Strategies and Outcomes of Age-Friendly Health System Implementation in Outpatient Settings: A Systematic Review.
The Age-Friendly Health System (AFHS) movement has spread widely in recent years, with nearly 5000 healthcare organizations across the country recognized as Age-Friendly. Despite this broad recognition, there is little focus on how AFHS are implemented and the impact of implementation. The objective...
| Publicado en: | Inquiry (00469580) Vol. 62; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications Inc.
2/14/2025
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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=hlh&AN=183055621&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 183055621 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 2/14/2025 vid: 62 pid: 344 pub: Sage Publications Inc. artinfo: ui: 183055621 10.1177/00469580251318244 ppf: 1 ppct: 10 formats: tig: atl: Strategies and Outcomes of Age-Friendly Health System Implementation in Outpatient Settings: A Systematic Review. aug: au: Howe, Rebecca J. Rieke, Katherine Bayer, Thomas Ja Mai, Htun Sullivan, Jennifer L. Driver, Jane A. Rickard, Taylor Trikalinos, Thomas A. Rudolph, James McCreedy, Ellen Jutkowitz, Eric affil: VA Providence Healthcare System, Providence, RI, USA Warren Alpert Medical School of Brown University, Providence, RI, USA Brown University School of Public Health, Providence, RI, USA VA Boston Healthcare System, Brockton, RI, USA Harvard Medical School, Boston, MA, USA Harvard T.H. Chan School of Public Health, Boston, MA, USA su: Health services accessibility Cancer treatment Medical information storage & retrieval systems Human services programs Research funding Medical care Outpatient medical care Primary health care CINAHL database Age Systematic reviews MEDLINE Medical databases Health outcome assessment Online information services Specialty hospitals sug: subj: Health services accessibility Cancer treatment Medical information storage & retrieval systems Human services programs Research funding Medical care Outpatient medical care Primary health care CINAHL database Age Systematic reviews MEDLINE Medical databases Health outcome assessment Online information services Specialty hospitals keyword: 4Ms age friendly implementation patient outcome assessment strategies ab: The Age-Friendly Health System (AFHS) movement has spread widely in recent years, with nearly 5000 healthcare organizations across the country recognized as Age-Friendly. Despite this broad recognition, there is little focus on how AFHS are implemented and the impact of implementation. The objectives of this study were to describe the strategies employed to support AFHS implementation in outpatient settings and to identify the measures used to evaluate implementation and effectiveness. We conducted a systematic review of literature from multiple databases spanning 2015 to March 2024, identified eligible studies using predefined inclusion/exclusion criteria, and extracted key data (eg, study design, study population, implementation strategies, outcomes/measures). We identified ten eligible studies from primary care clinics (N = 8), convenient care clinics (N = 1) and a cancer center (N = 1). The studies employed over 65 implementation strategies and 98 outcomes or measures. The vast majority of measures mapped to components of the 4Ms (Mobility, Mentation, Medication, What Matters), with up to ten measures per M category. Five of ten studies had reporting discrepancies and four did not fully define outcomes. The ten included studies serve as clear examples for the need for more evidence to support AFHS implementation in outpatient settings. Existing research lacks strategy specification and standardization of measures. We present gaps and opportunities to advance from AFHS "recognition" to impact. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2025 holdings: @attributes: islocal: N |
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