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

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Journal of multimorbidity and comorbidity Pub Date : 2025-07-14 eCollection Date: 2025-01-01 DOI:10.1177/26335565251357781

Jon André Christensen, Michael Marcussen, Vicki Zabell, Bettan Bagger, Ditte Høgsgaard, Sanne Lykke Lundstrøm, Barbara Ann Barrett, Anne Frølich, Søren Thorgaard Skou, Lene Lauge Berring

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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.

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在综合护理环境中评估多病老年人的分层工具：范围综述。

背景：患有多种疾病的老年人经历了护理的碎片化。确保保健服务的最佳利用需要对他们的综合护理需求进行分层。我们的目的是绘制现有的分层工具，以评估综合护理背景下患有多种疾病的老年人。方法：检索MEDLINE、Embase、PsycINFO、Cochrane Library和CINAHL，并按照JBI Framework for Scoping Reviews提取人群、概念和上下文的定义。结果：共纳入文献17689篇，纳入文献11篇。针对这一人群的分层工具很少，并且在评分方法、领域和使用设置上存在差异。分层用于识别多学科团队或病例管理人员的多病老年人。未来的研究应开发跨部门的分层工具，重点关注老年人多重发病的共同危险因素。

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Journal of multimorbidity and comorbidity

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