Global Roadmap for Healthy Longevity (2022) / Chapter Skim
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Pages 196-202
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From page 196... ...
Because most older people with complex care needs prioritize goals that require a threshold level of physical and cognitive function, geriatric care typically prioritizes improvement in or maintenance of cognitive and physical function over medical goals. That said, because decisions about care goals among older patients with chronic conditions are complicated by a lack of clinical guidelines and the challenge of polypharmacy, some geriatricians are encouraging goal-based care, which includes using the person's
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From page 197... ...
report Retooling for an Aging America: Building the Health Care Workforce describes 15 models of care for older people with chronic conditions, all found to be beneficial as measured by one or more outcomes (Boult et al., 2009)
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. This care approach is important for people of all ages, but especially for people at any age with advanced illness, conditions requiring complex management, or multiple chronic conditions.
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From page 199... ...
. Components Needed for Integrated, Person-Centered Care WHO's Global Strategy on People-Centred and Integrated Health Services builds on its earlier strategies to promote universal health care, primary health care, action on chronic conditions, action on social determinants of health, and enhanced health security through resilient health systems (WHO, 2015a)
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. Research Questions Research is needed to investigate the following questions: • effective interventions for real-world older people -- not just clinical trials that include real-world conditions, such as cognitive function; • how to promote self-management among people with multimorbidity and barriers to self-management; • development and testing of value-based care outcome measures; • effective priority setting between clinician and patient; • development of consensus for evaluating the quality and efficacy of geriatric care models;
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From page 201... ...
Recommendation 6-2: Health care systems should shift to enabling healthy longevity. To catalyze such a shift, actions to be taken by 2027 include a.
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KEY TARGET: LONG-TERM CARE Long-term care is crucial to enable people with significant loss of capacity to experience lives of meaning and dignity. Even if the health span increases and healthy longevity is achieved at higher rates than today, some people will still need long-term care.
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