The Seniors’ Community Hub: An Integrated Model of Care for the Identification and Management of Frailty in Primary Care

Abbasi, Marjan; Khera, Sheny; Dabravolskaj, Julia; Chevalier, Bernadette; Parker, Kelly

doi:10.3390/geriatrics6010018

Cited by 9 publications

(9 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, quantitative evidence for clinical outcomes, patient satisfaction or cost-effectiveness of these staff-intensive models is lacking. A Canadian feasibility study of a similar service provided through PCNs failed to show positive benefits on gait speed or patient related outcomes [ 39 ]. A recent feasibility study of modified CGAs delivieried within Scottish general practice suggested that this approach could reduce hospital admissions, but GP workload was also increased, over the first six months [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

How do primary care clinicians approach the management of frailty? A qualitative interview study

Seeley,

Glogowska,

Hayward

2024

Age and Ageing

View full text Add to dashboard Cite

Background Around 15% of adults aged over 65 live with moderate or severe frailty. Contractual requirements for management of frailty are minimal and neither incentivised nor reinforced. Previous research has shown frailty identification in primary care is ad hoc and opportunistic, but there has been little focus on the challenges of frailty management, particularly within the context of recent introduction of primary care networks and an expanding allied health professional workforce. Aim Explore the views of primary care clinicians in England on the management of frailty. Design and setting Semi-structured interviews were conducted with clinicians across England, including general practitioners (GPs), physician associates, nurse practitioners, paramedics and clinical pharmacists. Thematic analysis was facilitated through NVivo (Version 12). Results A total of 31 clinicians participated. Frailty management was viewed as complex and outside of clinical guidelines with medication optimisation highlighted as a key example. Senior clinicians, particularly experienced GPs, were more comfortable with managing risk. Relational care was important in prioritising patient wishes and autonomy, for instance to remain at home despite deteriorations in health. In settings where more formalised multidisciplinary frailty services had been established this was viewed as successful by clinicians involved. Conclusion Primary care clinicians perceive frailty as best managed through trusted relationships with patients, and with support from experienced clinicians. New multidisciplinary working in primary care could enhance frailty services, but must keep continuity in mind. There is a lack of evidence or guidance for specific interventions or management approaches.

show abstract

Section: Discussionmentioning

confidence: 99%

How do primary care clinicians approach the management of frailty? A qualitative interview study

Seeley,

Glogowska,

Hayward

2024

Age and Ageing

View full text Add to dashboard Cite

show abstract

“…Involving various organizations can provide rural people with numerous resources, such as people, places, and financial support, to continue social prescribing. The continuous provision of social prescribing can be ensured via collaboration with various organizations, as this can lead to the development of sustainable communities and comprehensive care in rural communities [46][47][48].…”

Section: Discussionmentioning

confidence: 99%

A Solution for Loneliness in Rural Populations: The Effects of Osekkai Conferences during the COVID-19 Pandemic

Ohta¹,

Maiguma

Yata

et al. 2022

IJERPH

View full text Add to dashboard Cite

Social prescribing is an essential solution to the lack of social connection and interaction and provides a key approach to problems faced by communities during the COVID-19 pandemic. One social prescription used in Japan is the Osekkai conference, which has the potential to increase social participation in rural communities. The revitalization of Osekkai can improve social interactions among people involved in the conference, thereby reducing loneliness. This interventional study was conducted with people who participated in the Osekkai conference. The primary outcomes of the degree of loneliness were compared between 2021 and 2022 using the Japanese version of the three-item UCLA Loneliness Scale. The demographic data and process outcomes of participants were measured using a questionnaire. The participants’ roles in the Osekkai conference increased between the two periods. Loneliness scores tended to decrease during the study period (4.25 to 4.05, p = 0.099). In the questionnaire on loneliness, the scores for item 2 decreased significantly during the study period (1.36 to 1.25, p = 0.038). In conclusion, this study shows that the continual provision of Osekkai conferences as a social prescription may reduce the degree of loneliness among participants with improved social participation in rural communities. Future studies should investigate comparative interventions to show the effectiveness of social prescription on loneliness in communities.

show abstract

“…Additionally, as this study focused only on the comprehensiveness of medical care, it did not show the effectiveness of family medicine in improving patients’ and citizens’ health outcomes in communities. Previous studies have suggested that comprehensiveness through family medicine has a significant effect on patient satisfaction and medical cost; however, research on the relationship between comprehensive care and health outcomes is scant [ 43 , 48 , 49 ]. Thus, future research should investigate this relationship.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Care through Family Medicine: Improving the Sustainability of Aging Societies

Ohta¹,

Ueno²,

Kitayuguchi³

et al. 2021

Geriatrics

View full text Add to dashboard Cite

Comprehensive care through family medicine can enhance the approach to multimorbidity, interprofessional collaboration, and community care, and make medical care more sustainable for older people. This study investigated the effect of implementing family medicine and the comprehensiveness of medical care in one of the most rural communities. This implementation research used medical care data from April 2015 to March 2020. Patients’ diagnoses were categorized according to the 10th revision of the International Statistical Classification of Disease and Related Health Problems (ICD-10). In 2016, family medicine was implemented in only one general hospital in Unnan. The comprehensiveness rate improved in all ICD-10 disease categories during the study period, especially in the following categories—infections; neoplasms; endocrine, nutritional, and metabolic diseases; mental disorders; nervous system; circulatory system; respiratory system; digestive system; skin and subcutaneous tissue; musculoskeletal system and connective tissue; and the genitourinary system. Implementing family medicine in rural Japanese communities can improve the comprehensiveness of medical care and resolve the issue of fragmentation of care by improving interprofessional collaboration and community care. It can be a solution for the aging of both patient and healthcare professionals. Future research can investigate the relationship between family medicine and patient health outcomes for improved healthcare sustainability.

show abstract

The Seniors’ Community Hub: An Integrated Model of Care for the Identification and Management of Frailty in Primary Care

Cited by 9 publications

References 36 publications

How do primary care clinicians approach the management of frailty? A qualitative interview study

How do primary care clinicians approach the management of frailty? A qualitative interview study

A Solution for Loneliness in Rural Populations: The Effects of Osekkai Conferences during the COVID-19 Pandemic

Comprehensive Care through Family Medicine: Improving the Sustainability of Aging Societies

Contact Info

Product

Resources

About