Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review

Background Older adults with multimorbidity experience fragmentation of care. Ensuring optimal use of healthcare services requires stratifying their need for integrated care. We aimed to map existing stratification tools for assessing older adults with multimorbidity in an integrated care context. M...

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Main Authors: Jon André Christensen, Michael Marcussen, Vicki Zabell, Bettan Bagger, Ditte Høgsgaard, Sanne Lykke Lundstrøm, Barbara Ann Barrett, Anne Frølich, Søren Thorgaard Skou, Lene Lauge Berring
Format: Article
Language:English
Published: SAGE Publishing 2025-07-01
Series:Journal of Multimorbidity and Comorbidity
Online Access:https://doi.org/10.1177/26335565251357781
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author Jon André Christensen
Michael Marcussen
Vicki Zabell
Bettan Bagger
Ditte Høgsgaard
Sanne Lykke Lundstrøm
Barbara Ann Barrett
Anne Frølich
Søren Thorgaard Skou
Lene Lauge Berring
author_facet Jon André Christensen
Michael Marcussen
Vicki Zabell
Bettan Bagger
Ditte Høgsgaard
Sanne Lykke Lundstrøm
Barbara Ann Barrett
Anne Frølich
Søren Thorgaard Skou
Lene Lauge Berring
author_sort Jon André Christensen
collection DOAJ
description Background Older adults with multimorbidity experience fragmentation of care. Ensuring optimal use of healthcare services requires stratifying their need for integrated care. We aimed to map existing stratification tools for assessing older adults with multimorbidity in an integrated care context. Methods We searched MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL, and extracted definitions of population, concept, and context following the JBI Framework for Scoping Reviews. Results We identified 17,689 articles of which 11 articles were included. Few stratification tools for this population exist and differ on scoring methods, domains and settings of use. Stratification is used for identifying older adults with multimorbidity to multidisciplinary teams or to case managers. Future research should develop stratification tools across sectors focused on the common risk factors of multimorbidity in older adults.
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spelling doaj-art-882ca68a15014ca88bd3dc8c22e5de562025-08-20T03:11:37ZengSAGE PublishingJournal of Multimorbidity and Comorbidity2633-55652025-07-011510.1177/26335565251357781Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping reviewJon André ChristensenMichael MarcussenVicki ZabellBettan BaggerDitte HøgsgaardSanne Lykke LundstrømBarbara Ann BarrettAnne FrølichSøren Thorgaard SkouLene Lauge BerringBackground Older adults with multimorbidity experience fragmentation of care. Ensuring optimal use of healthcare services requires stratifying their need for integrated care. We aimed to map existing stratification tools for assessing older adults with multimorbidity in an integrated care context. Methods We searched MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL, and extracted definitions of population, concept, and context following the JBI Framework for Scoping Reviews. Results We identified 17,689 articles of which 11 articles were included. Few stratification tools for this population exist and differ on scoring methods, domains and settings of use. Stratification is used for identifying older adults with multimorbidity to multidisciplinary teams or to case managers. Future research should develop stratification tools across sectors focused on the common risk factors of multimorbidity in older adults.https://doi.org/10.1177/26335565251357781
spellingShingle Jon André Christensen
Michael Marcussen
Vicki Zabell
Bettan Bagger
Ditte Høgsgaard
Sanne Lykke Lundstrøm
Barbara Ann Barrett
Anne Frølich
Søren Thorgaard Skou
Lene Lauge Berring
Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review
Journal of Multimorbidity and Comorbidity
title Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review
title_full Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review
title_fullStr Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review
title_full_unstemmed Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review
title_short Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review
title_sort stratification tools for assessing older adults with multimorbidity in an integrated care context a scoping review
url https://doi.org/10.1177/26335565251357781
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