Reframing Fall Prevention and Risk Management as a Chronic Condition Through the Lens of the Expanded Chronic Care Model: Will Integrating Clinical Care and Public Health Improve Outcomes?
Falls are a leading cause of morbidity and mortality among adults aged 65 years and older (older adults) and are increasingly recognized as a chronic condition. Yet, fall-related care is infrequently provided in a chronic care context despite fall-related death rates increasing by 41% between 2012 a...
| Publicado en: | Gerontologist Vol. 64; no. 6; pp. 1 - 11 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jun2024
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| 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=177745750&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 177745750 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Jun2024 vid: 64 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 177745750 10.1093/geront/gnae035 ppf: 1 ppct: 10 formats: tig: atl: Reframing Fall Prevention and Risk Management as a Chronic Condition Through the Lens of the Expanded Chronic Care Model: Will Integrating Clinical Care and Public Health Improve Outcomes? aug: au: Vincenzo, Jennifer L Bergen, Gwen Casey, Colleen M Eckstrom, Elizabeth affil: Department of Physical Therapy and Center for Implementation Research , Fayetteville, Arkansas , USA National Center for Injury Prevention and Control, Centers for Disease Control and Prevention , Atlanta, Georgia , USA Department of Internal Medicine, Providence Senior Health , Portland, Oregon , USA Division of General Internal Medicine & Geriatrics, Department of Medicine, Oregon Health & Science University , Portland, Oregon , USA su: United States Chronic diseases & psychology Self-management (Psychology) Government policy Evaluation of human services programs Evaluation of medical care Causes of death Diseases Patient-centered care Community life Public health Diabetes complications Risk assessment Professional practice Risk management in business Disease management Information storage & retrieval systems Evidence-based medicine Accidental falls Integrated health care delivery sug: subj: Chronic diseases & psychology Self-management (Psychology) Government policy Evaluation of human services programs Evaluation of medical care Causes of death Diseases Patient-centered care Community life Public health United States Health and Welfare Funds Diabetes complications Risk assessment Professional practice Risk management in business Disease management Information storage & retrieval systems Evidence-based medicine Accidental falls Integrated health care delivery keyword: Chronic care model Implementation Injury prevention Older adults STEADI Chronic care model Implementation Injury prevention Older adults STEADI ab: Falls are a leading cause of morbidity and mortality among adults aged 65 years and older (older adults) and are increasingly recognized as a chronic condition. Yet, fall-related care is infrequently provided in a chronic care context despite fall-related death rates increasing by 41% between 2012 and 2021. One of the many challenges to addressing falls is the absence of fall-focused chronic disease management programs, which improve outcomes of other chronic conditions, like diabetes. Policies, information systems, and clinical-community connections help form the backbone of chronic disease management programs, yet these elements are often missing in fall prevention. Reframing fall prevention through the Expanded Chronic Care Model (ECCM) guided by implementation science to simultaneously support the uptake of evidence-based practices could help improve the care of older adults at risk for falling. The ECCM includes seven components: (1) self-management/develop personal skills, (2) decision support, (3) delivery system design/re-orient health services, (4) information systems, (5) build healthy public policy, (6) create supportive environments, and (7) strengthen community action. Applying the ECCM to falls-related care by integrating health care delivery system changes, community resources, and public policies to support patient-centered engagement for self-management offers the potential to prevent falls more effectively among older adults. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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