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Implementing Frailty Measures in the Canadian Healthcare System.

D B Rolfson1, G A Heckman, S M Bagshaw

  • 1Darryl B. Rolfson MD, Professor of Medicine, Faculty of Medicine and Dentistry, University of Alberta, 13-135, 11350 83 Ave., Edmonton, Alberta, T6G 2P4 Canada. Email: darryl.rolfson@ualberta.ca. Tel: 780-492-6233. Fax: 780-492-2874.

The Journal of Frailty & Aging
|October 10, 2018
PubMed
Summary
This summary is machine-generated.

Integrating frailty assessment into Canadian healthcare requires tailored strategies. Front-line clinicians can use adaptable methods or standardized algorithms, supported by data and policy, to improve care for frail individuals.

Keywords:
Frailtycase findingmeasurementstandards

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Area of Science:

  • Gerontology
  • Health Services Research
  • Clinical Practice

Background:

  • Canadian healthcare is evolving to incorporate care for individuals experiencing frailty.
  • Frailty, characterized by accumulating deficits and vulnerability, necessitates better operationalization and policy support.
  • Current clinical practice in Canada lacks integrated frailty measurement.

Purpose of the Study:

  • To present potential models for integrating frailty measurement into Canadian clinical practice.
  • To highlight the need for implementation strategies that cater to diverse inter-professional needs and settings.
  • To advocate for evidence-based data standards and policy to support frailty care.

Main Methods:

  • Discussing two distinct implementation approaches: a "hands-off" adaptable model for front-line users and a systematic model integrating with existing data repositories.
  • Emphasizing the role of knowledge translation and local/national endorsement of instruments and data standards.
  • Identifying the interRAI suite of assessment instruments as a key resource, particularly in home and long-term care settings.

Main Results:

  • Proposing an integrated model for frailty case finding that balances system-level policy support with front-line clinical adaptability.
  • Suggesting that "hands-off" approaches empower clinicians to develop ad hoc case-finding strategies.
  • Advocating for systematic approaches that leverage standardized practices and data, such as the interRAI instruments, for coordinated care.

Conclusions:

  • Successful integration of frailty assessment requires a flexible, stakeholder-informed model.
  • Policy makers must focus on system supports, while clinicians need adaptable case-finding strategies.
  • Standardized instruments and data are crucial for consistent and effective frailty care across Canada.