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Updated: Nov 18, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Age-Friendly Health Care: A Systematic Review
Jéssica Tavares1, Gonçalo Santinha1, Nelson P Rocha2
1GOVCOPP, Department of Social, Political and Territorial Sciences, University of Aveiro, 3810-193 Aveiro, Portugal.
The World Health Organization's Age-Friendly Principles are being adopted in healthcare, but implementation is limited. Greater scientific focus is needed to improve age-friendly health care delivery and evaluate its impact.
Area of Science:
- Gerontology
- Public Health
- Health Services Research
Background:
- Healthcare for older adults requires addressing chronic diseases and aging comorbidities.
- Current health services often prioritize acute care over comprehensive geriatric needs.
- The World Health Organization (WHO) developed Age-Friendly Principles to optimize health care for the aging population.
Purpose of the Study:
- To assess the global implementation of the WHO's Age-Friendly Principles in health care settings.
- To understand how these principles are integrated into age-friendly health care initiatives worldwide.
Main Methods:
- A systematic literature review was performed.
- Searches were conducted in PubMed, Web of Science, and Scopus databases.
- PRISMA guidelines were followed for study selection and synthesis.
Main Results:
- 34 articles were identified in the review.
- Only seven articles recognized the WHO Principles, and four utilized the implementation toolkit.
- Within primary care, three studies acknowledged the WHO Principles, with only two employing the toolkit.
Conclusions:
- Implementation of WHO Age-Friendly Principles in health care is occurring but at a lower rate than anticipated.
- Potential issues with principle dissemination and standardization may exist.
- Increased scientific research and investment are recommended to enhance the operationalization and evaluation of age-friendly health care effectiveness.
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