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Review
. 2025 Jul 14:15:26335565251357781.
doi: 10.1177/26335565251357781. eCollection 2025 Jan-Dec.

Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review

Jon André Christensen  1   2   3   4 , Michael Marcussen  5   6 , Vicki Zabell  5 , Bettan Bagger  2   7 , Ditte Høgsgaard  2   8   9 , Sanne Lykke Lundstrøm  3   10 , Barbara Ann Barrett  3   11   12 , Anne Frølich  3   13 , Søren Thorgaard Skou  2   14 , Lene Lauge Berring  5   8   7
Affiliations
Review

Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review

Jon André Christensen et al. J Multimorb Comorb. .

Abstract

Background: Older adults with multimorbidity experience fragmentation of care. Ensuring optimal use of healthcare services requires stratifying their need for integrated care. We aimed to map existing stratification tools for assessing older adults with multimorbidity in an integrated care context.

Methods: We searched MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL, and extracted definitions of population, concept, and context following the JBI Framework for Scoping Reviews.

Results: We identified 17,689 articles of which 11 articles were included. Few stratification tools for this population exist and differ on scoring methods, domains and settings of use. Stratification is used for identifying older adults with multimorbidity to multidisciplinary teams or to case managers. Future research should develop stratification tools across sectors focused on the common risk factors of multimorbidity in older adults.

Keywords: integrated care; multimorbidity; older adults; scoping review; stratification.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
PRISMA flowchart of selection process.
See this image and copyright information in PMC

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