title: How effective is integrated care for community-dwelling frail older people? The case of the Netherlands.
abstract: Integrated care programs have been developed to enhance the quality care for older adults in primary care. These programs usually consist of a multidisciplinary approach, with personalised care based on comprehensive geriatric assessments. However, there is limited evidence for the effectiveness of these programs in frail older people. In this article, we review the results of three recent intervention studies carried out as part of the Dutch National Care for the Elderly Programme. The results illustrate how difficult it is to improve outcomes in community-dwelling frail older adults by means of integrated care. Furthermore, we discuss the implications of these studies for future research into frailty interventions.
authors.affiliation: Department of Epidemiology and Biostatistics, VU University Medical Center, EMGO+ Institute for Health and Care Research, Amsterdam, The Netherlands Department of General Practice and Elderly Care Medicine, VU University Medical Center, EMGO+ Institute for Health and Care Research, Amsterdam, The Netherlands.
authors.forename: Emiel O
authors.initials: EO
authors.lastname: Hoogendijk
mesh_terms: D000368:Aged; D019033:Delivery of Health Care, Integrated / Q000379:methods / Q000458:organization & administration; D016330:Frail Elderly; D006299:Health Services for the Aged / Q000458:organization & administration; D006801:Humans; D057187:Independent Living; D009426:Netherlands; D015397:Program Evaluation; D011787:Quality of Health Care
keywords: frail elderly; integrated care; older people; primary care; the Netherlands