ABSTRACT
Frailty care needs to be tailored according to care settings, ranging from the emergency room to end of life. Person-centred and integrated care services are based on the needs and expectations of persons and their informal network, and not only on diseases. Person-centred care that focuses on respecting the person's identity, creating relationships and sharing decision making is important to provide high-quality care. Integrated care is increasingly perceived as an important way to reorganise care for the frail elderly. As a result of changing patterns in the demand for healthcare, healthcare systems are being compelled to embrace person-centred and integrated care services. A proposed framework of an 'integrated care pathway', which targets healthy seniors as well as those with disabilities or chronic illnesses, takes account of all the intervention factors and strategies intended to maintain or improve the health of an older person.
