< Conclusion >
This scoping review has provided valuable insights into the variety and complexity of integrated care models aimed at supporting ageing in place for older adults. While these models offer promising frameworks for addressing both medical and social care needs, significant challenges remain. Many of the reviewed models incorporate essential components, such as multidisciplinary collaboration, care coordination, and a single point of entry. However, several critical areas require further attention, including sustainability, equity, and cultural inclusivity.
First, the lack of rigorous evaluation in many models, particularly with respect to costeffectiveness and long-term sustainability, makes it difficult to assess their real-world impact. Moreover, the reliance on volunteerism and informal care raises questions about the burden on caregivers and the potential for burnout without adequate support systems. Addressing these gaps is crucial for ensuring that the benefits of ageing in place can be sustained over time.
Additionally, the scoping review highlighted disparities in access to integrated care services, particularly for economically disadvantaged and minority populations. Thesociodemographic inequities in some user-pay models point to the need for more inclusive and equitable approaches. Incorporating culturally tailored services and ensuring access to affordable care for all older adults should be a priority in the development of future models.
Finally, the review identified a notable absence of intergenerational and environmental considerations. The integration of intergenerational elements into care models, alongside improved attention to housing and neighbourhood infrastructure, is essential for fostering agefriendly environments that support healthy ageing in place.
Overall, while current integrated care models represent a significant step forward in supporting older adults to age in place, there is a clear need for innovative, sustainable, and inclusive solutions that address the full spectrum of needs faced by ageing populations. Future research should focus on addressing these gaps to create care systems that are resilient, adaptable, and equitable for all.
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Title : Person-Centred Integrated Care Networks for Healthy Ageing in Place—A Scoping Review
Publication : Oxford Institute of Population Ageing, 2024 (29 pages)