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- Page navigation anchor for Organizational factors in implementing integrated care systemsOrganizational factors in implementing integrated care systems
I read with interest the recent article by Matthieu Calafiore and his colleagues.1 Khammarnia et al. study in Iran focused on integration care too. By an exploration on the usage of relatable integration care platform (SIB), results show that there is a significant relationship between age, education level, and employment place of health care providers and acceptance of integrated care systems.2 Besides factors mentioned in Calafiore et al. study; elderly people's awareness of integrated care services can be important too. It not only affects patient satisfaction but also improves health services, which are helpful for health care providers.3
In addition, based on the Briggs study, there is a lack of information on macro-level strategies for integration care.4 As a final point, wider scopes based on appropriate methods and sufficient data are needed.
References
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1. Calafiore M, Chazard E, Averlant L et al. GPs’ interest in integrated care for frail older adults and corresponding consulting and prescribing data: qualitative and quantitative analyses of the PAERPA integrated care project. Br J Gen Pract 2022;72 (724):e809-e15..
2. Khammarnia M, Setoodehzadeh F, Peyvand M et al. Evaluation of Integrated Health System Technology Acceptance among the users of Health Centers of Zahedan University of Medical Sciences; Iran. Evidence Based Health Policy...Competing Interests: None declared. - Page navigation anchor for Should all older people have an MOT every year from 65 years.Should all older people have an MOT every year from 65 years.
I read with interest the article looking at GPs wide variation in engagement with integrated care pathways ICP for frail patients.1
Frailty issues are costing us dearly as a society. Falls in elderly especially can catapult individuals into hospital and onward to the care system often with patients losing autonomy.2
Recently I took my car for a MOT. The gentleman in front of me in the queue was in his late 70s. He was walking with a stick to aid stability, had a fixed hunched posture with a wide-based stuttering gait and an obvious tremor. He was wearing glasses and a hearing aid and was so shaky with poor motor control that he was unable to use the card machine to pay for his car repair and needed help. I offered sympathetic looks while thinking why are you still driving!
Some describe these people and their decline like Jenga the game.3 The tower represents the older person and as pieces are removed the tower gradually loses its stability e.g. effects of medications, lack of exercise, poor nutrition co-morbidities, leg ulcers and cognitive decline. The tower although wobbly can maintain itself surprisingly well for a long time but comes to a stage where, when one small piece is removed and it all falls down.
So back to this gentleman he had gait problems and a walking aid. He possibly had Parkinson’s disease. He was high risk for falls. So, was he aware of his risks of fallin...
Show MoreCompeting Interests: None declared.