Costa-de Lima K, Peixoto-Veras R, Pereira-Calda C, Luciana-Branco da Motta, Bonfada D, Marques-dos Santos M, Bezerra-de Souza DL, Jerez-Roig J

Language: English
References: 44
Page: 265-274
PDF size: 355.79 Kb.

ABSTRACT

Objective. This study aimed to search the literature for intervention programs in primary care with a multiprofessional character, specifically directed at the robust elderly, and with viable and cost-effective interventions. Materials and methods. The search strategies were applied in Cochrane, Lilacs, Pubmed, Scopus, WHOLIS, Embase, Medcarib, Scielo, Web of Science, and PAHO databases. Results. 3 665 articles were found and 32 remained for analysis, grouped into four categories: care management; multidisciplinary intervention; interventions on the basis of risk; and educational interventions with health professionals. Conclusion. Strategies such as domestic interventions can promote health and functionality of elderlies, as well as reduce mortality, use of the health system and costs. Besides that, the use of hard and light-hard technologies are important for risk prevention and care management for the elderly. There is a need to create programs for risk prevention and effective management of elderly care at the primary level.

REFERENCES

1. United Nations, Department of Economic and Social Affairs, Population Division. World population prospects: the 2010 revision. New York: UN, 2011.

2. Omram AR. The epidemiologic transition: a theory of the epidemiology of population change. Bulletin of the World Health Organization 2001;79(2):161-170.

3. Nicholas JA, Hall WJ. Screening and preventive services for older adults. Mt Sinai J Med 2011;78:498-508.

4. Mendes IAC. Development and health: the declaration of Alma-Ata and posterior movements. Rev Lat Am Enfermagem 2004;12(3):447-448.

5. Boyd CM, Darer J, Boult L, Fried LP, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases. J Am Med Assoc 2005;294:716-724.

6. Holmboe E, Kim N, Cohen S, Curry M, Elwell A, Petrillo, MK, et al. Primary care physicians, office based practice, and the meaning of quality improvement. Am J Med 2005;118:917-922.

7. Vass M, Avlund K, Kvist K, Hendriksen C, Andersen CK, Keiding N. Structured home visits to older people. Are they only of benefit for women? A randomised controlled trial. Scand J Prim Health Care 2004;22:106-111.

8. Moraes EN. Atenção à saúde do idoso: aspectos conceituais. Brasília: Organização Pan-Americana da Saúde, 2012.

9. Beyea SC, Nicoll ELH. Writing an integrative review. Aorn J 1998;67(4):877-880.

10. Assis M, Hartz ZMA, Valla VV. Programas de promoção da saúde do idoso: uma revisão da literatura científica no período de 1990 a 2002. Ciência & Saúde Coletiva 2004;9(3):557-581.

11. Araújo LF, Coelho CG, Mendonça ET, Vaz AVM, Siqueira-Batista R, Cotta RMM. Evidências da contribuição dos programas de assistência ao idoso na promoção do envelhecimento saudável no Brasil. Rev Panam Salud Publica 2011;30(1):80-86.

12. German PS, Burton LC, Shapiro S, Steinwachs DM, Tsuji I, Paglia MJ, et al.Extended coverage for preventive services for the elderly: Response andresults in a demonstration population. Am j public health 1995;85(3):379-386.

13. Toth-Pal E, Nilsson GH, Furhoff AK. Clinical effect of computer generated physician reminders in health screening in primary health care - a controlled clinical trial of preventive services among the elderly. Int J Med Inform 2004;73(9):695-703.

14. Peleg R, Press Y, Asher M, Pugachev T, Glicensztain H, Lederman M, et al. An intervention program to reduce the number of hospitalizations of elderly patients in a primary care clinic. BMC Health Serv Res 2008;6(8):36-42.

15. Wolinsky FD, Bentler SE, Liu L, Geweke JF, Cook EA, Obrizan M, et al. Continuity of care with a primary care physician and mortality in older adults. J Gerontol A Biol Sci Med Sci 2010;65(4):421-428.

16. Loo TS, Davis RB, Lipsitz LA, Irish J, Bates CK, Agarwal K, et al. Electronic medical record reminders and panel management to improve primary care of elderly patients. Arch Intern Med 2011;171(17):1552-1558.

17. Fishman PA, Johnson EA, Coleman K, Larson EB, Hsu C, Ross TR, et al. Impact on seniors of the patient-centered medical home: evidence from a pilot study. Gerontologist 2012;52(5):703-711.

18. Burton LC, Steinwachs DM, German PS, Shapiro S, Brant LJ, Richards TM, et al. Preventive services for the elderly: would coverage affect utilization and costs under Medicare? Am J Public Health 1995;85(3):387-391.

19. Sommers LS, Marton KI, Barbaccia JC, Randolph J. Physician, nurse, and social worker collaboration in primary care for chronically ill seniors. Arch Intern Med 2000;160(12):1825-1833.

20. Coleman EA, Eilertsen TB, Kramer AM, Magid DJ, Beck A, Conner D. Reducing emergency visits in older adults with chronic illness. Eff Clin Pract 2001;4(2):49-57.

21. Vass M, Avlund K, Kvist K, Hendriksen C, Andersen CK, Keiding N. Structured home visits to older people. Are they only of benefit for women? Scand Prim Health Care 2004;22(2):106-111.

22. Kerse N, Elley CR, Robinson E, Arroll B. Is physical activity counseling effective for older people? J Am Geriatr Soc 2005;53(11):1951-1956.

23. SahlenKG, Löfgren C, Mari-Hellner B, Lindholm L. Preventive home visits to older people are cost-effective. Scand J Public Health 2008;36(3):265-271.

24. Levine, MD, Ross TR, Balderson BH, Phelan EA. Implementing group medical visits for older adults at group health cooperative. J Am Geriatr Soc 2010;58(1):168-172.

25. Masud-Rana AKM, Wahlin A, Stalsby-Lundborg C, Nahar-Kabir Z. Impact of health education on health-related quality of life among elderly persons: results from a community-based intervention study in rural Bangladesh. Health Promotion International 2009;24(1):36-45.

26. Fagan PJ, Schuster AB, Boyd C, Marsteller JA, Griswold M, Murphy SME, et al. Chronic care improvement in primary care: evaluation of an integrated pay-for-performance and practice-based care coordination program among elderly patients with diabetes. Health Serv Res 2010;45(6):1763-1782.

27. Molina-López T, Domínguez-Camacho JC, Palma-Morgado D, Caraballo-Camacho Mde L, Morales-Serna JC, López-Rubio S. A review of the medication in polymedicated elderly with vascular risk. Aten Primaria 2012;44(8):453-460.

28. Fies JF, Bloch DA, Harrington H, Richardson N, Beck R. Two-year results of a randomized controlled trial of a health promotion program in a retiree population: the Bank of America study. Am J Med 1993;94:455-462.

29. Wallace JI, Buchner DM, Grothaus L, Leveille S, Tyll L, LaCroix AZ, et al. Implementation and effectiveness of a community-based health promotion program for older adults. J Gerontol A Biol Sci Med Sci 1998;53A(4):M30I-M306.

30. García-Peña C, Thorogood M, Wonderling D, Reyes-Frausto S. Economic analysis of a pragmatic randomised trial of home visits by a nurse to elderly people with hypertension in Mexico. Salud Publica Mex 2002;44(1):14-20.

31. Figar S, Waisman G, De-Quiros FG, Galarza C, Marchetti M, Loria GR, et al. Narrowing the gap in hypertension: effectiveness of a complex antihypertensive program in the elderly. Dis Manag 2004;7(3):235-243.

32. Mitchell E. Prevention of falls in older people: the Weymouth and Portland project. Nurs Older People 2004;16(2):14-16.

33. Sjösten NM, Salonoja M, Piirtola M, Vahlberg TJ, Isoaho R, Hyttinen HK, et al. A multifactorial fall prevention programme in the community-dwelling aged: predictors of adherence. Eur J Public Health 2007;17(5):464-470.

34. Shumway-Cook A, Silver IF, LeMier M, York S, Cummings P, Koepsell TD. Effectiveness of a community-based multifactorial intervention on falls and fall risk factors in community-living older adults: a randomized, controlled trial. J Gerontol A Biol Sci Med Sci 2007;62(12):1420-1427.

35. Wyman JF, Croghan CF, Nachreiner NM, Gross CR, Stock HH, Talley K, et al. Effectiveness of education and individualized counseling in reducing environmental hazards in the homes of community-dwelling older women. J Am Geriatr Soc 2007;55(10):1548-1556.

36. Harari D, Iliffe S, Kharicha K, Egger M, Gillmann G, von Renteln-Kruse W, et al. Promotion of health in older people: a randomised controlled trial of health risk appraisal in British general practice. Age and Ageing 2008;37(5):565-571.

37. Ploeg J, Brazil K, Hutchison B, Kaczorowski J, Dalby DM, Goldsmith CH et al. Effect of reventive primary care outreach on health related quality of life among older adults at risk of functional decline: randomised controlled trial.BMJ 2010;340:c1480.

38. Min LC, Reuben DB, Adams J, Shekelle PG, Ganz DA, Roth CP, et al. Does better quality of care for falls and urinary incontinence result in better participant-reported outcomes? J Am Geriatr Soc 2011;59(8):1435-1443.

39. Drennan V, Levenson R, Goodman C, Evans C. The workforce in health and social care services to older people: developing an education and training strategy. Nurse Educ Today 2004;24(5):402-408.

40. Avlund K, Vass M, Hendriksen C. Education of preventive home visitors: the effects on change in tiredness in daily activities. Eur J Ageing 2007;4:125-131.

41. Kronborg C, Vass M, Lauridsen J, Avlund K. Cost effectiveness of preventive home visits to the elderly: economic evaluation alongside randomized controlled study. Eur J Health Econ 2006;7(4):238-246.

42. Avlund K, Vass M, Kvist K, Hendriksen C, Keiding N. Educational intervention toward preventive home visitors reduced functional decline in community-living older women. J Clin epidemiol 2007;60(9):954-962.

43. RichmondS, Morton V, Cross B, Chi-Key-Wong I, Russel I, et al. Effectiveness of shared pharmaceutical care for older patients: respect trial findings. Br J Gen Pract 2010;59:14-20.

44. Merhy EE, Chakkour M, Stéfano E, Stéfano ME, Santos CM, Rodrigues RA. Em busca de ferramentas analisadoras das tecnologias em saúde. A informação e o dia a dia de um serviço, interrogando e gerindo trabalho em saúde. In: Merhy EE, Onocko R, org. Agir em saúde: um desafio para o público. São Paulo, SP: Hucitec/Lugar Editorial, 1997:113-150.