Appendix 1 IDP Interview with Doctor Physiotherapist - amazonia.fiocruz.br

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1. Defining the activity

Holroyd-Leduc5, Sharon E. It is still unclear howhealthcare systems should be redesigned to be more sensitive to the needs and values of frail seniors and theircaregivers. Ourfindings suggest redesigning assessment, communication with frail seniors and their caregivers, targeting care andservices to the needs, and integrating care better across settings and in Appendix 1 IDP Interview with Doctor Physiotherapist. Participation of frail older people and their caregivers to decision making would also allowchoosing care plans meeting their care goals.

The integration of care and services across settings, over time, andwith various providers, is also needed to meet frail senior needs. Giguere et al. Compared totheir age-matched non-frail counterparts, frail seniorsare at much higher risk of fall, infection,hospitalization, institutionalization, and death [1, 2]. Frailty represents a global health concern due to itsmultiple clinical and societal consequences and accel-erated aging of populations worldwide. Frail seniors are high users ofhealth services, which translate into a greater number ofvisits to healthcare providers, more hospital admissions,longer hospital stay, higher use of home care services, andmore visits to the emergency department [4—7]. Frail seniors often receive ineffective and even harmfulcare [8].

They commonly face care coordination andsafety problems due to lack of communication betweenphysicians [9]. Many community-dwelling frail seniorsdo not receive continuing care by the same provider,which results in preventable visits to emergency roomsand medical escalation [10]. Such gaps in care mayintroduce additional health risks, unnecessary financialand social costs associated with recurrent admissions,loss of independence and diminished quality of life [8].

Two degrees. Professional qualifications

It is still unclear how healthcare systems should beredesigned to be more sensitive to the needs and valuesof frail seniors and their caregivers. Therefore, we soughtto describe the Apprndix of users, healthcare pro-viders and decision makers about the current state ofthe healthcare system for frail seniors and specific op-portunities for improvement. Patients and caregivers were recruited throughthe participating HCPs or through posters in geriatricclinics where the participating HCP worked. Seniorswere eligible to participate if they Appendix 1 IDP Interview with Doctor Physiotherapist 65 years of ageor older, and considered frail according to the ClinicalFrailty Scale [11] or the Edmonton Frail Scale [12].

Frailseniors with cognitive impairments were also eligible toparticipate if their caregiver accompanied them, and iftheir caregiver agreed to participate and answer the inter-view questions if the frail senior was unable to do so. Themin interviews followed a semi-structured guide Table 1which we adapted for frail seniors and theircaregivers to avoid jargon. We conducted phone inter-views with DM and HCP, and in-person interviews withfrail seniors and caregivers.

The interviews were audiorecorded, and transcribed verbatim. One participant re-fused recording but agreed to note taking as analternative. Data analysesThe thematic data analyses combined deductive and in-ductive approaches. The Square-of-Care conceptualframework [13] initially guided here deductive analysis. This framework guides palliative Physiothearpist and describes acomprehensive set of care processes e.]