Comparing research priority-setting partnerships for older adults across international health care systems: a systematic review

Ho, L. et al. (2023) Comparing research priority-setting partnerships for older adults across international health care systems: a systematic review. Journal of the American Medical Directors Association, 24(11), pp. 1726-1745. (doi: 10.1016/j.jamda.2023.09.003) (PMID:37848169)

Abstract

Objectives: Priority setting partnerships (PSPs) attempt to shape the research agenda to address the needs of local populations of interest. We reviewed the PSPs for older adults, with a focus on exemplar health care systems: United Kingdom (UK; publicly funded), United States (private health insurance–based), South Korea (national health insurance–based), and Africa (out-of-pocket). Design: Systematic review. Setting and Participants: We searched databases and sources (January 2011–October 202l; updated in February 2023) for PSPs of older adults’ health care. Methods: Based on the British geriatric medicine curriculum, we extracted and categorized the PSP topics by areas and the research priorities by themes, and generated evidence maps depicting and comparing the research gaps across the systems. We evaluated PSP quality using the Nine Common Themes of Good Clinical Practice. Results: We included 32 PSPs (United Kingdom: n = 25; United States: n = 7; South Korea and Africa: n = 0) and identified priorities regarding 27 conditions or service arrangements in the United Kingdom and 9 in the United States (predominantly in neurology/psychiatry). The UK priorities focused on treatments and interventions whereas the US on prognostic/predictive factors. There were notable research gaps within the existing PSPs, including common geriatric conditions like continence and frailty. The PSP quality evaluation revealed issues around lacking inclusion of ethnic minorities. Conclusions and Implications: Research priorities for older adult health care vary internationally, but certain health care systems/countries have no available PSPs. Where PSPs are available, fundamental aspects of geriatric medicine have not been included. Future researchers should conduct prioritizations in different countries, focus on core geriatric syndromes, and ensure the inclusion of all relevant stakeholder groups.

• Item Type: Articles
• Additional Information: Funding: This work was supported by the British Geriatrics Society (BGS) and the Scottish Funding Council's Brain Health Alliance for Research Challenge. The funding awarded by the BGS included the salary costs for M.T.-R. and S.D.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Quinn, Professor Terry and Taylor-Rowan, Dr Martin
• Authors: Ho, L., Lloyd, K., Taylor-Rowan, M., Dawson, S., Logan, M., Leitc, S., Quinn, T. J., Shenkin, S. D., Parry, S. W., Jarman, H., and Henderson, E. J.
• College/School: College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health; College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care
• Journal Name: Journal of the American Medical Directors Association
• Publisher: Elsevier
• ISSN: 1525-8610
• ISSN (Online): 1538-9375
• Published Online: 14 October 2023
• Copyright Holders: Copyright © 2023 The Authors
• First Published: First published in Journal of the American Medical Directors Association 24(11):1726-1745
• Publisher Policy: Reproduced under a Creative Commons license