Evidence map›Paper›PMID 34837381›Full record

ArticleJournal of the American Geriatrics Society2022

Clinician knowledge and behaviors related to the 4Ms framework of Age-Friendly Health Systems.

Sarah Lesser, Stanislav Zakharkin, Christina Louie, Marcus R Escobedo, John Whyte, Terry Fulmer

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Geriatrics Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Matters We Metric Vs. Metrics that Matter.Geriatric orthopaedic surgery & rehabilitation · 2024
    Review
  17. Shifting Culture Toward Age-Friendly Care: Lessons From VHA Early Adopters.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Sarah LesserMarket Research, WebMD, New York, New York, USA.
Stanislav ZakharkinMarket Research, WebMD, New York, New York, USA.ORCID 0000-0001-9816-510X
Christina LouieMarket Research, WebMD, New York, New York, USA.
Marcus R EscobedoThe John A. Hartford Foundation, New York, New York, USA.
John WhyteMarket Research, WebMD, New York, New York, USA.ORCID 0000-0002-0715-5158
Terry FulmerThe John A. Hartford Foundation, New York, New York, USA.ORCID 0000-0003-1027-7444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Age-Friendly Health Systems (AFHS) aims to improve the experience of care for adults aged 65 years and older through the 4Ms framework, an evidence-based approach to care planning that emphasizes what matters most to the older person, mentation, mobility, and medication. The aim of this study was to examine clinicians' attitudes, knowledge, and practices concerning AFHS and the 4Ms.

methodsWe surveyed U.S.-based health care providers randomly identified from the Medscape database. The sample was weighted based on sex, U.S. Census region, and ethnic diversity of health occupations. We examined the differences between cohorts using proportions tests and logistic regression models.

resultsMore than 90% of clinicians (n = 1684) agreed that "older patients require a different approach to care than younger patients." Fifty percent of clinicians "always" take the age of their patient into consideration when determining care. A majority of clinicians said they discuss each of the 4Ms with older patients and/or their family caregivers. Screening for depression and review of high-risk medication use are among the leading types of age-friendly care that clinicians provide to older patients. A minority of clinicians are asking older adults about and aligning the care plan with What Matters.

conclusionsA majority of clinicians acknowledged the benefits of providing care via AFHS but reported limited knowledge of the specificities of the 4Ms framework and are not necessarily taking the age of their patients into consideration when determining the best form of care. Health care settings that have implemented the 4Ms framework appear to be doing so in an incomplete way. Our study reinforces the case for training primary care providers on how to adopt the evidence-based 4Ms framework in clinical practice effectively and consistently.

Indexed as

CaregiversGovernment ProgramsAgedHumans4Ms frameworkAge-Friendly Health Systemshealth care

Identifiers

PMID34837381
PMCPMC9299469

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.