INCLUSIVE CARE MODELS ELDERLY HEALTHCARE: A SYSTEMATIC LITERATURE REVIEW

Authors

DOI:

https://doi.org/10.62567/micjo.v3i1.2239

Keywords:

Elderly Healthcare, Inclusive Care, Systematic Literature Review

Abstract

This study applied a Systematic Literature Review (SLR) to identify, appraise, and synthesize open-access empirical evidence on inclusive care models in elderly healthcare. The review followed PRISMA 2020 and searched PubMed, Scopus, Web of Science, DOAJ, and Google Scholar for studies published between 2015 and 2025. Eligible articles were original research (quantitative, qualitative, or mixed methods) focusing on service delivery or care models for older adults and explicitly addressing inclusivity, integration, person-centeredness, or collaborative care, with full-text availability in English or Indonesian. From 1,280 records, 1,010 unique articles were screened, 80 full texts were assessed, and 10 studies were included in the final synthesis. Across studies, inclusive elderly care was most consistently implemented through integrated, person-centred, team-based delivery combining comprehensive assessment, individualized care planning, coordinated follow-up, and cross-sector collaboration. Stronger benefits were typically observed among frail older adults when care intensity was aligned with comlplex needs by risk stratification and case management. Mental health integration emerged as a critical component for community-dwelling older adults, supporting the integration of psychological care into routine elderly healthcare pathways rather than parallel programs. Evidence from institutional settings indicated that partnership-based models involving nurses, caregivers, and older adults can improve functional outcomes. Overall, the findings support scaling integrated community and institutional partnership approaches, while future research should strengthen reporting on implementation fidelity, equity impacts, and cost-effectiveness to guide sustainable adoption of inclusive, gerontic-friendly care models.

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References

B, P. B. T., Raghav, P., & Naveen, K. H. S. (2024). Hybrid model of care for older persons for improvement of frailty index—a community-based interventional study in an urban setting. BMC Geriatrics, 24(1), 772. https://doi.org/10.1186/s12877-024-05351-0

Briggs, A. M., Valentijn, P., Thiyagarajan, J. A., & de Carvalho, I. (2018). Integrated care for older people: A conceptual framework. International Journal of Integrated Care, 18(3), 1–14. https://doi.org/10.5334/ijic.3085

Ebrahimi, Z., Wilhelmson, K., Eklund, K., Moore, C. D., & Jakobsson, U. (2021). Health-promoting and preventive interventions for community-dwelling older people: A systematic review. BMC Geriatrics, 21(1), 1–14. https://doi.org/10.1186/s12877-021-02103-9

Hidayat, R., & Wibowo, A. (2022). Family caregiving model and functional independence among elderly. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 17(3), 145–152.

Liao, S.-J., Chao, S.-M., Fang, Y.-W., Rong, J.-R., & Hsieh, C.-J. (2022). The Effectiveness of the Integrated Care Model among Community-Dwelling Older Adults with Depression: A Quasi-Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 19(6), 3306. https://doi.org/10.3390/ijerph19063306

Lloyd, J., Schneider, J., & Scales, K. (2022). Health inequities among older adults: A public health perspective. BMC Public Health, 22, 1–12. https://doi.org/10.1186/s12889-022-12656-4

Mann, J., Thompson, F., McDermott, R., Esterman, A., & Strivens, E. (2021). Impact of an integrated community-based model of care for older people with complex conditions on hospital emergency presentations and admissions: a step-wedged cluster randomized trial. BMC Health Services Research, 21(1), 701. https://doi.org/10.1186/s12913-021-06668-x

Mudawamah. (2019). Community Home Care Model for Elderly: A Qualitative Case Study in Indonesia.

Sahar, J., Rekawati, E., & Wati, D. N. K. (2019). IMPROVING THE HEALTH AND FUNCTIONAL STATUS OF INSTITUTIONALIZED OLDER ADULTS THROUGH THE NURSE, CAREGIVER, AND OLDER-ADULTS PARTNERSHIP MODEL (MIRADASIA). Jurnal Keperawatan Indonesia, 22(2), 101–109. https://doi.org/10.7454/jki.v22i2.924

Santana, M. J., Manalili, K., Jolley, R. J., Zelinsky, S., Quan, H., & Lu, M. (2018). How to practice person-centred care: A conceptual framework. BMC Health Services Research, 18(1), 775. https://doi.org/10.1186/s12913-018-3171-6

Shi, W., Wu, L., Li, X., Qi, F., & Ji, W. (2024). Community-embedded follow-up management intervention for geriatric primary care: a mixed-methods study of an integrated health services model. BMC Health Services Research, 24(1), 298. https://doi.org/10.1186/s12913-024-10804-8

Uittenbroek, R. J., Spoorenberg, S. L. W., Reijneveld, S. A., Wynia, K., & Kremer, H. P. H. (2017). Integrated Care for Older Adults Improves Perceived Quality of Care: Results of a Randomized Controlled Trial of Embrace. Journal of General Internal Medicine. https://doi.org/10.1007/s11606-016-3742-y

World Health Organization. (2015). World Report on Ageing and Health. World Health Organization. https://www.who.int/publications/i/item/9789241565042

World Health Organization. (2017). Integrated Care for Older People: Guidelines on Community-Level Interventions to Manage Declines in Intrinsic Capacity. https://www.who.int/publications/i/item/WHO-FWC-ALC-17.06

Yi, Y. M., Park, Y.-H., Cho, B., Lim, K.-C., Jang, S.-N., Chang, S. J., Ko, H., Noh, E.-Y., & Ryu, S. I. (2021). Development of a Community-Based Integrated Service Model of Health and Social Care for Older Adults Living Alone. International Journal of Environmental Research and Public Health, 18(2), 825. https://doi.org/10.3390/ijerph18020825

Yulia, Prihastita Rizyana, N., Rahma, G., Masyarakat, K., Alifah Padang, Stik., & Sulaiman No, K. (2022). Faktor yang Berhubungan dengan Upaya Peningkatan Kualitas Hidup Penderita Diabetes Melitus Selama Masa Adaptasi Kebiasaan Baru di Wilayah Kerja Puskesmas Andalas. Jurnal Ilmu Kesehatan), 6(1). https://doi.org/10.33757/jik.v6i1.507.g227

Zhou, X., Chen, L., Lou, X., Li, Y., & Han, B. (2025). Construction of community home-based older adult care service model based on modular design concept. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1672918

Published

2026-01-31

How to Cite

Yulia, & Rahma, G. (2026). INCLUSIVE CARE MODELS ELDERLY HEALTHCARE: A SYSTEMATIC LITERATURE REVIEW. Multidisciplinary Indonesian Center Journal (MICJO), 3(1), 2056–2065. https://doi.org/10.62567/micjo.v3i1.2239

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