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Implementation and impact of the World Health Organization integrated care for older people (ICOPE) program in China: a randomised controlled trial

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WOS体系：
Pubmed体系：

收录情况： ◇ SCIE

作者：
Yan Wang Ninie[1] * ; Liu Xiaohong[2] ; Kong Xiangrong[3] ; Sumi Yuka[4] ; Chhetri Jagadish K[5] ; Hu Linlin[6] ; Zhu Minglei[2] ; Kang Lin[2] ; Liang Zhen[7] ; Ellis John W[1] ; Shi Leiyu[1] ;
机构： [1]Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA. [2]Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China. [3]Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA. [4]Ageing and Health (AAH), Department of Maternal, Newborn, Child & Adolescent Health & Ageing (MCA), World Health Organization, Geneva, Switzerland. [5]National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital, Capital Medical University, Beijing, China. [6]School of Health Policy and Management, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. [7]Shenzhen People's Hospital, Shenzhen, China.
出处：
DOI： 10.1093/ageing/afad249
ISSN：

关键词： integrated care ICOPE primary care decade of healthy ageing older people

摘要：
Fragmentation of services increases health and social care burden as people live longer with higher prevalence of diseases, frailty and dependency. Local evidence for implementing person-centred integrated care is urgently needed to advance practice and policies to achieve healthy ageing.To test the feasibility and impact of World Health Organization's (WHO) Integrated Care for Older People (ICOPE) approach in China.A randomised controlled trial examining the feasibility of implementing ICOPE approach, evaluating its impact on health outcomes and health resource utilisation.Primary care setting in urban and suburban communities of Chaoyang District, Beijing, China.Community-dwelling older adults screened as at-risk of functional declines and randomised into intervention (537) and control (1611) groups between September 2020 and February 2021.A 6-month intervention program following WHO's ICOPE care pathways implemented by integrated care managers compared to standard available care.After 1 to 1 propensity score matching, participants in intervention and control groups (totally 938) had comparable baseline characteristics, demonstrated feasibility of implementing ICOPE with satisfaction by participants (97-99%) and providers (92-93%). All outcomes showed improvements after a 6-month intervention, while statistically significant least-squares mean differences (control-intervention) in vitality (Mini-Nutritional Assessment Short Form to measure vitality, -0.21, 95% CI, -0.40-0.02), mobility (Short Physical Performance Battery to measure mobility, -0.29, 95% CI, -0.44-0.14) and psychological health (Geriatric Depression Scale five items to measure psychological health, 0.09, 95% CI, 0.03-0.14) were observed (P < 0.05).It is feasible to localise and implement WHO's ICOPE approach in regions with fragmented resources such as China. Preliminary evidence supports its acceptance among key stakeholders and impact on health outcomes.© The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

基金：
China ICOPE Implementation Pilot (2020-2021) is part of the World Health Organization’s global initiative and was supported by China’s Central Government Home- and CommunityBased Elderly Care Reform Grant (Ministry of Civil Affairs, People’s Republic of China, CYCG-20-1401), as well as the National High Level Hospital Clinical Research Funding (2022-PUMCH-B-129)
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2023]版：
大类 | 2 区 医学
小类 | 1 区 老年医学
最新[2023]版：
大类 | 2 区 医学
小类 | 1 区 老年医学
JCR分区：
出版当年[2022]版：
Q1 GERIATRICS & GERONTOLOGY
最新[2023]版：
Q1 GERIATRICS & GERONTOLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Department of Health Policy and Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
通讯作者：
推荐引用方式(GB/T 7714)：
Yan Wang Ninie,Liu Xiaohong,Kong Xiangrong,et al.Implementation and impact of the World Health Organization integrated care for older people (ICOPE) program in China: a randomised controlled trial[J].Age And Ageing.2024,53(1):doi:10.1093/ageing/afad249.
APA：
Yan Wang Ninie,Liu Xiaohong,Kong Xiangrong,Sumi Yuka,Chhetri Jagadish K...&Shi Leiyu.(2024).Implementation and impact of the World Health Organization integrated care for older people (ICOPE) program in China: a randomised controlled trial.Age And Ageing,53,(1)
MLA：
Yan Wang Ninie,et al."Implementation and impact of the World Health Organization integrated care for older people (ICOPE) program in China: a randomised controlled trial".Age And Ageing 53..1(2024)

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