Older people's perspectives on frailty screening in primary care settings - a citizens' jury study.

IF 2 Q2 MEDICINE, GENERAL & INTERNAL
Annette Braunack-Mayer, Jackie M Street, Caitlin Reader, Lesley M O'Brien, Elsa Dent, Belinda Fabrianesi, Agnieszka Chudecka, Renuka Visvanathan, Justin Beilby, Michael Lawless, Rachel C Ambagtsheer
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Abstract

Background: As the world's population ages, there is a growing concern with frailty, marked by reduced strength and greater vulnerability to stress. Overcoming obstacles like reluctance towards screening methods in this process is crucial for identifying and addressing frailty at an early stage. Understanding older people's perspectives can help adapt screening procedures in primary healthcare settings.

Methods: A citizens' jury, comprising 14 purposively selected members reflecting community diversity, was conducted in South Australia to explore older adults' opinions on how and when frailty screenings occur within primary care settings. Participants engaged in discussions and deliberations informed by expert testimonies and evidence-based resources. This deliberative inclusive research method supported jurors to understand the evidence and contribute informed insights into health policy.

Results: The jury systematically addressed several key concerns, including the major issues surrounding frailty screening, its benefits and potential harms, and measures to prevent screening bias and misdiagnosis. The outcome was 17 recommendations within the themes of screening age and frequency, consent, access and setting, communication and public awareness, and resources and cost.

Conclusions: The study highlights the value of including older adults in the decision-making about health interventions aimed at them. The method proved effective in capturing a spectrum of community values and preferences, offering actionable recommendations for refining health screening policies to better address the needs and expectations of older adults.

老年人对初级保健机构虚弱筛查的看法——一项公民陪审团研究。
背景:随着世界人口的老龄化,人们越来越关注虚弱,其特征是体力下降,更容易受到压力的影响。在这一过程中克服不愿采用筛查方法等障碍,对于及早发现和解决脆弱问题至关重要。了解老年人的观点有助于调整初级卫生保健机构的筛查程序。方法:在南澳大利亚进行了一个公民陪审团,由14名有目的地选择的反映社区多样性的成员组成,以探讨老年人对初级保健机构中如何以及何时进行虚弱筛查的意见。与会者根据专家证词和循证资源进行讨论和审议。这种审慎的包容性研究方法支持陪审员理解证据,并为卫生政策提供知情见解。结果:评审团系统地讨论了几个关键问题,包括围绕虚弱筛查的主要问题,其益处和潜在危害,以及防止筛查偏差和误诊的措施。结果是在筛查年龄和频率、同意、获取和设置、沟通和公众意识以及资源和成本等主题内提出了17项建议。结论:该研究强调了将老年人纳入针对他们的健康干预决策的价值。事实证明,该方法有效地捕捉了一系列社区价值观和偏好,为完善健康检查政策提供了可行的建议,以更好地满足老年人的需求和期望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
4.40
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