Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

36 questions · 36 findings · 6 reviews · Effective Practice and Organisation of Care · Headline outcomes only

No studies found 9 · 25%GRADE not reported 0 · 0%Very low 6 · 16.7%Low 18 · 50%Moderate 3 · 8.3%High 0 · 0%

Case management for integrated care vs usual care of older people living with frailty

All‐cause mortality · people aged 65 years and older living with frailty

Case management for integrated care showed no clear difference in mortality compared with usual care of older people living with frailty (low certainty).

1 finding from 1 review

Case management for integrated care vs usual care of older people living with frailty

Change in place of residence to a nursing or residential home · people aged 65 years and older living with frailty

Case management for integrated care showed no clear difference in change in place of residence to a nursing or residential home compared with usual care of older people living with frailty (low certainty).

1 finding from 1 review

Case management for integrated care vs usual care of older people living with frailty

Change in healthcare utilisation (hospital admissions) · people aged 65 years and older living with frailty

Case management for integrated care showed no clear difference in change in healthcare utilisation (hospital admissions) compared with usual care of older people living with frailty (moderate certainty).

1 finding from 1 review

Pay for performance (P4P) plus existing payment methods vs existing payment methods

Quantity of service provision (continuous) ‐ immunisation rates for patients aged 65 years or older · healthcare providers working in outpatient healthcare settings

It is very uncertain whether pay for performance (P4P) plus existing payment methods changes quantity of service provision (continuous) ‐ immunisation rates for… compared with existing payment methods (very low certainty).

1 finding from 1 review

Whole‐facility changes: Home‐like models vs traditional environment

Serious adverse effects Physical restraints, reported as percentage points (lower = better) · older adults living in long‐term residential care including, but not limited to, dementia‐specific care settings

It is very uncertain whether whole‐facility changes: Home‐like models changes serious adverse effects Physical restraints, reported as percentage… compared with traditional environment (very low certainty).

1 finding from 1 review

Summary of findings: Any alternative model of care vs usual care

ED visits · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

Summary of findings: Any alternative model of care showed no clear difference in emergency department (ED) visits: proportion of residents with at… compared with usual care (low certainty).

1 finding from 1 review

Summary of findings: Any alternative model of care vs usual care

Unplanned admission to hospital · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

Summary of findings: Any alternative model of care may leads to lower unplanned hospital admissions: proportion of residents with at least… compared with usual care (low certainty).

1 finding from 1 review

Summary of findings: Any alternative model of care vs usual care

Falls · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

It is very uncertain whether summary of findings: Any alternative model of care changes adverse events/falls: proportion of residents with a fall at longest compared with usual care (very low certainty).

1 finding from 1 review

Summary of findings: Any alternative model of care vs usual care

Adherence to clinical guideline‐recommended care: proportion of residents with adequate antidepressant therapy at longest · Nursing home residents (mean age 78.3 to 86.0 years; more than 66% women; 62.1% to 87.3% with dental prostheses)

It is very uncertain whether summary of findings: Any alternative model of care changes adherence to clinical guideline‐recommended care: proportion of… compared with usual care (very low certainty).

1 finding from 1 review