Barriers and facilitators for the implementation of a nationwide falls prevention pathway for older adults in the Netherlands.
Background Falls contribute significantly to injury and mortality among community-dwelling older adults, with societal costs expected to rise. In the Netherlands, a nationwide falls prevention pathway, aligned with World Falls Guidelines was introduced. This includes case finding, multifactorial fal...
| Publicado en: | Age & Ageing Vol. 55; no. 7; pp. 1 - 11 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2026
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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=195867360&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195867360 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: Jul2026 vid: 55 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195867360 10.1093/ageing/afag205 ppf: 1 ppct: 10 formats: tig: atl: Barriers and facilitators for the implementation of a nationwide falls prevention pathway for older adults in the Netherlands. aug: au: Bekker, Ankie de Lemmens, Lidwien Reckman, Päivi van der Heide, Jolanda van der Veen, Rozan Kuiper, Judith Baâdoudi, Fatiha affil: Health Services and Society, National Institute for Public Health and the Environment, Bilthoven, Netherlands VeiligheidNL, Amsterdam, Netherlands su: Netherlands Exercise Human services programs Qualitative research Interprofessional relations Evaluation of human services programs Interviewing Old age Risk assessment Medical protocols Independent living Research funding Statistical sampling Judgment sampling Thematic analysis Research methodology Attitudes of medical personnel Evidence-based medicine Hospital health promotion programs Data analysis software Accidental falls Insurance companies Integrated health care delivery sug: subj: Exercise Human services programs Qualitative research Interprofessional relations Evaluation of human services programs Interviewing Old age Netherlands Direct group life, health and medical insurance carriers Direct Health and Medical Insurance Carriers Other Direct Insurance (except Life, Health, and Medical) Carriers Insurance Agencies and Brokerages Marketing Research and Public Opinion Polling Risk assessment Medical protocols Independent living Research funding Statistical sampling Judgment sampling Thematic analysis Research methodology Attitudes of medical personnel Evidence-based medicine Hospital health promotion programs Data analysis software Accidental falls Insurance companies Integrated health care delivery keyword: aged community community-dwelling copyrightHolder:British Geriatrics Society copyrightYear:2026 cross-sectoral collaboration fall prevention falls prevention healthy ageing https://dx.doi.org/10.1093/ageing/afag205 inLanguage:en netherlands older adults public health publisher:Oxford University Press qualitative research risk assessment sameAs:https://pubmed.ncbi.nlm.nih.gov/42442350/ aged community community-dwelling copyrightHolder:British Geriatrics Society copyrightYear:2026 cross-sectoral collaboration fall prevention falls prevention healthy ageing https://dx.doi.org/10.1093/ageing/afag205 inLanguage:en netherlands older adults public health publisher:Oxford University Press qualitative research risk assessment sameAs:https://pubmed.ncbi.nlm.nih.gov/42442350/ ab: Background Falls contribute significantly to injury and mortality among community-dwelling older adults, with societal costs expected to rise. In the Netherlands, a nationwide falls prevention pathway, aligned with World Falls Guidelines was introduced. This includes case finding, multifactorial falls risk assessments, evidence-based interventions and sustained exercise programs. This study explores its implementation, focusing on barriers and facilitators. Method A qualitative study using semi-structured interviews with 37 stakeholders from 11 regions in the Netherlands, including representatives from municipalities, health insurers and healthcare providers. Data were analysed using thematic analysis and guided by the Consolidated Framework for Implementation Research to explore stakeholders' roles, intersectoral collaboration, barriers and facilitators to implementation and future perspectives. Results Barriers include unclear role delineation, in conducting the multifactorial risk assessment, difficulties reaching high-risk older adults, and complex cross-sectoral collaboration. Limited monitoring infrastructure and inconsistent terminology hindered implementation. Facilitators included nationwide funding, regional coordination and local project leaders. Conclusion Clearer roles, stronger healthcare-social sector partnerships and robust monitoring systems are recommended. Although substantial progress has been made, particularly in regions with pre-existing collaborative network, additional efforts are required to operationalise shared responsibility and address remaining barriers. By doing so, the pathway may enhance healthy ageing, reduce falls related injuries and alleviate the societal burden of falls. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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