Comprehensive geriatric assessment-based frailty clinic in a low middle income country: Time to act

Aging and health research Pub Date : 2024-08-15 DOI:10.1016/j.ahr.2024.100202

Urza Bhattarai , Robin Maskey , Manisha Shrestha , Anusha Rayamajhi , Rohan Basnet , Arun Gautam , Bhupendra Shah , Sanjib Kumar Sharma

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Abstract

Comprehensive Geriatric Assessment (CGA) is a process of care that involves a holistic, multidimensional, interdisciplinary assessment of an older individual and has been demonstrated to be the choice of management for frailty. By 2050, it is expected that 80 % of the aging population will be living in low and low-middle income countries (LMICs). The implementation of geriatric programs is scarce in LMICs. CGA based frailty clinics could help facilitate early screening for impairment in physical and psychological capacities among pre-frail and frail older individuals allowing for suggestions for targeted interventions. Creating a sound healthcare model which addresses issues of older adults living with frailty is the need of the hour, especially in LMICs. Establishing frailty clinics in low-middle income countries could thus help to create a sustainable age-friendly healthcare model for the vulnerable and poor aging population. It is now the time to act.

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一个中低收入国家以老年病综合评估为基础的虚弱诊所：行动起来

老年医学综合评估（CGA）是一种对老年人进行全面、多维、跨学科评估的护理过程，已被证明是治疗虚弱的首选方法。预计到 2050 年，80% 的老龄人口将生活在低收入和中低收入国家。在低收入和中等偏低收入国家，老年医学项目的实施非常少。以 CGA 为基础的虚弱门诊可帮助早期筛查虚弱前和虚弱老年人的身体和心理能力受损情况，从而为有针对性的干预措施提供建议。建立健全的医疗保健模式以解决体弱老年人的问题是当务之急，尤其是在低收入和中等收入国家。因此，在中低收入国家建立虚弱诊所有助于为弱势和贫困的老龄人口创建可持续的老年友好型医疗保健模式。现在是采取行动的时候了。

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