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Aging Clin Exp Res. 2020 Jan 22. doi: 10.1007/s40520-019-01455-5. [Epub ahead of print]

European Collaborative and Interprofessional Capability Framework for Prevention and Management of Frailty-a consensus process supported by the Joint Action for Frailty Prevention (ADVANTAGE) and the European Geriatric Medicine Society (EuGMS).

Author information

1
Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria. Regina.Roller-Wirnsberger@medunigraz.at.
2
European Geriatric Medicine Society (EuGMS), Genoa, Italy. Regina.Roller-Wirnsberger@medunigraz.at.
3
Department of Internal Medicine, Medical University of Graz, Auenbruggerplatz 15, 8036, Graz, Austria.
4
Health Service Executive of Ireland, Dublin, Ireland.
5
National University of Ireland, Galway, Ireland.
6
Company of Psychosocial Research and Intervention, Ioannina, Greece.
7
National Health Services Orkney, Orkney, Scotland.
8
Regional Ministry of Health of Andalusia, Sevilla, Spain.
9
Catholic University of Louvain, Institute of Health and Society, Brussels, Belgium.
10
National Center of Public Health and Analyses, Sofia, Bulgaria.
11
Croatian Institute of Public Health, Zagreb, Croatia.
12
Ministry of Health of the Republic of Cyprus, Nicosia, Cyprus.
13
Finnish Institute for Health and Welfare, Helsinki, Finland.
14
Ministry of Health and Social Solidarity, General Directorate for Health, Paris, France.
15
Medical University of Hannover, Hannover, Germany.
16
Ministry of Human Capacities, Budapest, Hungary.
17
Italian National Health Institute, Rome, Italy.
18
Lithuanian University of Health Sciences, Kaunas, Lithuania.
19
San Vincent De Paule Long Term Care Facility, Marsa, Malta.
20
National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
21
Norwegian Institute of Public Health, Oslo, Norway.
22
National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
23
Ministry of Health, Directorate-General of Health, Lisbon, Portugal.
24
Babeș-Bolyai University, Cluj-Napoca, Romania.
25
National Institute of Public Health, Ljubljana, Slovenia.
26
National Health Service Lanarkshire, Scotland, UK.
27
European Geriatric Medicine Society (EuGMS), Genoa, Italy.
28
Hospital Universitario de Getafe, Getafe, Spain.

Abstract

BACKGROUND:

Interprofessional collaborative practice (ICP) is currently recommended for the delivery of high-quality integrated care for older people. Frailty prevention and management are key elements to be tackled on a multi-professional level.

AIM:

This study aims to develop a consensus-based European multi-professional capability framework for frailty prevention and management.

METHODS:

Using a modified Delphi technique, a consensus-based framework of knowledge, skills and attitudes for all professions involved in the care pathway of older people was developed within two consultation rounds. The template for the process was derived from competency frameworks collected in a comprehensive approach from EU-funded projects of the European Commission (EC) supported best practice models for health workforce development.

RESULTS:

The agreed framework consists of 25 items structured in 4 domains of capabilities. Content covers the understanding about frailty, skills for screening and assessment as well as management procedures for every profession involved. The majority of items focused on interprofessional collaboration, communication and person-centred care planning.

DISCUSSION:

This framework facilitates clarification of professionals' roles and standardizes procedures for cross-sectional care processes. Despite a lack of evidence for educational interventions, health workforce development remains an important aspect of quality assurance in health care systems.

CONCLUSIONS:

The multi-professional capability framework for frailty prevention and management incorporated interprofessional collaborative practice, consistent with current recommendations by the World Health Organization, Science Advice for Policy by European Academies and the European Commission.

KEYWORDS:

Competences; Education; Frailty management; Frailty prevention; Multi-professional; Training

PMID:
31970670
DOI:
10.1007/s40520-019-01455-5

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