Promoting Successful Positive Aging Across the Health Continuum

Handbook of Research on Geriatric Health, Treatment, and Care - Advances in Medical Diagnosis, Treatment, and Care ◽

10.4018/978-1-5225-3480-8.ch003 ◽

2018 ◽

pp. 48-67

Author(s):

Pratima Kaushik

Keyword(s):

Older People ◽

Population Health ◽

Healthy Aging ◽

Health Management ◽

Holistic Approach ◽

Healthy People ◽

Future Directions ◽

Population Health Management ◽

Positive Aging

The increase of human lifespans and the aging has brought increased attention to what factors contribute to aging healthy. People are not only interested in longevity but how to remain in the best health in their later years. Therefore, the aim of this chapter is to (a) understand the concept of positive aging (b) identifying the factors contributing to successful positive aging across health continuum (c) review strategies that promotes management healthy aging in elderly, and (d) identify future directions to promote successful population health management programs/interventions. The holistic approach, therefore provide an opportunity to improve the situation of older people in society.

Download Full-text

The Pathfields Tool: a frailty case-finding tool using primary care IT—implications for population health management

Age and Ageing ◽

10.1093/ageing/afaa119 ◽

2020 ◽

Vol 49 (6) ◽

pp. 1087-1092

Author(s):

David Attwood ◽

James Boorer ◽

Wendy Ellis ◽

Michelle Earley ◽

Jillian Denovan ◽

...

Keyword(s):

Primary Care ◽

Older People ◽

Population Health ◽

Health Management ◽

Diagnostic Yield ◽

Frailty Index ◽

Current Approach ◽

Population Health Management ◽

Targeted Interventions ◽

Practice Population

Abstract Background older people living with frailty benefit from targeted interventions which improve health and independence. However, it has been challenging within primary care to systematically identify patients living with frailty. Study aims Methods primary care IT was re-programmed to create a ‘Pathfields High Risk Cohort’ (PHRC, patients felt likely to have undiagnosed frailty) and invite clinicians to opportunistically assess and diagnose frailty. Results were compared with NHS England’s current approach to frailty identification using Electronic Frailty Index (eFI) to see which approach had the highest diagnostic yield. Results the Pathfields Tool identified 1,348 patients in PHRC group, of whom 951 (70.5%) were clinically assessed and diagnosed: eFI (moderate and severe) identified 683 patients of whom 598 (87.6%) were clinically assessed and diagnosed: Extrapolated data would estimate frailty prevalence at 22.5% (1,024/4,552) (5.5% severe, 8.8% moderate, and 8.1% mild) in the practice population aged 65+. Conclusions the Pathfields Tool identified more patients with clinically confirmed previously undiagnosed frailty than eFI ‘moderate and severe frailty’ alone. Sub-segmenting frailty by residential status could significantly improve the population health management of older people.

Download Full-text