综合照护背景下评估患有多种疾病的老年人的分层工具：一项范围综述
Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review.
作者信息
Christensen Jon André, Marcussen Michael, Zabell Vicki, Bagger Bettan, Høgsgaard Ditte, Lundstrøm Sanne Lykke, Barrett Barbara Ann, Frølich Anne, Skou Søren Thorgaard, Berring Lene Lauge
机构信息
Department of Internal Medicine, Slagelse Hospital, Denmark.
The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Denmark.
出版信息
J Multimorb Comorb. 2025 Jul 14;15:26335565251357781. doi: 10.1177/26335565251357781. eCollection 2025 Jan-Dec.
BACKGROUND
Older adults with multimorbidity experience fragmentation of care. Ensuring optimal use of healthcare services requires stratifying their need for integrated care. We aimed to map existing stratification tools for assessing older adults with multimorbidity in an integrated care context.
METHODS
We searched MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL, and extracted definitions of population, concept, and context following the JBI Framework for Scoping Reviews.
RESULTS
We identified 17,689 articles of which 11 articles were included. Few stratification tools for this population exist and differ on scoring methods, domains and settings of use. Stratification is used for identifying older adults with multimorbidity to multidisciplinary teams or to case managers. Future research should develop stratification tools across sectors focused on the common risk factors of multimorbidity in older adults.
背景
患有多种疾病的老年人经历着护理碎片化的问题。确保医疗服务的最佳利用需要对他们的综合护理需求进行分层。我们旨在梳理在综合护理背景下用于评估患有多种疾病的老年人的现有分层工具。
方法
我们检索了MEDLINE、Embase、PsycINFO、Cochrane图书馆和CINAHL，并按照JBI范围综述框架提取了人群、概念和背景的定义。
结果
我们识别出17689篇文章，其中11篇被纳入。针对该人群的分层工具很少，且在评分方法、使用领域和环境方面存在差异。分层用于将患有多种疾病的老年人识别给多学科团队或个案管理员。未来的研究应跨部门开发聚焦于老年人多种疾病共同风险因素的分层工具。
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