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Age-friendly hospitals: a concept analysis.

Bingjie Fan1, Meng Wang2, MengJiao Chen3

  • 1Department of Nursing, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, China.

BMC Geriatrics
|September 27, 2025
PubMed
Summary

This study defines age-friendly hospitals by identifying key attributes, antecedents, and consequences. It provides a framework for improving hospital care for the growing older adult population.

Keywords:
Age-friendlyCareConcept analysisHospitalsOlder adults

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Area of Science:

  • Gerontology and Healthcare Management
  • Health Services Research
  • Nursing and Allied Health

Background:

  • The World Health Organization highlights the need for age-friendly hospitals due to the aging global population.
  • A lack of consensus exists regarding the definition and core components of age-friendly hospitals.
  • This concept analysis aims to clarify the attributes, antecedents, and consequences of age-friendly hospitals.

Purpose of the Study:

  • To conduct a concept analysis of age-friendly hospitals using Walker and Avant's framework.
  • To establish a clear theoretical definition of age-friendly hospitals.
  • To provide a foundation for evaluating and enhancing hospital services for older adults.

Main Methods:

  • Systematic literature review across 11 electronic databases (inception–November 2022, with an update to December 2023).
  • Inclusion of 56 articles after screening 5,489 records.
  • Qualitative content analysis of selected literature by two independent researchers.

Main Results:

  • Defining attributes include adapting to developmental needs, promoting autonomy and engagement, and ensuring ease and burden-free experiences for older adults.
  • Antecedents involve recognizing unique older adult needs, addressing service gaps, and driving healthcare transformation.
  • Consequences encompass improved health, function, well-being, hospital experience satisfaction, and enhanced hospital services.

Conclusions:

  • A theoretical definition of age-friendly hospitals is proposed, offering a systematic approach for evaluation and improvement.
  • This definition serves as a basis for operationalizing the concept and developing empirical studies.
  • The findings will aid in optimizing age-friendly hospital standards and practices for older populations.