Implementation and impact of the World Health Organization integrated care for older people (ICOPE) program in China: a randomised controlled trial

作者：Ninie Yan Wang, Xiaohong Liu, Xiangrong Kong, Yuka Sumi, Jagadish K. Chhetri, Linlin Hu, Minglei Zhu, Lin Kang, Zhen Liang, John W. Ellis, Leiyu Shi · 发表于：Age and Ageing · 年份：2024 · DOI：10.1093/ageing/afad249 · 被引用次数：39 · 研究领域：Chronic Disease Management Strategies、Interprofessional Education and Collaboration、Intergenerational Family Dynamics and Caregiving

BACKGROUND: Fragmentation of services increases health and social care burden as people live longer with higher prevalence of diseases, frailty and dependency. Local evidence for implementing person-centred integrated care is urgently needed to advance practice and policies to achieve healthy ageing. OBJECTIVE: To test the feasibility and impact of World Health Organization's (WHO) Integrated Care for Older People (ICOPE) approach in China. DESIGN: A randomised controlled trial examining the feasibility of implementing ICOPE approach, evaluating its impact on health outcomes and health resource utilisation. SETTING: Primary care setting in urban and suburban communities of Chaoyang District, Beijing, China. SUBJECTS: Community-dwelling older adults screened as at-risk of functional declines and randomised into intervention (537) and control (1611) groups between September 2020 and February 2021. METHODS: A 6-month intervention program following WHO's ICOPE care pathways implemented by integrated care managers compared to standard available care. RESULTS: After 1 to 1 propensity score matching, participants in intervention and control groups (totally 938) had comparable baseline characteristics, demonstrated feasibility of implementing ICOPE with satisfaction by participants (97-99%) and providers (92-93%). All outcomes showed improvements after a 6-month intervention, while statistically significant least-squares mean differences (control-intervention) in vitality (Mini-Nutri...