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Health promotion and public health
Evaluation of care coordination among healthy community-dwelling older adults finds promising but minimal impact
  1. Terri Kean
  1. Faculty of Nursing, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada
  1. Correspondence to Professor Terri Kean, Faculty of Nursing, University of Prince Edward Island, Charlottetown, PE C1A 4P3, Canada; tkean1965{at}

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Commentary on: Franse CB, van Grieken A, Alhambra-Borrás T, et al. The effectiveness of a coordinated preventive care approach for healthy ageing (UHCE) among older persons in five European cities: a pre-post controlled trial. Int J Nurs Stud. 2018; 88:153–162. doi: 10.1016/j.ijnurstu.2018.

Implications for practice and research

  • Primary healthcare service coordination among independent older adults can improve the effectiveness, safety and efficiency of a healthcare system and deliver safer and more effective care.

  • Research to examine the cumulative effects of coordinated preventive care, implemented at age 65 for a period of 5–10 years may reveal a legacy effect related to early health intervention.


The health of older adults can become more complex with each passing year. Multiple comorbidities and decreased capacity can lead to frequent health system use and increased healthcare costs.1 2 Many countries have adopted strategies …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.