Screening for frailty in Canada’s health care system: A time for action

Muscedere, John; Andrew, Melissa K.; Bagshaw, Sean M.; Estabrooks, Carole; Hogan, David; Holroyd-Leduc, Jayna; Howlett, Susan; Lahey, William; Maxwell, Colleen; McNally, Mary; Moorhouse, Paige; Rockwood, Kenneth; Rolfson, Darryl; Sinha, Samir; Tholl, Bill; for the Canadian Frailty Network (CFN)

doi:10.1017/s0714980816000301

Cited by 112Frailty in Older AdultsChronic Disease Management StrategiesPharmaceutical Practices and Patient Outcomes

Screening for frailty in Canada’s health care system: A time for action

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Muscedere, John, Andrew, Melissa K., Bagshaw, Sean M., Estabrooks, Carole, Hogan, David, Holroyd-Leduc, Jayna, Howlett, Susan, Lahey, William +8 more·2016·Canadian Journal on Aging / La Revue canadienne du vieillissement

DOI 10.1017/s0714980816000301

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RÉSUMÉ Avec le vieillissement de la population canadienne, la fragilité – avec son risque accru du déclin fonctionnel, la détérioration de la santé, et le décès – devient de plus en plus répandue. La physiologie de la fragilité reflète son origine parmi organes et systèmes multiples. Environ un quart des Canadiens qui sont âgés de plus de 65 sont fragiles, augmentant à plus de la moitié de ceux âgés de plus de 85. Notre système de soins de santé est organisé pour gérer les systèmes mono-organes, ce qui nuit à notre capacité à traiter efficacement les personnes atteintes de troubles multiples et des limitations fonctionnelles. Pour faire face à la fragilité, il faut reconnaître quand elle se produit, accroître la sensibilisation à son importance, développer des modèles holistiques pour ses soins, et générer des meilleures preuves pour son traitement. La reconnaissance de la façon dont la fragilité impacte la durée de vie permettrait l’intégration des objectifs en matière de soins dans les options de traitement. Les différents organisations de soins responsables variées dans le système de soins de santé canadien nécessiteront des stratégies et outils différentes pour évaluer la fragilité. Les changements dans la politique sera essentiels, étant donné la portée et la complexité des défis que pose la fragilité au système de soins de santé comme cela est organisé actuellement.

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Authors: Muscedere, J., Andrew, M. K., Bagshaw, S. M., Estabrooks, C., Hogan, D., Holroyd-Leduc, J., Howlett, S., Lahey, W., Maxwell, C., McNally, M., Moorhouse, P., Rockwood, K., Rolfson, D., Sinha, S., Tholl, B., & for the Canadian Frailty Network (CFN)
Affiliations: Queen's University (CA)
Dalhousie University (CA)
University of Alberta (CA)
University of Calgary (CA)
University of Waterloo (CA)
University of Toronto (CA)
HealthCareCAN (CA)
Corresponding author: Muscedere, John
ORCID: Muscedere, John
Andrew, Melissa K.
Bagshaw, Sean M.
Estabrooks, Carole
Hogan, David
Holroyd-Leduc, Jayna
Howlett, Susan
Maxwell, Colleen
McNally, Mary
Rockwood, Kenneth
Rolfson, Darryl
Sinha, Samir
Venue: Canadian Journal on Aging / La Revue canadienne du vieillissement
Publisher: Cambridge University Press (CUP)
Published: 2016-05-23
Volume: 35
Issue: 3
Pages: 281-297
ISSN: 0714-9808 (ISSN-L)
1710-1107
DOI: 10.1017/s0714980816000301
OpenAlex: W2406639032
Cited by: 112
References: 167
Citations by year: 2026: 2 · 2025: 4 · 2024: 7 · 2023: 15 · 2022: 17 · 2021: 15 · 2020: 15 · 2019: 10 · 2018: 15 · 2017: 10 · 2016: 2
FWCI: 7.08
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (unspecified)
Locations: Canadian Journal on Aging / La Revue canadienne du vieillissement (publishedVersion, cc-by)
PubMed (publishedVersion)
Project Muse (Johns Hopkins University) (submittedVersion)
Topics: Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords: frailty, frailty screening, Canadian health care system, population aging, functional decline, multimorbidity, holistic care, health policy, health care organization, older adults
MeSH terms: Aged, Aged, 80 and over, Canada, Critical Care, Delivery of Health Care, Health Policy, Health Status, Hospitalization, Humans, Mass Screening, Nursing Homes, Primary Health Care, Frail Elderly, Assisted Living Facilities, Translational Research, Biomedical

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Screening for frailty in Canada’s health care system: A time for action

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