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Medical cost estimation of frailty and cost-effectiveness of comprehensive integrated frailty management in primary care

PUBLISH DATE 2022.05.31
PERSON IN CHARGE Chang Won Won, Hee Sun Kim
FILE [Executive Summary] Medical cost estimation of frailty and cost-effectiveness of comprehensive integrated frailty management in primary care.pdf

Summary

The World Health Organization (WHO) recently endorsed the proposal for a Decade of Healthy Ageing (2020–2030). The WHO defines “healthy aging” as “the process of developing and maintaining the functional ability that enables wellbeing in older age.” Among the strategies for the Decade of Healthy Ageing, the WHO has suggested enhancing intrinsic capacity, promoting functional ability, and implementing the Integrated Care for Older People (ICOPE) package. The WHO has defined steps for ICOPE evaluation and scale-up and is performing a prospective study in 2–3 countries (low and middle income, high income) to test its feasibility in 2021–2022 and a multinational randomized study to validate its clinical efficacy and effectiveness in 2022–2024. Intrinsic capacity and frailty represent two faces of the same coin, with one indicating the reserves of the individual and the other indicating the deficits that accumulate with age. First, the purpose of this study is to improve the frailty status, gait ability, social involvement activity, acute medical visit and healthy habits of patients through comprehensive integrated frailty management in primary care by applying the screening test and diagnosis. Second, it is to calculate the economic burden of disease of the subjects of the KFACS cohort through the calculation of medical usage behavior and medical expenses.

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