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. 2019 Sep;27(5):e549-e566.
doi: 10.1111/hsc.12793. Epub 2019 Jun 21.

Comprehensive geriatric assessments in integrated care programs for older people living at home: A scoping review

Annerieke Stoop  1   2   3 , Manon Lette  2 , Paul F van Gils  1 , Giel Nijpels  2 , Caroline A Baan  1   3 , Simone R de Bruin  1
Affiliations

Comprehensive geriatric assessments in integrated care programs for older people living at home: A scoping review

Annerieke Stoop et al. Health Soc Care Community. 2019 Sep.

Abstract

In many integrated care programs, a comprehensive geriatric assessment (CGA) is conducted to identify older people's problems and care needs. Different ways for conducting a CGA are in place. However, it is still unclear which CGA instruments and procedures for conducting them are used in integrated care programs, and what distinguishes them from each other. Furthermore, it is yet unknown how and to what extent CGAs, as a component of integrated care programs, actually reflect the main principles of integrated care, being comprehensiveness, multidisciplinarity and person-centredness. Therefore, the objectives of this study were to: (a) describe and compare different CGA instruments and procedures conducted within integrated care programs for older people living at home, and (b) describe how the principles of integrated care were applied in these CGAs. A scoping review of the scientific literature on CGAs in the context of integrated care was conducted for the period 2006-2018. Data were extracted on main characteristics of the identified CGA instruments and procedures, and on how principles of integrated care were applied in these CGAs. Twenty-seven integrated care programs were included in this study, of which most were implemented in the Netherlands and the United States. Twenty-one different CGAs were identified, of which the EASYcare instrument, RAI-HC/RAI-CHA and GRACE tool were used in multiple programs. The majority of CGAs seemed to reflect comprehensiveness, multidisciplinarity and person-centredness, although the way and extent to which principles of integrated care were incorporated differed between the CGAs. This study highlights the high variability of CGA instruments and procedures used in integrated care programs. This overview of available CGAs and their characteristics may promote (inter-)national exchange of CGAs, which could enable researchers and professionals in choosing from the wide range of existing CGAs, thereby preventing them from unnecessarily reinventing the wheel.

Keywords: comprehensive geriatric assessments; integrated care; older people; scoping review.

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Conflict of interest statement

No conflicts of interest have been declared.

Figures

Figure 1
Figure 1
Flow diagram of literature screening process. *Reasons for exclusion other than the above, for example, duplicates, papers were not written in English, papers could not be retrieved or identified documents were non‐scientific papers
See this image and copyright information in PMC

References

    1. Ambrose‐Miller, W. , & Ashcroft, R. (2016). Challenges faced by social workers as members of interprofessional collaborative health care teams. Health & Social Work, 41(2), 101–109. 10.1093/hsw/hlw006 - DOI - PMC - PubMed
    1. Arksey, H. , & O'Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. 10.1080/1364557032000119616 - DOI
    1. Barr, V. J. , Robinson, S. , Marin‐Link, B. , Underhill, L. , Dotts, A. , Ravensdale, D. , & Salivaras, S. (2003). The expanded Chronic Care Model: An integration of concepts and strategies from population health promotion and the Chronic Care Model. Hospital Quarterly, 7(1), 73–82. 10.12927/hcq.2003.16763 - DOI - PubMed
    1. Barry, M. J. , & Edgman‐Levitan, S. (2012). Shared decision making ‐ The pinnacle of patient‐centered care. The New England Journal of Medicine, 366(9), 780–781. 10.1056/NEJMp1109283 - DOI - PubMed
    1. Belcher, V. N. , Fried, T. R. , Agostini, J. V. , & Tinetti, M. E. (2006). Views of older adults on patient participation in medication‐related decision making. Journal of General Internal Medicine, 21(4), 298–303. 10.1111/j.1525-1497.2006.00329.x - DOI - PMC - PubMed

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