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Applicability of the 48/6 Model of Care as a Health Screening Tool, and its Association with Mobility in Community-Dwelling Older Adults.

Authors
  • Uhm, Kyeong Eun1
  • Oh-Park, Mooyeon2, 3
  • Kim, Yoon Sook4
  • Park, Jae Min5
  • Choi, Jaekyung6
  • Moon, Yeonsil7
  • Han, Seol Heui7
  • Hwang, Jeong Hae8
  • Lee, Kun Sei9
  • Lee, Jongmin1, 10
  • 1 Department of Rehabilitation Medicine, Konkuk University School of Medicine, Seoul, Korea. , (North Korea)
  • 2 Burke Rehabilitation Hospital, White Plains, NY, USA.
  • 3 Department of Rehabilitation Medicine, Montefiore Health System, Albert Einstein College of Medicine, New York, NY, USA.
  • 4 Department of Quality Improvement, Konkuk University Medical Center, Seoul, Korea. , (North Korea)
  • 5 Department of Health Promotion, Severance Hospital, Seoul, Korea. , (North Korea)
  • 6 Department of Family Medicine, Konkuk University School of Medicine, Seoul, Korea. , (North Korea)
  • 7 Department of Neurology, Konkuk University School of Medicine, Seoul, Korea. , (North Korea)
  • 8 Department of Health Administration, Hanyang Cyber University, Seoul, Korea. , (North Korea)
  • 9 Department of Preventive Medicine, Konkuk University School of Medicine, Chungju, Korea. , (North Korea)
  • 10 International Healthcare Research Institute, Konkuk University, Seoul, Korea. [email protected] , (North Korea)
Type
Published Article
Journal
Journal of Korean medical science
Publication Date
Feb 24, 2020
Volume
35
Issue
7
Identifiers
DOI: 10.3346/jkms.2020.35.e43
PMID: 32080986
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The 48/6 Model of Care is an integrative care initiative for improving the health outcomes of hospitalized older patients; however, its applicability in community-dwelling older adults as a health screening tool has not been investigated. The present study aimed to examine the applicability of this model, prevalence of dysfunction in 6 care areas, and its relationship with self-reported mobility in community-dwelling older adults. This was a cross-sectional survey study of community-dwelling adults aged 65 or older. Participants were screened for problems using 9 items corresponding to the 6 care areas of the 48/6 Model of Care (cognitive functioning, functional mobility, pain management, nutrition and hydration, bladder and bowel management, and medication management). Mobility was assessed via the Life-Space Assessment (LSA). We examined the correlation between each screening item and the LSA. A total of 444 older adults (260 women, 58.6%) participated. The mean number of health problems was 2.3 ± 2.1, with the most common being pain, cognitive impairment, and urinary incontinence. These problems and LSA scores were significantly different by age groups. A multiple regression analysis showed that polypharmacy (β = -10.567, P < 0.001), dysphagia (β = -9.610, P = 0.021), and pain (β = -7.369, P = 0.004) were significantly associated with life-space mobility after controlling for age. The 48/6 Model of Care is applicable to community-dwelling older adults, who show high prevalence of dysfunction in the 6 care areas. This study supports the role of the model in screening for the health status of older adults living in the community, and in estimating mobility. © 2020 The Korean Academy of Medical Sciences.

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