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Bundling Preventive Services for Community-Dwelling Seniors: Rationale for Multi-Faceted Public Health Interventions
Molly B Conroy1,2, Janice C Zgibor2*, Laurey R Simkin-Silverman2, Julie M Donohue2, Steven M Albert2, Lewis H Kuller2 and Anne B Newman21School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
2Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA
- Corresponding Author:
- Janice C Zgibor, RPh
University of Pittsburgh, Center for Aging and Population Health
Prevention Research Center, Pittsburgh, USA
Tel: 412-383-1942
Fax: 412-6242920
E-mail: [email protected]
Received date: September 02, 2015; Accepted date: September 04, 2015; Published date: September 11, 2015
Citation: Conroy MB, Zgibor JC, Simkin-Silverman LR, Donohue JM, Albert SM, et al. (2015) Bundling Preventive Services for Community-Dwelling Seniors: Rationale for Multi-Faceted Public Health Interventions. Primary Health Care 5:203. doi:10.4172/2167-1079.1000203
Copyright: © 2015 Conroy MB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Many older adults do not obtain important preventive services, which are critical for avoiding disease and disability. This is due in part to guidelines and interventions that take a “one disease at a time” approach, a lack of strategies to promote adherence to key services, and fragmented delivery systems. Many conditions common in older adults have overlapping risk factors; therefore, preventive services may be delivered more effectively as a “bundle,” especially given limited resources available for such programs. Methods and results: We outline a rationale for bundled preventive interventions by describing 5 “Ps”: priorities (preventive services of greatest benefit in older adults), place (clinical vs. community settings for delivery of services, including the integration of the public health system); package (rationale for bundled interventions, including examples), population/promotion (reaching those in greatest need); and policy implications. Conclusions: We conclude that new approaches to delivery of prevention and adherence to prevention for older adults are needed, and suggest an agenda for future comparative effectiveness research in this area.
