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Related Concept Videos

Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Tertiary Healthcare System01:21

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...

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Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
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Rethinking Health System Readiness for Frailty Management: Frontline Perspectives from Indonesia and Malaysia.

Rista Fauziningtyas1, Retno Indarwati2, Nuzul Qur'aniati3

  • 1Gerontic of Nursing Research Group, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia. ristafauzinigtyas@fkp.unair.ac.id.

Health Care Analysis : HCA : Journal of Health Philosophy and Policy
|June 9, 2026
PubMed
Summary
This summary is machine-generated.

Frailty care integration into health systems is uneven, particularly in low-income settings. Addressing systemic gaps in policy, professional roles, and resources is crucial for equitable care in ageing populations.

Keywords:
FrailtyHealth policyHealth system readinessHealth workersHealthy ageing

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Area of Science:

  • Gerontology and Public Health
  • Health Systems Research
  • Sociology of Health

Background:

  • Frailty is a significant concern for healthy aging, impacting functional capacity and vulnerability.
  • Integrating frailty care into health systems is essential for recognizing vulnerability and ensuring equitable care, aligning with Sustainable Development Goals (SDGs).
  • Health system readiness for frailty care is limited in low- and middle-income countries, hindering coordinated responses.

Purpose of the Study:

  • To examine how frontline healthcare professionals understand and enact readiness for frailty care.
  • To identify systemic gaps and challenges in integrating frailty care into routine health services.
  • To evaluate health system governance in ageing societies through the lens of frailty care.

Main Methods:

  • Qualitative study employing five focus group discussions across Indonesia and Malaysia (March-July 2024).
  • Purposive sampling of 19 participants from nursing, medicine, physiotherapy, and pharmacy.
  • Inductive thematic analysis of transcribed data using NVivo, with enhanced rigour through triangulation, team coding, and member checking.

Main Results:

  • Four themes highlight systemic gaps: frailty is invisible in policy/clinical frameworks, professional roles are fragmented, care is displaced to families/communities, and resource constraints impede implementation.
  • Findings indicate uneven health system readiness for frailty care.
  • Significant challenges exist in coordinating care and addressing structural resource limitations.

Conclusions:

  • Strengthening health system readiness for frailty care requires aligning governance, service delivery, and workforce capacity.
  • Addressing inequities in care responsibilities is vital for effective frailty management.
  • Frailty serves as a critical indicator for evaluating health system governance in the context of global population ageing.