Prevención de la discapacidad en la movilidad en Europa: perspectiva de la economía de la salud a partir del estudio SPRINTT

N. Sirven, T. Rapp, S. Coretti, M. Ruggeri, A. Cicchetti

Aging Clin Exp Res Epub 2017 Feb 10

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In a global context of population aging, gaining better knowledge of the mechanisms leading to loss of autonomy has become a major objective, notably with the aim of implementing effective preventive health policies. The concept of frailty, originally introduced in gerontology and geriatrics as a precursor state to functional dependency, appears as a useful tool in this specific context. The “Sarcopenia and Physical fRailty IN older people: multicomponenT Treatment strategies” (SPRINTT) project will provide a unique opportunity to explore health economics issues associated with frailty. In terms of health economics, the loss of autonomy approach retained here focuses on the economic and social causes and consequences of the onset of frailty in older adults, and examines the challenges not only in terms of health system efficiency but also in terms of social protection.

Comment: The concept of frailty thus extended beyond its purely clinical dimension makes it possible to envisage implementing a combination of policies (prevention, care pathway, and private insurance) either through time or simultaneously, and sufficiently upstream of the process leading to loss of autonomy.