Initiatives on early detection and intervention to proactively identify health and social problems in older people

Experiences from the Netherlands

Manon Lette, C.A. Baan, Matthijs van den Berg, Simone R. de Bruin

Research output: Contribution to journalArticleScientificpeer-review

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Abstract

Background
Over the last years, several initiatives on early detection and intervention have been put in place to proactively identify health and social problems in (frail) older people. An overview of the initiatives currently available in the Netherlands is lacking, and it is unknown whether they meet the preferences and needs of older people. Therefore, the objectives of this study were threefold: 1. To identify initiatives on early detection and intervention for older people in the Netherlands and compare their characteristics; 2. To explore the experiences of professionals with these initiatives; and 3. To explore to what extent existing initiatives meet the preferences and needs of older people.
Methods
We performed a qualitative descriptive study in which we conducted semi-structured interviews with seventeen experts in preventive elderly care and three group interviews with volunteer elderly advisors. Data were analysed using the framework analysis method.
Results
We identified eight categories of initiatives based on the setting (e.g. general practitioner practice, hospital, municipality) in which they were offered. Initiatives differed in their aims and target groups. The utilization of peers to identify problems and risks, as was done by some initiatives, was seen as a strength. Difficulties were experienced with identifying the target group that would benefit from proactive delivery of care and support most, and with addressing prevalent issues among older people (e.g. psychosocial issues, self-reliance issues).
Conclusion
Although there is a broad array of initiatives available, there is a discrepancy between supply and demand. Current initiatives insufficiently address needs of (frail) older people. More insight is needed in “what should be done by whom, for which target group and at what moment”, in order to improve current practice in preventive elderly care.
Keywords: Early detection, Preventive home visit, Health and social problems, Older people, Frailty, Qualitative research
Original languageEnglish
Article number143
JournalBMC Geriatrics
Volume15
DOIs
Publication statusPublished - 2015

Keywords

  • Early detection
  • Preventive home visit
  • Health and social problems
  • Older people
  • Frailty
  • Qualitative research

Cite this

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title = "Initiatives on early detection and intervention to proactively identify health and social problems in older people: Experiences from the Netherlands",
abstract = "BackgroundOver the last years, several initiatives on early detection and intervention have been put in place to proactively identify health and social problems in (frail) older people. An overview of the initiatives currently available in the Netherlands is lacking, and it is unknown whether they meet the preferences and needs of older people. Therefore, the objectives of this study were threefold: 1. To identify initiatives on early detection and intervention for older people in the Netherlands and compare their characteristics; 2. To explore the experiences of professionals with these initiatives; and 3. To explore to what extent existing initiatives meet the preferences and needs of older people.MethodsWe performed a qualitative descriptive study in which we conducted semi-structured interviews with seventeen experts in preventive elderly care and three group interviews with volunteer elderly advisors. Data were analysed using the framework analysis method.ResultsWe identified eight categories of initiatives based on the setting (e.g. general practitioner practice, hospital, municipality) in which they were offered. Initiatives differed in their aims and target groups. The utilization of peers to identify problems and risks, as was done by some initiatives, was seen as a strength. Difficulties were experienced with identifying the target group that would benefit from proactive delivery of care and support most, and with addressing prevalent issues among older people (e.g. psychosocial issues, self-reliance issues).ConclusionAlthough there is a broad array of initiatives available, there is a discrepancy between supply and demand. Current initiatives insufficiently address needs of (frail) older people. More insight is needed in “what should be done by whom, for which target group and at what moment”, in order to improve current practice in preventive elderly care.Keywords: Early detection, Preventive home visit, Health and social problems, Older people, Frailty, Qualitative research",
keywords = "Early detection, Preventive home visit, Health and social problems, Older people, Frailty, Qualitative research",
author = "Manon Lette and C.A. Baan and {van den Berg}, Matthijs and {de Bruin}, {Simone R.}",
year = "2015",
doi = "10.1186/s12877-015-0131-z",
language = "English",
volume = "15",
journal = "BMC Geriatrics",
issn = "1471-2318",
publisher = "BioMed Central",

}

Initiatives on early detection and intervention to proactively identify health and social problems in older people : Experiences from the Netherlands. / Lette, Manon; Baan, C.A.; van den Berg, Matthijs; de Bruin, Simone R.

In: BMC Geriatrics, Vol. 15, 143, 2015.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Initiatives on early detection and intervention to proactively identify health and social problems in older people

T2 - Experiences from the Netherlands

AU - Lette, Manon

AU - Baan, C.A.

AU - van den Berg, Matthijs

AU - de Bruin, Simone R.

PY - 2015

Y1 - 2015

N2 - BackgroundOver the last years, several initiatives on early detection and intervention have been put in place to proactively identify health and social problems in (frail) older people. An overview of the initiatives currently available in the Netherlands is lacking, and it is unknown whether they meet the preferences and needs of older people. Therefore, the objectives of this study were threefold: 1. To identify initiatives on early detection and intervention for older people in the Netherlands and compare their characteristics; 2. To explore the experiences of professionals with these initiatives; and 3. To explore to what extent existing initiatives meet the preferences and needs of older people.MethodsWe performed a qualitative descriptive study in which we conducted semi-structured interviews with seventeen experts in preventive elderly care and three group interviews with volunteer elderly advisors. Data were analysed using the framework analysis method.ResultsWe identified eight categories of initiatives based on the setting (e.g. general practitioner practice, hospital, municipality) in which they were offered. Initiatives differed in their aims and target groups. The utilization of peers to identify problems and risks, as was done by some initiatives, was seen as a strength. Difficulties were experienced with identifying the target group that would benefit from proactive delivery of care and support most, and with addressing prevalent issues among older people (e.g. psychosocial issues, self-reliance issues).ConclusionAlthough there is a broad array of initiatives available, there is a discrepancy between supply and demand. Current initiatives insufficiently address needs of (frail) older people. More insight is needed in “what should be done by whom, for which target group and at what moment”, in order to improve current practice in preventive elderly care.Keywords: Early detection, Preventive home visit, Health and social problems, Older people, Frailty, Qualitative research

AB - BackgroundOver the last years, several initiatives on early detection and intervention have been put in place to proactively identify health and social problems in (frail) older people. An overview of the initiatives currently available in the Netherlands is lacking, and it is unknown whether they meet the preferences and needs of older people. Therefore, the objectives of this study were threefold: 1. To identify initiatives on early detection and intervention for older people in the Netherlands and compare their characteristics; 2. To explore the experiences of professionals with these initiatives; and 3. To explore to what extent existing initiatives meet the preferences and needs of older people.MethodsWe performed a qualitative descriptive study in which we conducted semi-structured interviews with seventeen experts in preventive elderly care and three group interviews with volunteer elderly advisors. Data were analysed using the framework analysis method.ResultsWe identified eight categories of initiatives based on the setting (e.g. general practitioner practice, hospital, municipality) in which they were offered. Initiatives differed in their aims and target groups. The utilization of peers to identify problems and risks, as was done by some initiatives, was seen as a strength. Difficulties were experienced with identifying the target group that would benefit from proactive delivery of care and support most, and with addressing prevalent issues among older people (e.g. psychosocial issues, self-reliance issues).ConclusionAlthough there is a broad array of initiatives available, there is a discrepancy between supply and demand. Current initiatives insufficiently address needs of (frail) older people. More insight is needed in “what should be done by whom, for which target group and at what moment”, in order to improve current practice in preventive elderly care.Keywords: Early detection, Preventive home visit, Health and social problems, Older people, Frailty, Qualitative research

KW - Early detection

KW - Preventive home visit

KW - Health and social problems

KW - Older people

KW - Frailty

KW - Qualitative research

U2 - 10.1186/s12877-015-0131-z

DO - 10.1186/s12877-015-0131-z

M3 - Article

VL - 15

JO - BMC Geriatrics

JF - BMC Geriatrics

SN - 1471-2318

M1 - 143

ER -