Evidence map›Paper›PMID 40151696›Full record

ReviewCureus2025

Barriers to Implementing Effective Healthcare Practices for the Aging Population: Approaches to Identification and Management.

Nikolaos Theodorakis, Zoi Kollia, Michalitsa Christodoulou, Ioanna Nella, Aggeliki Spathara, Sofia Athinaou, Gesthimani Triantafylli, Christos Hitas, Dimitrios Anagnostou, Magdalini Kreouzi and 3 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Nikolaos TheodorakisGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Zoi KolliaGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Michalitsa ChristodoulouGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Ioanna NellaGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Aggeliki SpatharaGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Sofia AthinaouGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Gesthimani TriantafylliGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Christos HitasGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Dimitrios AnagnostouGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Magdalini KreouziGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Sofia KalantziGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Aikaterini SpyridakiGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.
Maria NikolaouGeriatric Outpatient Clinic 65+, Sismanogleio-Amalia Fleming General Hospital, Melissia, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aging population presents a growing challenge to healthcare systems, necessitating urgent adaptations to meet the complex needs of older adults. Existing healthcare models often lack integration and fail to provide patient-centered care, leading to fragmented services, suboptimal outcomes, increased hospitalizations, and escalating healthcare costs. This narrative review aims to systematically identify and categorize the key barriers to effective healthcare implementation for the elderly, evaluate current healthcare models and their limitations, and explore evidence-based strategies to improve care delivery. A comprehensive literature search was conducted in PubMed, MEDLINE, Scopus, and Web of Science for studies published from 2000 to October 2024. The identified barriers span multiple domains, including patient-related challenges such as low health literacy and socioeconomic disparities, disease-specific factors like frailty and multimorbidity, provider-related constraints such as inadequate geriatric training, and system-wide deficiencies in primary care infrastructure and policy support. To address these challenges, this review explores emerging solutions, including risk stratification tools, integrated healthcare models, digital health innovations, and artificial intelligence-driven interventions. By providing a structured analysis of barriers and solutions, this review aims to inform policy and healthcare practices that enhance elderly care, reduce hospital readmissions, and optimize resource utilization in aging populations.

Indexed as

access barrierelderly patientsfrailty syndromehealth care systemhealth inequalitiesimplementation challengessocial barrier

Identifiers

PMID40151696
PMCPMC11948890

What Socratic holds

Textmetadata
LicenceCC BY
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.