The impact of integrated care on quality of life in community-dwelling older adults with frailty: A systematic review and mixed method synthesis
Joanne Boyce, Declan Patton, Chanel Watson, Tom O’Connor, Zena Moore, Linda Nugent · 2026
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Description
Joanne Boyce and colleagues synthesize the evidence on integrated care for frail older adults living at home in a 2026 systematic review. Integrated care, which joins medical, social, and community services around the person, is widely proposed for frailty, yet its effect on quality of life has stayed uncertain. The team combined six international studies covering 5,498 participants, four randomized trials and two quasi-experimental studies.
The meta-analysis found only a small, statistically non-significant improvement in quality of life, and results varied so much between studies that pooling them is questionable. Where benefits did appear, they clustered in tailored, multidimensional models and showed most clearly in preserving social functioning rather than in global quality of life scores. Cost findings split both ways: some programs cut hospital use, others raised primary care visits without saving money.
Catalog record
| CREATOR | Joanne Boyce, Declan Patton, Chanel Watson, Tom O’Connor, Zena Moore, Linda Nugent |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 52 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |