Aging Clinical and Experimental Research

, Volume 27, Issue 6, pp 767–774 | Cite as

Selection of the method to appraise and compare health systems using risk stratification: the ASSEHS approach

  • J. Mora
  • D. De Massari
  • S. Pauws
  • J. op den Buijs
  • M. David
  • L. Prieto
  • J. Contel
  • T. Martí
  • J. Bousquet
  • E. de Manuel
  • the ASSEHS Study Group


To face the challenge of active and healthy ageing, European Health Systems and services should move towards proactive, anticipatory and integrated care. The comparison of methods to combine results across studies and to determine an overall effect was undertaken by the EU project ASSEHS (Activation of Stratification Strategies and Results of the interventions on frail patients of Healthcare Services, EU project (No. 2013 12 04). The questions raised in ASSEHS are broad and involve a complex body of literature. Thus, systematic reviews are not appropriate. The most appropriate method appears to be scoping studies. In this paper, an updated method of scoping studies has been used to determine the questions needed to appraise the health systems and services for frailty in the ageing population. Three objectives were set (i) to detect a relevant number of risk stratification tools for frailty and identify the best-in-class, (ii) to understand the feasibility of introducing stratification tools and identify the difficulties of the process and (iii) to find evidence on the impact of risk stratification in Health Services. This novel approach may provide greater clarity about scoping study methodology and help enhance the methodological rigor with which authors undertake and report scoping studies.


Scoping studies ASSEHS EIPonAHA Health system Frailty 



Activation of Stratification Strategies and Results of the interventions on frail patients of Healthcare Services


European innovation Partnership on Active and Healthy Ageing


European union


Patient, problem or population, intervention, comparison, control or comparator, outcome


Preferred reporting items for systematic reviews and meta-analyses


Randomised controlled trial


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Statement of human and animal rights

This article does not contains any studies with human and participants or animals performed by any of the authors.

Informed consent

For this type of study informed consent is not required.


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • J. Mora
    • 1
  • D. De Massari
    • 2
  • S. Pauws
    • 2
  • J. op den Buijs
    • 2
  • M. David
    • 1
  • L. Prieto
    • 1
  • J. Contel
    • 3
  • T. Martí
    • 4
  • J. Bousquet
    • 5
  • E. de Manuel
    • 1
  • the ASSEHS Study Group
  1. 1.International Center for Research in Chronicity, KronikguneBiscaySpain
  2. 2.Philips Electronics Nederland B.V.EindhovenThe Netherlands
  3. 3.Generalitat de CatalunyaBarcelonaSpain
  4. 4.Fundació TicsalutMataróSpain
  5. 5.Centre Hospitalier Régional Universitaire MontpellierMontpellierFrance

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