Refining program theory for a place-based integrated care initiative in Sydney, Australia
The Healthy Homes and Neighbourhoods (HHAN) Integrated Care Program seeks to enhance vulnerable family engagement with health and social services through a care coordination model. Besides servicing families in Sydney, HHAN has also established place-based initiatives (PBIs) in areas of disadvantage such as Redfern. The Redfern PBI co-locates HHAN with housing, drug and alcohol services...
Frailty combined with loneliness or social isolation: an elevated risk for mortality in later life
Frailty, loneliness, and social isolation are all associated with adverse outcomes in older adults, but little is known about their combined impact on mortality. DESIGN: Prospective cohort study. SETTING: The Longitudinal Aging Study Amsterdam. PARTICIPANTS: Community-dwelling older adults aged 65 and older (n = 1,427). MEASUREMENTS: Frailty was measured with the frailty phenotype (Fried criteria)...
Utilisation of general practice health assessments around an aged care assessment is associated with lower mortality risk in older Australians
Objective: (i) to describe the general practitioner utilisation of health assessments, management plans, coordination of team care arrangements and medication review item numbers within 6 months of an aged care eligibility assessment for home care packages (HCP) and (ii) investigate the impact of health assessments on the risk of mortality and entry into permanent residential...
Feasibility and acceptability of commonly used screening instruments to identify frailty among community-dwelling older people: a mixed methods study
Frailty exposes older people to an elevated risk of a range of negative outcomes. Emerging evidence that frailty can be effectively treated within community settings has stimulated calls for more proactive screening within primary care. Assessing feasibility is a critical preliminary step in assessing the efficacy of interventions such as screening. However, few studies have...
Frailty and Seasonality
Frailty in older adults is a complex condition in which only a minor external stressor may cause severe complications leading to death. In the context of the recent devastating bushfires in Australia and the worldwide COVID-19 pandemic, recognising and protecting those affected has magnified the impact and public health importance of frailty. Effects of frailty...