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Age Friendly Health Systems: Pivoting from Breadth to Depth.
Robert E Burke1,2,3, Leslie J Pelton4
1Divisions of General Internal Medicine and Hospital Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
Summary
The Age-Friendly Health Systems movement needs to deepen clinical practice and research rigor. Achieving this requires integrated tools, policy alignment, and investment in learning health systems for older adults.
Area of Science:
- Gerontology
- Health Services Research
- Public Health Policy
Background:
- The Age-Friendly Health Systems (AFHS) initiative has achieved widespread adoption, with thousands of recognized health systems.
- This special issue convenes at a critical juncture for the AFHS movement, addressing its current reach and future direction.
Purpose of the Study:
- To advance the Age-Friendly Health System movement by presenting research on implementation, measurement, evaluation, and policy alignment.
- To identify strategies for transitioning the AFHS movement from breadth of adoption to depth of clinical impact and research rigor.
Main Methods:
- This special issue features articles that describe AFHS implementation across diverse care settings.
- Studies address the challenges of consistently measuring the 4Ms of Age-Friendly Care (What Matters, Medication, Mentation, Mobility).
- Research evaluates the implementation and effectiveness of Age-Friendly care processes and explores policy alignment.
Main Results:
- The AFHS movement has achieved significant reach but requires a pivot towards deeper clinical integration and enhanced research rigor.
- Novel tools are necessary to embed Age-Friendly care into clinical workflows and the standard of care.
- Alignment of payment and policy levers is crucial, necessitating investment in advanced recognition levels and Age-Friendly Learning Health Systems.
Conclusions:
- Sustaining and maximizing the impact of the Age-Friendly Health Systems movement necessitates a strategic shift towards depth in clinical practice and research.
- Integrating Age-Friendly care into standard workflows and aligning financial incentives are key to ensuring comprehensive care for all older adults.
- Investment in Age-Friendly Learning Health Systems is vital for fostering both clinical excellence and robust research to demonstrate and promote long-term sustainability.
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