John Richards Centre for Rural Ageing Research, La Trobe Rural Health School, La Trobe University, Wodonga, Victoria, Australia.
Beechworth Health Service, Beechworth, Victoria, Australia.
Australas J Ageing. 2021 Mar;40(1):16-34. doi: 10.1111/ajag.12834. Epub 2020 Aug 9.
To identify the core elements of interventions and models that facilitate age-friendly care for older adults within rural Australian health systems, and assess the extent to which these align with core elements of the Institute for Health Improvement's (IHI) Age-Friendly Health Systems 4Ms Model.
Peer-reviewed journal articles examining core elements of Australian rural geriatric care models were collected and analysed using an integrative review methodology.
Identified models and interventions addressed all four core elements of the IHI model-what matters, medications, mobility and mentation. There was more evidence relating to mobility and mentation, with lesser evidence relating to medications and what matters. A series of core elements not aligned with the model were also identified.
The IHI 4Ms Model appears to be applicable in the rural Australian context. More high-quality, systematic evidence is needed to investigate the core elements of age-friendly care across diverse rural contexts.
确定促进澳大利亚农村卫生系统中老年友好护理的干预措施和模式的核心要素，并评估这些要素在多大程度上与改善研究所（IHI）的老年友好卫生系统 4Ms 模型的核心要素一致。
收集并分析了审查同行评议期刊文章，以确定澳大利亚农村老年护理模式的核心要素，使用综合审查方法。
确定的模型和干预措施涵盖了 IHI 模型的所有四个核心要素——重要事项、药物、移动性和思维能力。与移动性和思维能力相关的证据更多，而与药物和重要事项相关的证据更少。还确定了一系列与该模型不一致的核心要素。
IHI 4Ms 模型似乎适用于澳大利亚农村地区。需要更多高质量、系统的证据来研究不同农村背景下老年友好护理的核心要素。
