Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC - location VU University medical center, Amsterdam, The Netherlands.
Department of General Practice, Amsterdam Public Health Research Institute, Amsterdam UMC - location VU University medical center, Amsterdam, the Netherlands.
Age Ageing. 2023 Oct 2;52(10). doi: 10.1093/ageing/afad183.
In 2015, the World Health Organisation (WHO) introduced the concept of intrinsic capacity (IC) as part of a new public health model for healthy ageing. IC refers to the overall combination of an individual's physical and mental capacities, and is promoted as a new positive approach to the health and wellbeing of older adults. However, there is still insufficient evidence that implementing IC leads to better care for older adults. Moreover, the current operationalisations of IC lead to confusion and redundant research. In this commentary, we discuss whether the concept of IC has added value for geriatrics, and describe the main issues related to its conceptualisation, measurement, and application. We argue that there is a need to clarify and validate the concept of IC, including independent evidence regarding its feasibility and acceptance in clinical practice.
2015 年，世界卫生组织（WHO）引入了内在能力（IC）的概念，作为健康老龄化新公共卫生模型的一部分。IC 是指个人身心能力的整体组合，被推广为一种新的积极方法，用于促进老年人的健康和幸福。然而，仍然没有足够的证据表明实施 IC 会导致对老年人更好的护理。此外，目前对 IC 的操作导致了混淆和多余的研究。在这篇评论中，我们讨论了 IC 的概念是否对老年医学有附加价值，并描述了与其概念化、测量和应用相关的主要问题。我们认为，有必要澄清和验证 IC 的概念，包括其在临床实践中的可行性和可接受性的独立证据。
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