Abstract
In the 2015 Ageing Report, the European Commission (EC) and the Economic Policy Committee stated that coping with the challenge posed by an ageing population will require determined policy action in Europe, particularly in reforming pension, health care and long-term care systems. The concern for this situation motivated the EC, the Parliament and many of the Member States (MS) to co-fund, in the 2015 call of the Third European Health Programme of the European Union 2014–2020, the first Joint Action (JA) on the prevention of frailty. ADVANTAGE JA brings together 33 partners from 22 MSs for 3 years. It aims to build a common understanding on frailty to be used in the MSs by policy makers and other stakeholders involved in the management, both at individual and population level, of older people who are frail or at risk for developing frailty throughout the European Union (EU). It is a formidable challenge but also a great opportunity for concerted action resulting in fostering effective and successful policies in frailty prevention and management in the participating MS. The Consortium has 2 years of hard work ahead to contribute to the needed change for frailty related disability free Europe. The first practical step towards this aim was the preparation of a document: the State of the Art on Frailty Report to support an overview of evidence of what works and what does not work on frailty prevention and management. Subsequently, this will be reflected in the advice that the JA will give to policy makers at MS level. Overall, these messages intend to be an instrument of added value to advocate for policy driven decisions on frailty prevention and management in the JA participating MSs and subsequently towards a frailty related disability free older population in Europe. The aim of this paper is to describe ADVANTAGE JA general structure, approach and recommendations towards a European health and social policy which will support frailty prevention in the participating MS.
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References
European Commission (2015). «The 2015 Ageing Report: Economic and budgetary projections for the 28 EU Member States (2013-2060).» European Commission, Directorate-General for Economic and Financial Affairs, Brussels: 2015. Available at: https://doi.org/ec.europa.eu/economy_finance/publications/, Last access: 10/12/2018.
Murray CJL, Lopez AD. Measuring the global burden of disease. N Engl J Med 2013; 369: 448–57. doi:10.1056/nejmra1201534
Morley JE, Vellas B, Abellan van Kan G et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013; 14: 39297. doi:10.1016/j.jamda.2013.03.022
Gill T.M., Gahbauer E.A., Han L. & Allore H.G. (2011). The relationship between intervening hospitalizations and transitions between frailty states. J Gerontol A Biol Sci Med Sci 2011; 66A: 1238–43
Kan, G. A., Rolland, Y., Bergman, H., Morley, J. E., Kritchevsky, S. B. & Vellas, B. (2008). The I.A.N.A. task force on frailty assessment of older people in clinical practice. The Journal of Nutrition Health and Aging, 12(1), 29–37. doi:10.1007/ bf02982161
Rodriguez-Mañas L, Féart C, Mann G et al., on behalf of the FOD-CC group. Searching for an operative definition of frailty: a Delphi method based consensus statement. The Frailty Operative Definition-Consensus Conference Project. J Gerontol A Biol Sci Med Sci (2013); 68: 62–7.
Collard, R.M., Boter, H., Schoevers, R.A. & Oude Voshaar, R.C., (2012). Prevalence of frailty in community-dwelling older persons: A systematic review. J Am Geriatr Soc; 60:1487–1492. doi: 10.1111/j.1532-5415.2012.04054.x.
Rodríguez-Mañas L, Fried LP. Frailty in the clinical scenario. Lancet. 2015 Feb 14; 385(9968):e7–9. doi:10.1016/j.regg.2017.04.004
Rodriguez-Artalejo F, Rodriguez-Manas L. The frailty syndrome in the public health agenda. J Epidemiol Community Health. 2014; 68:703–704.
British Geriatrics Society, Royal College of General Practitioners and Age UK. Fit for frailty. Consensus best practice guidance for the care of older people living with frailty in community and outpatient settings. British Geriatrics Society 2014.
Spanish Ministry of Health, Social Services and Equity and the Inter-territorial Council of the National Health Service. Consensus Document on Frailty and Falls Prevention among the Elderly. Prevention and Health Promotion Strategy of the Spanish NHS. June 2014.
European Commission (2014). Adequate social protection for long-term care needs in an ageing society. Report jointly prepared by the Social Protection Committee and the European Commission. Luxemburg. Available at: https://doi.org/ec.europa.eu/social/main.jsp?catId=738&langId=en&pubId=7724, Last access: 14/12/2017
World Health Organization. World Report on Ageing and Health, 2015. Available at https://doi.org/www.who.int. Last access: 10/01/2016
European Commission (2012). Communication from the Commission to the European Parliament and the Council. Taking forward the Strategic Implementation Plan of the European Innovation Partnership on Active and Healthy Ageing, COM (2012})83 final. Brussels. Available at: https://doi.org/ec.europa.eu/eip/ageing/library/communication-commission-european-parliament-and-council-taking-forward-strategic_en, Last access: 13/12/201
Chafea Health Programme 2015 Annex. Available at: https://doi.org/ec.europa.eu/transparency/regdoc/rep/3/2015/EN/3-2015-3594-EN-F1-1-ANNEX-1.PDF, Last access: 15/01/2018
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Rodríguez Mañas, L., García-Sánchez, I., Hendry, A. et al. Key Messages for a Frailty Prevention and Management Policy in Europe from the Advantage Joint Action Consortium. J Nutr Health Aging 22, 892–897 (2018). https://doi.org/10.1007/s12603-018-1064-y
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DOI: https://doi.org/10.1007/s12603-018-1064-y