4.7 Article

Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme

期刊

BMC GERIATRICS
卷 22, 期 1, 页码 -

出版社

BMC
DOI: 10.1186/s12877-022-03254-6

关键词

Frailty care; Comprehensive geriatric assessment; Care coordination; Multi-disciplinary team care

资金

  1. Ministry of Health, Singapore [19X01]

向作者/读者索取更多资源

This study aims to understand the factors influencing the development and implementation of the Geriatric Service Hub in Singapore and evaluate the program's effectiveness through patient-reported health outcomes. A mixed-methods approach, including qualitative evaluation and quantitative monitoring, will be used. The ultimate goal is to provide insights into the process and outcomes of the GSH program and guide the design of similar initiatives targeting frail older adults.
Background: Frailty is increasing in prevalence internationally with population ageing. Frailty can be managed or even reversed through community-based interventions delivered by a multi-disciplinary team of professionals, but to varying degrees of success. However, many of these care models' implementation insights are contextual and may not be applicable in different cultural contexts. The Geriatric Service Hub (GSH) is a novel frailty care model in Singapore that focuses on identifying and managing frailty in the community. It includes key components of frailty care such as comprehensive geriatric assessments, care coordination and the assembly of a multi-disciplinary team. This study aims to gain insights into the factors influencing the development and implementation of the GSH. We also aim to determine the programme's effectiveness through patient-reported health-related outcomes. Finally, we will conduct a healthcare utilisation and cost analysis using a propensity score-matched comparator group. Methods: We will adopt a mixed-methods approach that includes a qualitative evaluation among key stakeholders and participants in the programme, through in-depth interviews and focus group discussions. The main topics covered include factors that affected the development and implementation of each programme, operations and other contextual factors that influenced implementation outcomes. The quantitative evaluation monitors each programme's care process through quality indicators. It also includes a multiple-time point survey study to compare programme participants' pre- and post- outcomes on patient engagement, healthcare services experiences, health status and quality of life, caregiver burden and societal costs. A retrospective cohort study will compare healthcare and cost utilisation between participants of the programme and a propensity score-matched comparator group. Discussion: The GSH sites share a common goal to increase the accessibility of essential services to frail older adults and provide comprehensive care. This evaluation study will provide invaluable insights into both the process and outcomes of the GSH and inform the design of similar programmes targeting frail older adults.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据