Geriatrics Gerontology and Aging最新文献_第6页

Aging with intellectural disability: perception of professionals at the Association of Parents and Friends of People with Disabilities 智力残疾的老龄化:残疾人士父母和朋友协会专业人士的看法

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220020

Lisiane Capanema Silva Bonatelli, K. Hammerschmidt, S. Schoeller, J. Girondi, Aline da Silva Paula, Neidamar Pedrini Arias Fugaça

{"title":"Aging with intellectural disability: perception of professionals at the Association of Parents and Friends of People with Disabilities","authors":"Lisiane Capanema Silva Bonatelli, K. Hammerschmidt, S. Schoeller, J. Girondi, Aline da Silva Paula, Neidamar Pedrini Arias Fugaça","doi":"10.53886/gga.e0220020","DOIUrl":"https://doi.org/10.53886/gga.e0220020","url":null,"abstract":"Objective: To understand the aging of people with intellectual disability from the perspective of education professionals at the Association of Parents and Friends of People with Disabilities (Associação de Pais e Amigos dos Excepcionais [APAE]). Methods: This is an exploratory, descriptive study with a qualitative approach; data were collected in November 2020 from 17 education professionals working at APAE by using a structured online questionnaire via the Google Forms platform. Data were transcribed and organized in a Microsoft Excel spreadsheet and a Microsoft Word text file, and data analysis followed the discourse of the collective subject methodology. Results: Six central ideas emerged from the results: the aging of people with intellectual disability is expected, but premature; understanding the aging process of people with intellectual disability: a deficit of understanding or non-existence; stereotypes, prejudice, and stigma linked to older adults with intellectual disability; cognitive impairment when aging with intellectual disability: skills, functioning, autonomy, and independence; limitations and disabilities of older adults with intellectual disability require care and support; and communication difficulties of older adults with intellectual disability: welcoming, stimulating, and raising awareness. Conclusions: Aging with intellectual disability involves dismissing infantilization and stereotypes, providing opportunities for activities of daily living and social experiences, prolonging independence and autonomy, and improving the process of aging with dignity, care and support.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71149366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transparency, openness, and reproducibility: GGA advances in alignment with good editorial practices and open science 透明、开放和可重复性:GGA的进展与良好的编辑实践和开放科学保持一致

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220027

P. Wachholz

引用次数: 2

Cross-validation of 20 anthropometric prediction equations for appendicular muscle mass in older Brazilian women: a cross-sectional study 巴西老年妇女阑尾肌质量的20个人体测量预测方程的交叉验证:一项横断面研究

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220034

P. Abdalla, L. Bohn, A. P. Santos, Leonardo Santos Lopes da Silva, M. Tasinafo, A. C. R. Venturini, N. Ramos, P. M. Pardo, J. Mota, D. Machado

{"title":"Cross-validation of 20 anthropometric prediction equations for appendicular muscle mass in older Brazilian women: a cross-sectional study","authors":"P. Abdalla, L. Bohn, A. P. Santos, Leonardo Santos Lopes da Silva, M. Tasinafo, A. C. R. Venturini, N. Ramos, P. M. Pardo, J. Mota, D. Machado","doi":"10.53886/gga.e0220034","DOIUrl":"https://doi.org/10.53886/gga.e0220034","url":null,"abstract":"Objective: To test the cross-validation of anthropometric prediction equations for appendicular muscle mass (AMM) in older Brazilian women. Methods: Sixty-seven older women (69.84 ± 5.95 years old) underwent anthropometric measurements. AMM (kg) reference values obtained by dual-energy X-ray absorptiometry (AMMDXA) were compared to 20 anthropometric equations for estimating AMM in older adults. A paired t-test (p > 0.05), standard error of estimate (SEE < 3.50 kg), and r2 > 0.70 confirmed the validity of the equations. The agreement between predictions and the reference was also verified (Bland-Altman). Results: Four American equations and one Mexican equation were not statistically different from AMMDXA (p > 0.05) but did not present suitable r2 values for validation. The American equation from the National Health and Nutrition Examination Survey (NHANES), AMM (kg) = (-0.04 × age [years]) + (0.46 × calf circumference [cm]) + (0.32 × arm circumference [cm]) + (0.11 × thigh circumference [cm]) – (0.27 × body mass index [BMI, kg/m2]) + (0.07 × waist circumference [cm]) – 13 119) showed the best performance (r2 = 0.64; SEE = 3.24 kg), with minimal mean difference (0.26 kg), no heteroscedasticity for extreme values, and with high agreement with the Brazilian sample (-3.90 to 3.40 kg). Conclusion: When specific equations for a given population are not available, the use of generic equations of greater sample representativeness with scientifically and reliably analyzed data is allowed.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71150592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Lower risk of car crashes among older drivers compared with younger drivers: analysis of 10 years of data 与年轻司机相比，老年司机发生车祸的风险更低:对10年数据的分析

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220039

Leonardo Santos Rocha Pitta, O. T. Nóbrega, E. Camargos

{"title":"Lower risk of car crashes among older drivers compared with younger drivers: analysis of 10 years of data","authors":"Leonardo Santos Rocha Pitta, O. T. Nóbrega, E. Camargos","doi":"10.53886/gga.e0220039","DOIUrl":"https://doi.org/10.53886/gga.e0220039","url":null,"abstract":"Objective: Traffic crashes are a significant cause of health expenditure, mainly considering disability and death. Driving skills are key when it comes to traffic crashes, and older drivers may be unfit to drive. The statistics of traffic crashes involving older drivers can contribute to planning actions that reduce accidents. This study aimed to present statistical data on traffic crashes among older adults in a Brazilian state. Methods: This is an epidemiological study performed with data from the Traffic Accident Information System of the Federal District Traffic Department, Brazil, ranging from 2008 to 2017 and comparing the incidence of injury crashes between older drivers and adult drivers. Results: Although the system recorded 60 705 drivers involved in injury crashes, a 24% reduction was seen in the overall crash incidence during the studied period (2008 – 2017); within the older drivers group, this reduction was two times smaller (12%). Despite the smaller drop in incidence, older car drivers presented around three times less risk of crashes when compared to adult drivers, along with a lower risk of accidents on urban, low-speed streets, and were mostly involved in collisions during the day. Conclusion: We found that the risk of older drivers being involved in injury crashes was three times smaller than that of adult drivers. The behavior of older drivers can influence the occurrence of accidents.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71150673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Palliative care over the rainbow: perspectives of middle-age and older LGBT+ adults regarding their end-of-life 彩虹之上的姑息治疗:中年和老年LGBT+成年人对他们生命终结的看法

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220026

M. R. Crenitte, Leonardo Rabelo de Melo, Wilson Jacob, Thiago Junqueira Avelino Silva

{"title":"Palliative care over the rainbow: perspectives of middle-age and older LGBT+ adults regarding their end-of-life","authors":"M. R. Crenitte, Leonardo Rabelo de Melo, Wilson Jacob, Thiago Junqueira Avelino Silva","doi":"10.53886/gga.e0220026","DOIUrl":"https://doi.org/10.53886/gga.e0220026","url":null,"abstract":"Objective: Reports show that LGBT+ people may face several struggles during their endof-life (EOF) preparations, reporting higher rates, for example, of harassment and fear of feeling pain during these moments. We thus aimed to investigate variables related to EOF preparations among LGBT+ people and compare them with heterosexual cisgender individuals. Methods: This is a cross-sectional study in which Brazilians aged 50 or older were invited to answer an anonymous online survey between August 2019 and January 2020. The survey was widely distributed in neighbourhood associations, nongovernmental organizations, and social media. Those who identified as homosexual, bisexual, pansexual, non-heterosexual, transgender, travesti, or non-binary were grouped as LGBT+; cisgender and heterosexual participants were grouped as non-LGBT+. Results: The questionnaire was answered by 6693 participants with a median age of 60 years. Out of all respondents, 1332 were LGBT+ (19.90%) and 5361 were non-LGBT+ (80.10%). Compared to their non-LGBT+ peers, LGBT+ people reported higher rates of loneliness (25.30% vs 16.32%, p < 0.001), fear of dying alone (15.69% vs 9.79%, p < 0.001) or in pain (35.21% vs 25.74%, p < 0.001), and less social support (19.44% vs 13.48%, p < 0.001). Conclusions: Being LGBT+ was associated with challenges and inequalities regarding EOF preparations and discussions. Sexuality and diversity should be addressed in palliative training programs to address the needs of the LGBT+ population and to provide them with a dignified death.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71149201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of inflammatory and coagulation biomarkers with mortality in patients aged 60 years or older and hospitalized with COVID-19 60岁及以上住院COVID-19患者炎症和凝血生物标志物与死亡率的关系

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220038

Júlia Almenara Ribeiro Vieira, R. Costa, J. M. Monteiro, Júlia Andrade Rodrigues Alves, Caroline Maffei Spinassé, C. Pupim, Alessandra Tieppo, R.L. Morelato

{"title":"Association of inflammatory and coagulation biomarkers with mortality in patients aged 60 years or older and hospitalized with COVID-19","authors":"Júlia Almenara Ribeiro Vieira, R. Costa, J. M. Monteiro, Júlia Andrade Rodrigues Alves, Caroline Maffei Spinassé, C. Pupim, Alessandra Tieppo, R.L. Morelato","doi":"10.53886/gga.e0220038","DOIUrl":"https://doi.org/10.53886/gga.e0220038","url":null,"abstract":"Objectives: To analyze the association of inflammatory and coagulation biomarkers with mortality in geriatric patients with COVID-19. Methods: This is a retrospective cohort study of 206 patients aged 60 years or older who were hospitalized with COVID-19 at an intensive care unit. The analyzed variables were age, sex, length of hospital stay, and inflammatory biomarkers (C-reactive protein, neutrophil-to-lymphocyte ratio, procalcitonin, fibrinogen, ferritin, and d-dimer). We constructed a receiver operating characteristic curve and analyzed the area under the curve to evaluate the accuracy of biomarkers associated with mortality in patients with COVID-19. Results: Mean age was 72 (± 8) years. There were 101 deaths (49% of the total sample), which were significantly more frequent (p = 0.006) in the older age groups and were distributed as follows: 37.50% (60 – 69 years old); 50% (70 – 79 years old); 67.50% (80 – 89 years old); and 75% (over 90 years old). Mortality was associated with increased serum levels of procalcitonin, neutrophil-to-lymphocyte ratio, C-reactive protein, and d-dimer, and decreased fibrinogen levels. Neutrophil-to-lymphocyte ratio occupied the largest area under the receiver operating characteristic curve (area under the curve 0.859) in this group. Conclusions: In this study, inflammatory biomarkers neutrophil-to-lymphocyte ratio, procalcitonin, C-reactive protein, and d-dimer were associated with mortality in older patients with COVID-19 hospitalized at an intensive care unit, and neutrophil-to-lymphocyte ratio presented the best accuracy.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71150556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health System 在巴西统一卫生系统技术纳入国家委员会的建议中使用成本效益阈值的年龄歧视风险

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220029

J. Galendi, P. Wachholz, P. V. Boas, V. Nogueira

{"title":"Risk of ageism in the use of cost-effectiveness thresholds in the recommendations of the national commission for incorporation of technologies in the Brazilian Unified Health System","authors":"J. Galendi, P. Wachholz, P. V. Boas, V. Nogueira","doi":"10.53886/gga.e0220029","DOIUrl":"https://doi.org/10.53886/gga.e0220029","url":null,"abstract":"Government agencies perform health technology assessment when evaluating requests to incorporate technologies in public health systems. To promote participation in this decision-making process, the National Commission for the Incorporation of Technologies in the Unified Health System (CONITEC) makes its recommendations available for public consultation for 20 days, which may occasionally be reduced or extended. Recently, CONITEC published its recommendations about the use of cost-effectiveness thresholds in health care decision-making. When reviewing the criteria for alternative cost-effectiveness thresholds, given that they promote innovation and equity in the Brazilian Unified Health System, we realized that the criterion “diseases affecting individuals at the end of life” was excluded from the list. This viewpoint article is a request for CONITEC to reconsider this position. The report disregards technical aspects related to the use of quality-adjusted life years as a metric in patients with low life expectancy, indicating the potential to discriminate against older adults and ignore the practical considerations of international organizations on this topic.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71150840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Insufficient physical activity and multimorbidity was associated with low physical functional performance in older adults: a cross-sectional study 一项横断面研究表明，老年人身体活动不足和多种疾病与身体功能低下有关

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220030

Clóvis Arlindo de Sousa, A. Floriani, S. Ulbricht, U. Siewert-Markus, J. Freyer-Adam, T. Ittermann, H. Völzke, M. Dörr, M. Markus, Ernani Tiaraju de Santa Helena

{"title":"Insufficient physical activity and multimorbidity was associated with low physical functional performance in older adults: a cross-sectional study","authors":"Clóvis Arlindo de Sousa, A. Floriani, S. Ulbricht, U. Siewert-Markus, J. Freyer-Adam, T. Ittermann, H. Völzke, M. Dörr, M. Markus, Ernani Tiaraju de Santa Helena","doi":"10.53886/gga.e0220030","DOIUrl":"https://doi.org/10.53886/gga.e0220030","url":null,"abstract":"Objective: Aging, physical inactivity, and chronic disease can decrease strength and muscle mass and affect mobility and autonomy in older adults. This study aimed to analyze the prevalence and associated factors of low physical functional performance among older adults in the city of Pomerode, in southern Brazil. Methods: This is a cross-sectional population-based study with data on 733 older adults from the Study of Health in Pomerode — SHIP-Brazil. Low functional physical performance was defined as handgrip strength ≤ 32 kg for men or ≤ 20 kg for women and/or a Timed Up and Go test ≥ 11 seconds for men or ≥ 13 seconds for women. Associations were analyzed by multiple logistic regression. Results: The prevalence of low physical functional performance was 43.7% (42.2% among women and 45.5% among men). Low physical functional performance was associated with the 70–79 years age group (odds ratio [OR] = 2.07) and insufficient physical activity (OR = 2.73) in men, and with the 70–79 years age group (OR = 2.09) and multimorbidity (OR = 1.87) in women. In general, older age, insufficient physical activity, and multimorbidity were associated with low physical functional performance in older adults. Conclusion: Our findings suggest that while insufficient physical activity is crucial for physical functional performance in older men, multimorbidity appears to be crucial for older women.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71150847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Grip strength is a strong predictor of survival in nonagenarians and centenarians 握力是预测九十岁和百岁老人生存的有力指标

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220012

Marlon Cassio Pereira Grigol, P. Morsch, Â. Bós

{"title":"Grip strength is a strong predictor of survival in nonagenarians and centenarians","authors":"Marlon Cassio Pereira Grigol, P. Morsch, Â. Bós","doi":"10.53886/gga.e0220012","DOIUrl":"https://doi.org/10.53886/gga.e0220012","url":null,"abstract":"Objectives: To understand the importance of hand grip strength (HGS) as a survival predictor in nonagenarians and centenarians. Methods: Longitudinal, observational and analytical study, using HGS measurements obtained during a first evaluation performed in 2016. Participants were nonagenarians and centenarians, randomly selected in various neighborhoods of Porto Alegre (RS) and evaluated in their homes. The time elapsed between the first evaluation and the date of death or last contact (for survivors) was used to calculate the hazard ratio (HR) using survival analysis on simple and adjusted Cox regression models. Results: The sample comprised 212 participants (155 women), of whom 83 (39%) died during follow-up (until August 30, 2019). Using the lowest quartile (25%) for HGS, participants with < 10 kgf for women and 17 kgf for men were considered to have poor HGS performance. In the simple regression model, participants with lower HGS presented a HR of 2.75 (1.76–4.30, p < 0.001) for death. Also in the simple model, participants aged between 90 and 94 years old presented an HR of 0.37 (0.16–0.85, p = 0.019) compared to those aged 100 or older. In the adjusted model, age lost its significance in the presence of HGS. The following were significant predictors in both simple and adjusted models: cognitive performance, calf circumference, ability to participate in social activities, shop, and prepare meals alone, performance in the Timed Up and Go test, and ease to perform activities requiring upper limb strength. Conclusions: HGS was an important independent and modifiable predictor of survival among nonagenarians and centenarians.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71148600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Health care network model for older adults: a co-creation and participatory action research approach 老年人保健网络模型:共同创造和参与性行动研究方法

Geriatrics Gerontology and Aging Pub Date : 2022-01-01 DOI: 10.53886/gga.e0220008

D. Noronha, Cleber Luz-Santos, H. Novais, M. Frank, Camila Marinho Costa, J. Soub, R. M. Caires, Josecy Maria de Souza Peixoto, K. Santos, J. G. Miranda

{"title":"Health care network model for older adults: a co-creation and participatory action research approach","authors":"D. Noronha, Cleber Luz-Santos, H. Novais, M. Frank, Camila Marinho Costa, J. Soub, R. M. Caires, Josecy Maria de Souza Peixoto, K. Santos, J. G. Miranda","doi":"10.53886/gga.e0220008","DOIUrl":"https://doi.org/10.53886/gga.e0220008","url":null,"abstract":"Objective: To develop a collaborative, multidisciplinary care model for older adults that improves interdisciplinary teamwork and increases access to specialized services for frail patients, helping solve management problems in the Brazilian Unified Health System. In the state of Bahia, the health care network for older adults requires better interaction and integration with the Unified Health System and the Unified System of Social Assistance to improve patient flow in the network. Methods: We used a co-creation and participatory action research approach based on reflection, data collection, interaction, and feedback with participants and stakeholders. Data was collected from health professionals, representatives of health agencies, and older adults through collective and individual interviews, reflective diaries, and direct communication. Results: An action plan involving members of the older adult care network was developed to put the new model into practice. A pilot study with a multidisciplinary team allowed adjustments and implementation of the model at our institution. Conclusions: The new model improved both the internal management of the State Reference Center for Older Adult Health Care (Centro de Referência Estadual de Atenção à Saúde do Idoso - CREASI) and its interaction with primary care, optimizing patient flow and establishing rules for shared management between CREASI and primary care institutions. In view of this, restructuring the care model reorganized relations between the agencies, expanding CREASI’s role in the management and systematization of older adult health.","PeriodicalId":52782,"journal":{"name":"Geriatrics Gerontology and Aging","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71148838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1