care for older people

"...importance of delivering personalised, comprehensive, coordinated #care to older people, supporting a shift from traditional disease-oriented approach towards more holistic care..."

"...ICOPE is consistent with and based on the large body of evidence built by geriatricians over the past decades..."

#Health #Geriatrics #PrimaryCare #Ageing #Aging #IntegratedCare #PublicHealth

link.springer.com/article/10.1

SpringerLinkSupporting countries to ensure the continuum of integrated care for older people - Aging Clinical and Experimental Research
Public
Matteo Cesari

Integrated #care for older people (ICOPE)‎: guidance for person-centred assessment and pathways in primary care, 2nd edition

#ICOPE aims to reorient #health and #social services towards person-centred and coordinated care. It supports the delivery of integrated care for older people within the context of a PHC-oriented #health system

#Geriatrics #Aging #Ageing #Frailty #IntegratedCare #WHO #MedMastodon

Available here👇
iris.who.int/handle/10665/3801

Public
Matteo Cesari

Implementing the WHO ICOPE program in clinical practice: three years of lessons from monitoring 27,082 participants using the #ICOPE Monitor digital tool

Critical role of #health and #care workers in the implementation of an #IntegratedCare program based on comprehensive assessment of the older person and multidisciplinary approach towards personalisation of interventions

#Geriatrics #Health #Aging #Ageing

academic.oup.com/biomedgeronto

OUP AcademicImplementing the WHO ICOPE program in clinical practice: three years of lessons from monitoring 27,082 participants using the ICOPE Monitor digital toolAbstractBackground. To describe the implementation of the ICOPE program in France using digital tool in order to: 1) describe the characteristics of people
Public
Matteo Cesari :stethoscope:

Inequalities in Transitions to Home #Care: A Longitudinal Analysis of the Canadian Longitudinal Study on #Aging

"...Disparities in transitions to home care use by sex, gender, race, education, income, and #social support. [...] Home care planning and #policy must address the unique barriers and disadvantages diverse populations face to ensure equitable use of home care and promote #HealthyAging..."

#Geriatrics #Health #Ageing #IntegratedCare #LongTermCare #LTC

jamda.com/article/S1525-8610(2

Public
Matteo Cesari :stethoscope:

Continuity of #care should be “essential requirement” in #GP contract, says watchdog

"...The GP contract should be modified to explicitly include and support the need for GP practices to deliver continuity of care, an independent #safety watchdog has recommended..."

#Aging #IntegratedCare #Health #PrimaryHealth

bmj.com/content/383/bmj.p2839?

The BMJ · Continuity of care should be “essential requirement” in GP contract, says watchdogThe GP contract should be modified to explicitly include and support the need for GP practices to deliver continuity of care, an independent safety watchdog has recommended. The Health Services Safety Investigations Body (HSSIB) said making continuity of care an “essential requirement” could reduce the risk of delays in diagnosing serious health conditions and ease pressure on GPs. The watchdog carried out a national investigation into the matter after being notified of a patient safety incident relating to the care of Brian, a 67 year old male, for whom reduced continuity of care at his GP surgery resulted in a delayed diagnosis of secondary breast cancer. Brian died during the course of the investigation. HSSIB visited practices and spoke with GPs, staff, and patients. Some practices voluntarily adopt approaches to …
Public
Matteo Cesari :stethoscope:

Impact on physical function of the +AGIL Barcelona program in community-dwelling older adults with #cognitive impairment: an interventional cohort study

"...a multicomponent intervention can be delivered in older adults with cognitive impairment and be as effective as it is for cognitively intact older adults in terms of #physicalfunction..."

#Geriatrics #Frailty #IntegratedCare #Dementia

bmcgeriatr.biomedcentral.com/a

BioMed CentralImpact on physical function of the +AGIL Barcelona program in community-dwelling older adults with cognitive impairment: an interventional cohort study - BMC GeriatricsBackground Older adults with cognitive impairment (CI) have higher multimorbidity and frailty prevalence, lower functional status and an increased likelihood to develop dementia, non-cognitive deficits, and adverse health-related events. +AGIL, a real-world program for frail older adults in a primary care area of Barcelona, is a pragmatic, multi-component and integrated intervention implemented since 2016. It includes physical activity, nutrition, sleep hygiene, revision and adequacy of pharmacological treatment, detection of undesired loneliness and screening for CI; to improve physical function in community-dwelling older adults. We aimed to assess the + AGIL longitudinal impact on physical function among community-dwelling frail older persons with CI. Methods An interventional cohort study included data from all the + AGIL consecutive participants from July 2016 until March 2020. Based on the comprehensive geriatric assessment, participants were offered a tailored multi-component community intervention, including a 10-week physical activity program led by an expert physical therapist. Physical performance was measured at baseline, three and six months follow-up. The pre-post impact on physical function was assessed by paired sample t-test for repeated samples. Linear mixed models were applied to analyze the + AGIL longitudinal impact. P-values < 0.05 were considered statistically significant. Results 194 participants were included (82 with CI, based on previous diagnosis or the Mini-COG screening tool), 68% women, mean age 81.6 (SD = 5.8) yo. Participants were mostly independent in Activities of Daily Living (mean Barthel = 92.4, SD = 11.1). The physical activity program showed high adherence (87.6% attended ≥ 75% sessions). At three months, there was a clinically and statistically significant improvement in the Short Physical Performance Battery (SPPB) and its subcomponents in the whole sample and after stratification for CI [CI group improvements: SPPB = 1.1 (SD = 1.8) points, gait speed (GS) = 0.05 (SD = 0.13) m/s, Chair stand test (CST)=-2.6 (SD = 11.4) s. Non-CI group improvements: SPPB = 1.6 (SD = 1.8) points, GS = 0.08 (SD = 0.13) m/s, CST=-6.4 (SD = 12.1) seg]. SPPB and gait speed remained stable at six months in the study sample and subgroups. CI had no significant impact on SPPB or GS improvements. Conclusion Our results suggest that older adults with CI can benefit from a multidisciplinary integrated and comprehensive geriatric intervention to improve physical function, a component of frailty.
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