Won Chang Won, Ha Eunmi, Jeong Eunjin, Kim Miji, Park Juhyun, Baek Ja Euk, Kim Sungouk, Kim Sung Bae, Roh Jihun, Choi Jee Hye, Jeon Seung Youn, Jung Heeeun, Lee Daehyun, Seo Yuri, Shin Hyungeun, Kim Heesun
Department of Family medicine, Kyung Hee University Medical Center, College of Medicine, Kyung Hee University, Seoul, Korea.
Department of Biomedical Science and Technology, Graduate School, Kyung Hee University, Seoul, Korea.
Ann Geriatr Med Res. 2021 Mar;25(1):10-16. doi: 10.4235/agmr.21.0025. Epub 2021 Mar 30.
The World Health Organization (WHO) recently endorsed the proposal for a Decade of Healthy Ageing (2020-2030). The WHO defines "healthy aging" as "the process of developing and maintaining the functional ability that enables wellbeing in older age." Among the strategies for the Decade of Healthy Ageing, the WHO has suggested enhancing intrinsic capacity, promoting functional ability, and implementing the Integrated Care for Older People (ICOPE) package. The WHO has defined steps for ICOPE evaluation and scale-up and is performing a prospective study in 2-3 countries (low and middle income, high income) to test its feasibility in 2021-2022 and a multinational randomized study to validate its clinical efficacy and effectiveness in 2022-2024. Intrinsic capacity and frailty represent two faces of the same coin, with one indicating the reserves of the individual and the other indicating the deficits that accumulate with age. The Integrated Care of Older Patients with Frailty in Primary Care (ICOOP_Frail) study is the first integrated care program for frailty or functional decline in primary care in Korea. The results suggest that the ICOOP_Frail study can be utilized as a reference for ICOPE studies in Korea or at least to provide important findings for the forthcoming ICOPE implementation study in Korea.
世界卫生组织（WHO）最近批准了“健康老龄化十年（2020 - 2030）”的提议。WHO将“健康老龄化”定义为“培养和维持使老年人能够实现幸福安康的功能能力的过程”。在健康老龄化十年的策略中，WHO建议增强内在能力、促进功能能力以及实施老年人综合照护（ICOPE）方案。WHO已确定了ICOPE评估和推广的步骤，并正在2 - 3个国家（低收入和中等收入国家、高收入国家）开展一项前瞻性研究，以在2021 - 2022年测试其可行性，还将在2022 - 2024年开展一项多国随机研究，以验证其临床疗效和有效性。内在能力和虚弱是同一枚硬币的两面，一面表示个体的储备，另一面表示随着年龄增长而积累的不足。初级保健中虚弱老年患者的综合照护（ICOOP_Frail）研究是韩国首个针对初级保健中虚弱或功能衰退的综合照护项目。结果表明，ICOOP_Frail研究可作为韩国ICOPE研究的参考，或者至少为韩国即将开展的ICOPE实施研究提供重要发现。
