改善马来西亚老年人体弱状况的初级保健综合服务提供模式:GeKo 综合服务交付。

IF 3.3 Q2 GERIATRICS & GERONTOLOGY
S S Ahip, C Y Ting, M A B Abdillah, Y J Tan, S A B Sabri, O Theou, S Shariff-Ghazali, R Visvanathan
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引用次数: 0

摘要

背景本研究旨在评估马来西亚基层医疗机构虚弱管理 GeKo-Integrated Service Delivery(ISD)模式的实施阶段,并探讨其在改善虚弱评分方面的有效性:方法:采用世界卫生组织-ICOPE(老年人综合护理)计分卡对马来西亚首批三家 GeKo- ISD 诊所的实施阶段进行了评估。这包括评估与 GeKo 服务相关的文件,并对从这些文件中确定的关键信息提供者进行深入访谈。在 2022 年 10 月至 2023 年 4 月期间,接受 GeKo-ISD 治疗的患者的平均虚弱评分从基线到干预后 3 个月之间的变化情况将作为评估 GeKo-ISD 疗效的依据:所有三家 GeKo 诊所都达到了持续实施水平,总分 50 分(满分 52 分)。配对 t 检验显示,从基线到 GeKo-ISD 干预后 3 个月,PFFS-M 分数显著下降(p= 0.001)。基线得分的平均值(标清)为 8.6 (4.6),干预后 3 个月的平均值为 7.0 (4.1):结论:GeKo-ISD 是一种利用现有公共资助的初级保健基础设施为老年人提供综合护理的全面方法。该方法前景广阔,虽然受到大流行病的影响,但在政府的支持下,目前已在马来西亚一个州的 32 个中心实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integrated Service Delivery Model in Primary Care to Improve Frailty in Older Malaysians: GeKo Integrated Service Delivery.

Background: This study aimed to evaluate the implementation stage of Malaysia's GeKo-Integrated Service Delivery (ISD) model for frailty management in primary care and explore its effectiveness in improving frailty scores.

Methods: The implementation stage of Malaysia's first three GeKo- ISD clinics was assessed using the WHO-ICOPE (Integrated Care of the Older Persons) scorecard. This involved evaluating documents related to the GeKo services and conducting in-depth interviews with key informants identified from those documents. The efficacy of GeKo-ISD was assessed by documenting the change in mean frailty scores between baseline and 3 months post intervention, measured by the Pictorial Fit Frail Scale Malay Version (PFFS-M), in patients who received GeKo-ISD care from October 2022 to April 2023.

Results: All three GeKo clinics achieved the sustaining implementation level, scoring a total of 50 out of 52. The paired t-test reported a significant reduction (p= 0.001) in the PFFS-M scores from baseline to 3 months after the GeKo-ISD intervention. The mean (SD) scores were 8.6 (4.6) at baseline and 7.0 (4.1) at 3 months post-intervention.

Conclusion: GeKo-ISD is a comprehensive approach of integrated care for older people, leveraging existing public funded primary care infrastructure. It shows promise, was impacted by the pandemic but now, with support from the government, exists in 32 centers across one state in Malaysia.

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来源期刊
Journal of Frailty & Aging
Journal of Frailty & Aging GERIATRICS & GERONTOLOGY-
CiteScore
5.90
自引率
7.70%
发文量
54
期刊介绍: The Journal of Frailty & Aging is a peer-reviewed international journal aimed at presenting articles that are related to research in the area of aging and age-related (sub)clinical conditions. In particular, the journal publishes high-quality papers describing and discussing social, biological, and clinical features underlying the onset and development of frailty in older persons.          The Journal of Frailty & Aging is composed by five different sections: - Biology of frailty and aging In this section, the journal presents reports from preclinical studies and experiences focused at identifying, describing, and understanding the subclinical pathophysiological mechanisms at the basis of frailty and aging. - Physical frailty and age-related body composition modifications Studies exploring the physical and functional components of frailty are contained in this section. Moreover, since body composition plays a major role in determining physical frailty and, at the same time, represents the most evident feature of the aging process, special attention is given to studies focused on sarcopenia and obesity at older age. - Neurosciences of frailty and aging The section presents results from studies exploring the cognitive and neurological aspects of frailty and age-related conditions. In particular, papers on neurodegenerative conditions of advanced age are welcomed. - Frailty and aging in clinical practice and public health This journal’s section is devoted at presenting studies on clinical issues of frailty and age-related conditions. This multidisciplinary section particularly welcomes reports from clinicians coming from different backgrounds and specialties dealing with the heterogeneous clinical manifestations of advanced age. Moreover, this part of the journal also contains reports on frailty- and age-related social and public health issues. - Clinical trials and therapeutics This final section contains all the manuscripts presenting data on (pharmacological and non-pharmacological) interventions aimed at preventing, delaying, or treating frailty and age-related conditions.The Journal of Frailty & Aging is a quarterly publication of original papers, review articles, case reports, controversies, letters to the Editor, and book reviews. Manuscripts will be evaluated by the editorial staff and, if suitable, by expert reviewers assigned by the editors. The journal particularly welcomes papers by researchers from different backgrounds and specialities who may want to share their views and experiences on the common themes of frailty and aging.The abstracting and indexing of the Journal of Frailty & Aging is covered by MEDLINE (approval by the National Library of Medicine in February 2016).
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