Age-friendly healthcare: integrating the 4Ms to enable age-friendly cancer care.

IF 1.9 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES Current Opinion in Supportive and Palliative Care Pub Date : 2024-03-01 Epub Date: 2024-01-04 DOI:10.1097/SPC.0000000000000687

Oliver Hodge, Tshepo Rasekaba, Irene Blackberry, Christopher B Steer

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Abstract

Purpose of review: There is a growing movement towards person-centred, age-friendly healthcare in the care of older adults, including those with cancer. The Age-Friendly Health Systems (AFHS) initiative uses the 4Ms framework to enable this change. This review documents the utility and implications of 4Ms implementation across different settings, with a particular focus on cancer care.

Recent findings: The AFHS initiative 4Ms framework uses a set of core, evidence-based guidelines (focussing on What Matters, Medication, Mentation and Mobility) to improve person-centred care. The successful implementation of the 4Ms has been documented in many different healthcare settings including orthopaedics primary care, and cancer care. Implementation of the 4Ms framework into existing workflows complements the use of geriatric assessment to improve care of older adults with cancer. Models for implementation of the 4Ms within a cancer centre are described. Active engagement and education of healthcare providers is integral to success. Solutions to implementing the What Matters component are addressed.

Summary: Cancer centres can successfully implement the 4Ms framework into existing workflows through a complex change management process and development of infrastructure that engages healthcare providers, facilitating cultural change whilst employing quality improvement methodology to gradually adapt the status quo to age-friendly processes.

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老年友好型医疗保健：整合 4Ms 以实现老年友好型癌症护理。

审查目的：在包括癌症患者在内的老年人护理方面，以人为本、对老年人友好的医疗保健运动日益兴起。老年友好型医疗系统（AFHS）倡议采用 4Ms 框架来促成这一变革。本综述记录了在不同环境下实施 4Ms 的效用和影响，尤其关注癌症护理：AFHS 倡议的 4Ms 框架采用了一套以证据为基础的核心指南（侧重于 "重要事项"、"用药"、"指导 "和 "移动性"），以改善以人为本的护理。在许多不同的医疗机构，包括骨科初级保健和癌症护理机构，都有成功实施 4Ms 的记录。在现有的工作流程中实施 4Ms 框架是对老年评估的补充，以改善对癌症老年人的护理。介绍了在癌症中心实施 4Ms 的模式。医疗服务提供者的积极参与和教育是成功的关键。摘要：癌症中心可以通过复杂的变革管理过程和基础设施的发展，将 4Ms 框架成功应用到现有的工作流程中，让医疗服务提供者参与其中，促进文化变革，同时采用质量改进方法，逐步将现状调整为适合老年人的流程。

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来源期刊

Current Opinion in Supportive and Palliative Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.70

自引率

0.00%

发文量

期刊介绍： A reader-friendly resource, Current Opinion in Supportive and Palliative Care provides an up-to-date account of the most important advances in the field of supportive and palliative care. Each issue contains either two or three sections delivering a diverse and comprehensive coverage of all the key issues, including end-of-life management, gastrointestinal systems and respiratory problems. Current Opinion in Supportive and Palliative Care is an indispensable journal for the busy clinician, researcher or student.