Integrated service delivery model in primary care to improve frailty in older Malaysians: Geko Integrated Service Delivery
Background: This study aimed to evaluate the implementation stage of Malaysia’s GeKo-Integrated Service Delivery (ISD) model for frailty management in primary care and explore its effectiveness in improving frailty scores. Methods: The implementation stage of Malaysia’s first three GeKo-ISD clinics...
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| Format: | Article |
| Language: | English |
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Serdi-Editions
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/119297/ http://psasir.upm.edu.my/id/eprint/119297/1/119297.pdf |
| _version_ | 1848867927988633600 |
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| author | Ahip, Sally Suriani C., Y. Ting Abdillah, M. A. B. Y., J. Tan Sabri, S. A. B. Theou, O. Shariff Ghazali, S. Visvanathan, R. |
| author_facet | Ahip, Sally Suriani C., Y. Ting Abdillah, M. A. B. Y., J. Tan Sabri, S. A. B. Theou, O. Shariff Ghazali, S. Visvanathan, R. |
| author_sort | Ahip, Sally Suriani |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Background: This study aimed to evaluate the implementation stage of Malaysia’s GeKo-Integrated Service Delivery (ISD) model for frailty management in primary care and explore its effectiveness in improving frailty scores. Methods: The implementation stage of Malaysia’s first three GeKo-ISD clinics was assessed using the WHO-ICOPE (Integrated Care of the Older Persons) scorecard. This involved evaluating documents related to the GeKo services and conducting in-depth interviews with key informants identified from those documents. The efficacy of GeKo-ISD was assessed by documenting the change in mean frailty scores between baseline and 3 months post intervention, measured by the Pictorial Fit Frail Scale Malay Version (PFFS-M), in patients who received GeKo-ISD care from October 2022 to April 2023. Results: All three GeKo clinics achieved the sustaining implementation level, scoring a total of 50 out of 52. The paired t-test reported a significant reduction (p= 0.001) in the PFFS-M scores from baseline to 3 months after the GeKo-ISD intervention. The mean (SD) scores were 8.6 (4.6) at baseline and 7.0 (4.1) at 3 months post-intervention. Conclusion: GeKo-ISD is a comprehensive approach of integrated care for older people, leveraging existing public funded primary care infrastructure. It shows promise, was impacted by the pandemic but now, with support from the government, exists in 32 centers across one state in Malaysia. |
| first_indexed | 2025-11-15T14:44:17Z |
| format | Article |
| id | upm-119297 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:44:17Z |
| publishDate | 2024 |
| publisher | Serdi-Editions |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1192972025-08-14T03:41:40Z http://psasir.upm.edu.my/id/eprint/119297/ Integrated service delivery model in primary care to improve frailty in older Malaysians: Geko Integrated Service Delivery Ahip, Sally Suriani C., Y. Ting Abdillah, M. A. B. Y., J. Tan Sabri, S. A. B. Theou, O. Shariff Ghazali, S. Visvanathan, R. Background: This study aimed to evaluate the implementation stage of Malaysia’s GeKo-Integrated Service Delivery (ISD) model for frailty management in primary care and explore its effectiveness in improving frailty scores. Methods: The implementation stage of Malaysia’s first three GeKo-ISD clinics was assessed using the WHO-ICOPE (Integrated Care of the Older Persons) scorecard. This involved evaluating documents related to the GeKo services and conducting in-depth interviews with key informants identified from those documents. The efficacy of GeKo-ISD was assessed by documenting the change in mean frailty scores between baseline and 3 months post intervention, measured by the Pictorial Fit Frail Scale Malay Version (PFFS-M), in patients who received GeKo-ISD care from October 2022 to April 2023. Results: All three GeKo clinics achieved the sustaining implementation level, scoring a total of 50 out of 52. The paired t-test reported a significant reduction (p= 0.001) in the PFFS-M scores from baseline to 3 months after the GeKo-ISD intervention. The mean (SD) scores were 8.6 (4.6) at baseline and 7.0 (4.1) at 3 months post-intervention. Conclusion: GeKo-ISD is a comprehensive approach of integrated care for older people, leveraging existing public funded primary care infrastructure. It shows promise, was impacted by the pandemic but now, with support from the government, exists in 32 centers across one state in Malaysia. Serdi-Editions 2024 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/119297/1/119297.pdf Ahip, Sally Suriani and C., Y. Ting and Abdillah, M. A. B. and Y., J. Tan and Sabri, S. A. B. and Theou, O. and Shariff Ghazali, S. and Visvanathan, R. (2024) Integrated service delivery model in primary care to improve frailty in older Malaysians: Geko Integrated Service Delivery. Journal of Frailty and Aging, 13 (3). pp. 313-318. ISSN 2260-1341; eISSN: 2273-4309 https://linkinghub.elsevier.com/retrieve/pii/S2260134124000331 10.14283/jfa.2024.42 |
| spellingShingle | Ahip, Sally Suriani C., Y. Ting Abdillah, M. A. B. Y., J. Tan Sabri, S. A. B. Theou, O. Shariff Ghazali, S. Visvanathan, R. Integrated service delivery model in primary care to improve frailty in older Malaysians: Geko Integrated Service Delivery |
| title | Integrated service delivery model in primary care to improve frailty in older Malaysians: Geko Integrated Service Delivery |
| title_full | Integrated service delivery model in primary care to improve frailty in older Malaysians: Geko Integrated Service Delivery |
| title_fullStr | Integrated service delivery model in primary care to improve frailty in older Malaysians: Geko Integrated Service Delivery |
| title_full_unstemmed | Integrated service delivery model in primary care to improve frailty in older Malaysians: Geko Integrated Service Delivery |
| title_short | Integrated service delivery model in primary care to improve frailty in older Malaysians: Geko Integrated Service Delivery |
| title_sort | integrated service delivery model in primary care to improve frailty in older malaysians: geko integrated service delivery |
| url | http://psasir.upm.edu.my/id/eprint/119297/ http://psasir.upm.edu.my/id/eprint/119297/ http://psasir.upm.edu.my/id/eprint/119297/ http://psasir.upm.edu.my/id/eprint/119297/1/119297.pdf |