Multimorbidity and Frailty in Older Adults: A Comparative Study of Care Models and Policy Strategies in Spain, Italy, Chile, and Colombia
Valencia, O.; Leon-Giraldo, S.; Donnoli, C.; Liotta, G.; Miron-Rubio, M.; Zamorano, P.; Pinelli, N.; Gutierrez-Fernandez, L. F.; Bernal, O.
Show abstract
Background Population aging is rapidly increasing the burden of multimorbidity and frailty, yet there is limited evidence on how healthy aging policies are implemented across different demographic and health system contexts. Methods We conducted a mixed-methods comparative case study in Spain, Italy, Chile, and Colombia, integrating a Targeted review of policy documents and relevant literature, quantitative indicators, and expert interviews. Results Chile and Colombia showed faster aging dynamics (compound annual growth rates of 4.18% and 4.21%) than Italy (1.96%) and Spain (1.39%), with estimated doubling times of 17 versus 36-50 years. All four countries have established policy frameworks; implementation remains uneven. Key barriers included fragmented services, limited community care, workforce constraints, and misaligned financing. Conclusions The central challenge lies not in the absence of policy frameworks but in their effective implementation. Strengthening primary care, embedding frailty assessment, and improving health-social care integration are key priorities for systems facing rapid demographic transition.
Matching journals
The top 5 journals account for 50% of the predicted probability mass.
Similar papers in this journal
- Frailty and loneliness among community-dwelling older adults: Examining reciprocal associations within a measurement burst design 93%
- Ageing and Dementia: Age-Period-Cohort Effects of Policy Intervention in England, 2006-2016 92%
- Needs of key stakeholders to make advance care plans and advance directives for people with dementia - A scoping review 91%
Similar papers in this journal
- Frailty trajectories in the oldest old: Is the level or the rate of change more predictive of mortality? 94%
- Frailty is a predictor of medication-related harm requiring healthcare utilisation: a multicentre prospective cohort study 92%
- Factors associated with access to virtual care in older adults: A cross-sectional study 92%
Similar papers in this journal
- Digital Health Technologies for Metabolic Disorders in Older Adults: A Scoping Review Protocol 94%
- The Longitudinal Aging Study Amsterdam COVID-19 exposure index: a cross-sectional analysis of the impact of the pandemic on daily functioning of older adults 94%
- Association between older patients receiving geriatric co-management at the emergency department and acute hospital admissions compared to usual care: an observational, controlled study. 93%
Similar papers in this journal
- Your Brain Doesn't Look a Day Past 70! Cross-Sectional Associations with Brain-Predicted Age in the Cognitively-Intact Oldest-Old 93%
- Defining an Ageing-Related Pathology, Disease or Syndrome: International Consensus Statement 92%
- Functional assessments of short-term spatial memory in the Dog Aging Project identify strong associations with age that are not moderated by body mass 91%
Similar papers in this journal
- Social Determinants of Healthy Aging: An Investigation using the All of Us Cohort 94%
- Cognition, physical function, and life purpose in the rural elderly population: a systematic review protocol 93%
- Aging in Place - A mixed methods study protocol of how care providers in Sweden organise and adapt granted home care services to the preferences and needs of people living with dementia 93%
"Similar papers" are the closest papers from that journal in the model's embedding space. They show what the match is built on, but the ranking comes mostly from a classifier over the whole training set, not from these examples alone.