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Fall-risk evaluation and management: challenges in adopting geriatric care practices
Mary E Tinetti1, Catherine Gordon, Ellen Sogolow
1Department of Internal Medicine, Yale University School of Medicine, 20 York St., TMP15, New Haven, CT 06504, USA. mary.tinetti@yale.edu
Falls are a major risk for older adults, yet prevention efforts are limited. This article discusses the impact of falls, effective prevention strategies, and barriers to their implementation.
Area of Science:
- Gerontology
- Public Health
- Preventive Medicine
Background:
- One-third of older adults experience falls annually, leading to severe injuries and healthcare utilization.
- Effective fall prevention strategies exist but face limited policy and clinical adoption.
Purpose of the Study:
- To present the burden of falls in older adults.
- To review evidence on the effectiveness of fall prevention services.
- To describe barriers to promoting these services and suggest strategies for increased utilization.
Main Methods:
- Literature review on fall prevention effectiveness.
- Analysis of barriers for clinicians and payers.
- Development of strategies for promoting fall prevention services.
Main Results:
- Falls represent a significant public health issue with substantial healthcare costs.
- Evidence supports the effectiveness of various fall prevention interventions.
- Barriers exist among clinicians and payers, hindering service promotion.
Conclusions:
- Despite challenges, incremental strategies can improve fall prevention adoption.
- Broader changes in healthcare financing and practice are needed for comprehensive management of falls in older adults.
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