Evidence map›Paper›PMID 32111170›Full record

ArticleBMC geriatrics2020

Addressing safety risks in integrated care programs for older people living at home: a scoping review.

Manon Lette, Eliva A Ambugo, Terje P Hagen, Giel Nijpels, Caroline A Baan, Simone R de Bruin

Abstract readScoping Review
In one paragraph

Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Manon LetteAmsterdam Public Health research institute, Department of General Practice and Elderly Care Medicine, Amsterdam UMC - VU University Amsterdam, Amsterdam, the Netherlands. m.lette@amsterdamumc.nl.ORCID 0000-0002-7026-8278
Eliva A AmbugoDepartment of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway.
Terje P HagenDepartment of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway.
Giel NijpelsAmsterdam Public Health research institute, Department of General Practice and Elderly Care Medicine, Amsterdam UMC - VU University Amsterdam, Amsterdam, the Netherlands.
Caroline A BaanCentre for Nutrition, Prevention and Health Services research, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Simone R de BruinCentre for Nutrition, Prevention and Health Services research, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.

Funding

Horizon 2020 Framework Programme 634144
6 · The paper itself

Abstract

backgroundMany older people live at home, often with complex and chronic health and social care needs. Integrated care programs are increasingly being implemented as a way to better address these needs. To support older people living at home, it is also essential to maintain their safety. Integrated care programs have the potential to address a wide range of risks and problems that could undermine older people's ability to live independently at home. The aim of this scoping review is to provide insight into how integrated care programs address safety risks faced by older people living at home - an area that is rather underexplored.

methodsSafety was conceptualised as preventing or reducing the risk of problems, associated with individual functioning and behaviour, social and physical environments, and health and social care management, which could undermine older people's ability to live independently at home. For this scoping review a systematic literature search was performed to identify papers describing integrated care programs where at least one intervention component addressed safety risks. Data were extracted on the programs' characteristics, safety risks addressed, and the activities and interventions used to address them.

resultsNone of the 11 programs included in this review explicitly mentioned safety in their goals. Nevertheless, following the principles of our conceptual framework, the programs appeared to address risks in multiple domains. Most attention was paid to risks related to older people's functioning, behaviour, and the health and social care they receive. Risks related to people's physical and social environments received less attention.

conclusionEven though prevention of safety risks is not an explicit goal of integrated care programs, the programs address a wide range of risks on multiple domains. The need to address social and environmental risks is becoming increasingly important given the growing number of people receiving care and support at home. Prioritising a multidimensional approach to safety in integrated care programs could enhance the ability of health and social care systems to support older people to live safely at home.

Indexed as

Activities of Daily LivingDelivery of Health Care, IntegratedAgedAged, 80 and overHumansIndependent LivingQuality of LifeCommunity careElderlyIntegrated careOlder people living at homePreventionPrimary careRisksSafetyScoping review

Identifiers

PMID32111170
PMCPMC7048120

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.