ADAGIO: Aging and disability, strategies of care

Aging and DisAbility: strateGIes Of care

Ageing of the population raises important societal, economical and political challenges related to health care and need of help for performing Activities of Daily Living (ADL).This project aims at exploring the transitions between various states of disability, from full autonomy to high level of dependence for ADLs, and identify their determinants, in elderly community dwellers participating in the Three-City and AMI cohort studies. In addition, the project will analyse the forms of social and public norms, decisions and rules that tend to regulate this issue. The project is subdivided into four strongly inter-related activities.

The first work package will describe modes of transition from frailty to moderate and further heavy dependence, and analyse their health determinants such as cognition, nutrition, visual impairment etc. as well as psychological, economic and social determinants.

The second work package will investigate the various modes of management and care for the dependent elderly (legal, political, economic, psychosocial modes), with a special interest in the ethical dimension (dignity, empowerment), and in the respective role of various actors (family, relatives, public social services, private bodies and actors…). Then, the costs of those various modes of management and care will be estimated.

Finally, the potential impact in terms of costs/outcomes of different interventions on modifiable factors of transition to disability identified in the first step of the project will be simulated.

The results are expected to guide individuals and public health authorities to improve decision making in order to delay the transition from frailty to dependence, and to adopt the more suitable solutions, economically, socially and ethically speaking, for the older population.

1st Research Report: Ethics and Individualization of elderly care
 1606 Kilo bytes