New horizons in frailty identification via electronic frailty indices: early implementation lessons from experiences in England and the United States.
Frailty represents an integrative prognostic marker of risk that associates with a myriad of age-related adverse outcomes in older adults. As a concept, frailty can help to target scarce resources and identify subgroups of vulnerable older adults that may benefit from interventions or changes in med...
| Publicado en: | Age & Ageing Vol. 53; no. 2; pp. 1 - 11 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Feb2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=175800469&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 175800469 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Feb2024 vid: 53 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 175800469 10.1093/ageing/afae025 ppf: 1 ppct: 10 formats: tig: atl: New horizons in frailty identification via electronic frailty indices: early implementation lessons from experiences in England and the United States. aug: au: Orkaby, Ariela R Callahan, Kathryn E Driver, Jane A Hudson, Kristian Clegg, Andrew J Pajewski, Nicholas M affil: New England Geriatric Research , Education, and Clinical Center (GRECC), VA Boston Healthcare System , Boston, MA , USA Division of Aging , Department of Medicine, Brigham & Women's Hospital, Harvard Medical School , Boston, MA , USA Section on Geriatrics and Gerontologic Medicine , Department of Internal Medicine, Wake Forest University School of Medicine , Winston-Salem, NC , USA The Improvement Academy, Bradford Institute for Health Research , Bradford , UK Academic Unit for Ageing & Stroke Research, University of Leeds, Bradford Teaching Hospitals NHS Foundation Trust , Bradford , UK Department of Biostatistics and Data Science , Division of Public Health Sciences, Wake Forest University School of Medicine , Winston-Salem, NC , USA su: England United States Medical screening Public health Human services programs Elder care Frail elderly Conceptual structures Electronic health records sug: subj: Medical screening Public health Human services programs Elder care England United States Continuing Care Retirement Communities All Other Miscellaneous Ambulatory Health Care Services Health and Welfare Funds Frail elderly Conceptual structures Electronic health records keyword: deficit accumulation electronic health record electronic medical records frailty implementation science national health service (uk) older adult older people population health management deficit accumulation electronic health record electronic medical records frailty implementation science national health service (uk) older adult older people population health management ab: Frailty represents an integrative prognostic marker of risk that associates with a myriad of age-related adverse outcomes in older adults. As a concept, frailty can help to target scarce resources and identify subgroups of vulnerable older adults that may benefit from interventions or changes in medical management, such as pursing less aggressive glycaemic targets for frail older adults with diabetes. In practice, however, there are several operational challenges to implementing frailty screening outside the confines of geriatric medicine. Electronic frailty indices (eFIs) based on the theory of deficit accumulation, derived from routine data housed in the electronic health record, have emerged as a rapid, feasible and valid approach to screen for frailty at scale. The goal of this paper is to describe the early experience of three diverse groups in developing, implementing and adopting eFIs (The English National Health Service, US Department of Veterans Affairs and Atrium Health—Wake Forest Baptist). These groups span different countries and organisational complexity, using eFIs for both research and clinical care, and represent different levels of progress with clinical implementation. Using an implementation science framework, we describe common elements of successful implementation in these settings and set an agenda for future research and expansion of eFI-informed initiatives. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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