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Screening for Frailty in Canada’s Health Care System: A Time for Action
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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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“Barriers to participating in community programming pre-dated the COVID-19 pandemic, as most community programs were offered in-person, posing a significant barrier for older adults who experience challenges with participating in activities outside of their homes (37–42).”
From Telephone-based group mental health support for older adults in central Canada: pilot acceptability and effectiveness findings of The CONNECT Program (2025) · cites this paper as [38]
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The impact of frailty on intensive care unit outcomes: a systematic review and meta-analysis
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Ezekowitz, J. A., O'Meara, E., McDonald, M. A., Abrams, H., Chan, M., Ducharme, A., Giannetti, N., Grzeslo, A., Hamilton, P. G., Heckman, G. A., et al. (2017) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2017.08.022 · Cited by 676
Watt, J. A., Tricco, A. C., Talbot‐Hamon, C., Pham, B., Rios, P. D. L., Grudniewicz, A., Wong, C. L., Sinclair, D. E., & Straus, S. E. (2018) · Journal of General Internal Medicine · doi:10.1007/s11606-017-4204-x · Cited by 173
Comprehensive geriatric assessment in primary care: a systematic review
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Metadata
- 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
- 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
- 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
- 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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