Sex Bias in Frailty Screening: A Cross-Sectional Analysis of PRISMA-7 and the Clinical Frailty Scale in Primary Care

Diagnostics, Год журнала: 2025, Номер 15(7), С. 915 - 915

Опубликована: Апрель 2, 2025

Background/Objectives: Frailty screening is essential in primary care for the early identification of vulnerable older adults. PRISMA-7 a widely used tool, but Item 2 ("Are you male?") introduces potential sex bias and overestimates frailty men. PRISMA-6, modified version that excludes 2, might provide more equitable alternative. This study evaluates PRISMA-6's alignment with Clinical Scale (CFS) its impact on sex-specific classification. Methods: A cross-sectional was conducted 142 general practices across South Tyrol, including 9190 practice patients aged ≥75 years. assessed using PRISMA-7, CFS. Correlations between tools were calculated Kendall's Tau-b, whereas Fisher's z-test to compare differences alignment. The prevalence odds ratios stratified according age. Results: PRISMA-6 showed stronger correlation CFS (τ = 0.492) than 0.308, z -10.2, p < 0.001). effect pronounced men (z -9.8, 0.001), no difference observed women 0.00, 1.000). reduced detection rate closely aligned Conclusions: demonstrated improved compared PRISMA-7. However, use as tool requires prospective validation diverse settings. shows promise reliable should be considered future studies, particularly settings, while awaiting further validation.

Язык: Английский

Preserving Continuity and Trust in Primary Care: Strategies for Implementing Team-Based Models in South Tyrol, Italy

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(4), С. 477 - 477

Опубликована: Март 23, 2025

Continuity of care is fundamental to the efficacy primary healthcare, fostering trust, enhancing patient satisfaction, and improving health outcomes. However, implementation Ministerial Decree 77/2022, which advocates for team-based in multidisciplinary Community Health Centers, presents challenges these established principles. This article proposes strategies maintain continuity trust whilst supporting reform objectives, specifically tailored unique linguistic cultural context Autonomous Province Bolzano—South Tyrol. A synthesis regional healthcare reports, academic literature, practical insights from implementing 77/2022 was performed develop addressing such as ensuring continuity, minimizing administrative burdens, promoting general practitioner engagement. Strategies include establishing Centers integration hubs, assigning providers within teams, formalizing personalized contracts, leveraging digital tools collaboration, expanding roles nurses coordinators. Additional measures focus on building infrastructure telemedicine home-based care, engaging patients through transparent communication feedback loops, preserving GP autonomy flexible participation models incentives. adapted accommodate South Tyrol’s demographic, cultural, systemic characteristics can during transition care. By key risks collaboration among stakeholders, reforms enhance delivery without compromising principles personalized, patient-centered

Язык: Английский