Evidence map›Paper›PMID 39950233›Full record

SynthesisInquiry : a journal of medical care organization, provision and financing

Strategies and Outcomes of Age-Friendly Health System Implementation in Outpatient Settings: A Systematic Review.

Rebecca J Howe, Katherine Rieke, Thomas Bayer, Htun Ja Mai, Jennifer L Sullivan, Jane A Driver, Taylor Rickard, Thomas A Trikalinos, James Rudolph, Ellen McCreedy and 1 more

Erratum issuedAbstract readSystematic Review
In one paragraph

Synthesis in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Age Friendly Health Systems: Pivoting from Breadth to Depth.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Rebecca J HoweVA Providence Healthcare System, Providence, RI, USA.ORCID 0000-0001-5986-1612
Katherine RiekeVA Providence Healthcare System, Providence, RI, USA.ORCID 0009-0004-9206-9861
Thomas BayerVA Providence Healthcare System, Providence, RI, USA.
Htun Ja MaiBrown University School of Public Health, Providence, RI, USA.
Jennifer L SullivanVA Providence Healthcare System, Providence, RI, USA.ORCID 0000-0003-2906-2232
Jane A DriverVA Boston Healthcare System, Brockton, RI, USA.
Taylor RickardVA Providence Healthcare System, Providence, RI, USA.
Thomas A TrikalinosVA Providence Healthcare System, Providence, RI, USA.
James RudolphVA Providence Healthcare System, Providence, RI, USA.
Ellen McCreedyVA Providence Healthcare System, Providence, RI, USA.
Eric JutkowitzVA Providence Healthcare System, Providence, RI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Age-Friendly Health System (AFHS) movement has spread widely in recent years, with nearly 5000 healthcare organizations across the country recognized as Age-Friendly. Despite this broad recognition, there is little focus on how AFHS are implemented and the impact of implementation. The objectives of this study were to describe the strategies employed to support AFHS implementation in outpatient settings and to identify the measures used to evaluate implementation and effectiveness. We conducted a systematic review of literature from multiple databases spanning 2015 to March 2024, identified eligible studies using predefined inclusion/exclusion criteria, and extracted key data (eg, study design, study population, implementation strategies, outcomes/measures). We identified ten eligible studies from primary care clinics (N = 8), convenient care clinics (N = 1) and a cancer center (N = 1). The studies employed over 65 implementation strategies and 98 outcomes or measures. The vast majority of measures mapped to components of the 4Ms (Mobility, Mentation, Medication, What Matters), with up to ten measures per M category. Five of ten studies had reporting discrepancies and four did not fully define outcomes. The ten included studies serve as clear examples for the need for more evidence to support AFHS implementation in outpatient settings. Existing research lacks strategy specification and standardization of measures. We present gaps and opportunities to advance from AFHS "recognition" to impact.

Indexed as

Ambulatory Care FacilitiesHumansPrimary Health Care4Msage friendlyimplementationpatient outcome assessmentstrategies

Identifiers

PMID39950233
PMCPMC11826848

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.