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HealthyAgeing

Implementing the Indigo 4Ms tool into primary health care: what rural health services do to bring about change

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Paper presentation
Presenter(s):

Kathleen Brasher; Rachel Winterton; Natalie Gower; Kelly Tamang, This Day & Age, Australia

Abstract

Systemic implementation of integrated care for older people requires changes in multiple components of a health system, including funding models, service delivery, and clinical interactions between older people and their healthcare providers. The Indigo 4Ms Framework aims to provide integrated care through changes at the clinical level. A three-year grant from the Australian Government’s Innovative Models of Care (IMOC) Program, led by Beechworth Health Service, is funding the implementation of the Indigo 4Ms tool for health workers in the primary health settings of five unique, autonomous rural health services across north-eastern Victoria.
The Indigo 4Ms brings together evidence-based guidelines from WHO ICOPE, Australian policy, and practice through four interconnected areas: what matters, medication, mobility, and mental wellbeing, to prevent, slow, or even reverse common age-related difficulties in hearing, seeing, moving, and remembering. Through co-design, older people and healthcare staff developed tools to guide the implementation of the Indigo 4Ms. The John Richards Centre is conducting a realist evaluation of both the effectiveness of the tool and its implementation, utilising a longitudinal, mixed-methods study design.
This presentation reports on initial findings from the monitoring data collected during the first year of implementing the Indigo 4Ms tool. It draws on the interim program theory to explore adaptations to the intervention (the Indigo 4Ms Tool) and the processes used by health services to implement the tool. In doing so, we identify approaches and challenges of incorporating actions to foster healthy ageing into existing models of rural geriatric primary care provision.
Bio(s):

Lorem Ipsum es simplemente el texto de relleno de las imprentas y archivos de texto. Lorem Ipsum ha sido el texto de relleno estándar de las industrias desde el año 1500, cuando un impresor (N. del T. persona que se dedica a la imprenta) desconocido usó una galería de textos y los mezcló de tal manera que logró hacer un libro de textos especimen. No sólo sobrevivió 500 años, sino que tambien ingresó como texto de relleno en documentos electrónicos, quedando esencialmente igual al original. Fue popularizado en los 60s con la creación de las hojas “Letraset”, las cuales contenian pasajes de Lorem Ipsum, y más recientemente con software de autoedición, como por ejemplo Aldus PageMaker, el cual incluye versiones de Lorem Ipsum.

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