Format

Send to

Choose Destination
Can J Aging. 2016 Sep;35(3):281-97. doi: 10.1017/S0714980816000301. Epub 2016 May 23.

Screening for Frailty in Canada's Health Care System: A Time for Action.

Author information

1
Department of Medicine,Queens University.
2
Division of Geriatric Medicine,Dalhousie University.
3
Division of Critical Care Medicine,University of Alberta.
4
Faculty of Nursing,University of Alberta.
5
Cumming School of Medicine,University of Calgary.
6
Departments of Medicine and Community Health Sciences,University of Calgary.
7
Pharmacology and Medicine (Geriatric Medicine),Dalhousie University.
8
Schulich School of Law and the School of Health Administration,Dalhousie University.
9
Schools of Pharmacy and Public Health & Health Systems,University of Waterloo.
10
Faculties of Dentistry and Medicine,Dalhousie University.
11
Department of Medicine,University of Alberta.
12
Department of Medicine and Family and Community Medicine and the Institute of Health Policy,Management and Evaluation,University of Toronto.
13
President and CEO of HealthCareCAN,Ottawa.

Abstract

As Canada's population ages, frailty - with its increased risk of functional decline, deterioration in health status, and death - will become increasingly common. The physiology of frailty reflects its multisystem, multi-organ origins. About a quarter of Canadians over age 65 are frail, increasing to over half in those older than 85. Our health care system is organized around single-organ systems, impairing our ability to effectively treat people having multiple disorders and functional limitations. To address frailty, we must recognize when it occurs, increase awareness of its significance, develop holistic models of care, and generate better evidence for its treatment. Recognizing how frailty impacts lifespan will allow for integration of care goals into treatment options. Different settings in the Canadian health care system will require different strategies and tools to assess frailty. Given the magnitude of challenges frailty poses for the health care system as currently organized, policy changes will be essential.

KEYWORDS:

aging; assessment; de dépistage; fragilité; frailty; health care system; outcomes; résultats; screening; système de santé; vieillissement; évaluation

PMID:
27211065
DOI:
10.1017/S0714980816000301
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Cambridge University Press
Loading ...
Support Center