Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review

Jon André Christensen; Michael Marcussen; Vicki Zabell; Bettan Bagger; Ditte Høgsgaard; Sanne Lykke Lundstrøm; Barbara Ann Barrett; Anne Frølich; Søren Thorgaard Skou; Lene Lauge Berring

doi:10.1177/26335565251357781

Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review

Jon André Christensen^*
, Michael Marcussen
, Vicki Zabell
, Bettan Bagger
, Ditte Høgsgaard
, Sanne Lykke Lundstrøm
, Barbara Ann Barrett
, Anne Frølich
, Søren Thorgaard Skou
, Lene Lauge Berring

^*Corresponding author for this work

Research output: Contribution to journal › Review › Research › peer-review

Abstract

BACKGROUND: Older adults with multimorbidity experience fragmentation of care. Ensuring optimal use of healthcare services requires stratifying their need for integrated care. We aimed to map existing stratification tools for assessing older adults with multimorbidity in an integrated care context.

METHODS: We searched MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL, and extracted definitions of population, concept, and context following the JBI Framework for Scoping Reviews.

RESULTS: We identified 17,689 articles of which 11 articles were included. Few stratification tools for this population exist and differ on scoring methods, domains and settings of use. Stratification is used for identifying older adults with multimorbidity to multidisciplinary teams or to case managers. Future research should develop stratification tools across sectors focused on the common risk factors of multimorbidity in older adults.

Original language	English
Article number	26335565251357781
Number of pages	15
Journal	Journal of multimorbidity and comorbidity
Volume	15
DOIs	https://doi.org/10.1177/26335565251357781
Publication status	Published - Jul 2025

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Novo Nordisk Fonden, 0077572 and Region Sjaelland, R24 A2069, R24-A1828, Sla-2024-1. None of the funders were involved in the development, analysis or interpretation of the research findings.

Funders	Funder number
Novo Nordisk Foundation	0077572
Region Sjælland	R24 A2069, R24-A1828, Sla-2024-1

Keywords

Integrated care
Multimorbidity
Older adults
Scoping review
Stratification

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10.1177/26335565251357781

Virtuelle 4-parts Møder om fælles mål og plan for patientens forløb - på tværs af specialer og sektorer
Høgsgaard, D. (Lead), Hägi-Pedersen, M.-B. (Project manager/Co-project manager), Andersen, H. L. M. (Project participant), Bagger, B. (Project manager/Co-project manager) & Christensen, J. A. (Project participant)
1/01/22 → 31/01/26
Project: Research

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Christensen, J. A., Marcussen, M., Zabell, V., Bagger, B., Høgsgaard, D., Lundstrøm, S. L., Barrett, B. A., Frølich, A., Skou, S. T., & Berring, L. L. (2025). Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review. Journal of multimorbidity and comorbidity, 15, Article 26335565251357781. https://doi.org/10.1177/26335565251357781

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title = "Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review",

abstract = "BACKGROUND: Older adults with multimorbidity experience fragmentation of care. Ensuring optimal use of healthcare services requires stratifying their need for integrated care. We aimed to map existing stratification tools for assessing older adults with multimorbidity in an integrated care context.METHODS: We searched MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL, and extracted definitions of population, concept, and context following the JBI Framework for Scoping Reviews.RESULTS: We identified 17,689 articles of which 11 articles were included. Few stratification tools for this population exist and differ on scoring methods, domains and settings of use. Stratification is used for identifying older adults with multimorbidity to multidisciplinary teams or to case managers. Future research should develop stratification tools across sectors focused on the common risk factors of multimorbidity in older adults.",

keywords = "Integrated care, Multimorbidity, Older adults, Scoping review, Stratification",

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note = "{\textcopyright} The Author(s) 2025.",

year = "2025",

month = jul,

doi = "10.1177/26335565251357781",

language = "English",

volume = "15",

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Christensen, JA, Marcussen, M, Zabell, V, Bagger, B, Høgsgaard, D, Lundstrøm, SL, Barrett, BA, Frølich, A , Skou, ST & Berring, LL 2025, 'Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review', Journal of multimorbidity and comorbidity, vol. 15, 26335565251357781. https://doi.org/10.1177/26335565251357781

TY - JOUR

T1 - Stratification tools for assessing older adults with multimorbidity in an integrated care context

T2 - A scoping review

AU - Christensen, Jon André

AU - Marcussen, Michael

AU - Zabell, Vicki

AU - Bagger, Bettan

AU - Høgsgaard, Ditte

AU - Lundstrøm, Sanne Lykke

AU - Barrett, Barbara Ann

AU - Frølich, Anne

AU - Skou, Søren Thorgaard

AU - Berring, Lene Lauge

PY - 2025/7

Y1 - 2025/7

N2 - BACKGROUND: Older adults with multimorbidity experience fragmentation of care. Ensuring optimal use of healthcare services requires stratifying their need for integrated care. We aimed to map existing stratification tools for assessing older adults with multimorbidity in an integrated care context.METHODS: We searched MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL, and extracted definitions of population, concept, and context following the JBI Framework for Scoping Reviews.RESULTS: We identified 17,689 articles of which 11 articles were included. Few stratification tools for this population exist and differ on scoring methods, domains and settings of use. Stratification is used for identifying older adults with multimorbidity to multidisciplinary teams or to case managers. Future research should develop stratification tools across sectors focused on the common risk factors of multimorbidity in older adults.

AB - BACKGROUND: Older adults with multimorbidity experience fragmentation of care. Ensuring optimal use of healthcare services requires stratifying their need for integrated care. We aimed to map existing stratification tools for assessing older adults with multimorbidity in an integrated care context.METHODS: We searched MEDLINE, Embase, PsycINFO, Cochrane Library, and CINAHL, and extracted definitions of population, concept, and context following the JBI Framework for Scoping Reviews.RESULTS: We identified 17,689 articles of which 11 articles were included. Few stratification tools for this population exist and differ on scoring methods, domains and settings of use. Stratification is used for identifying older adults with multimorbidity to multidisciplinary teams or to case managers. Future research should develop stratification tools across sectors focused on the common risk factors of multimorbidity in older adults.

KW - Integrated care

KW - Multimorbidity

KW - Older adults

KW - Scoping review

KW - Stratification

U2 - 10.1177/26335565251357781

DO - 10.1177/26335565251357781

M3 - Review

C2 - 40667490

SN - 2633-5565

VL - 15

JO - Journal of multimorbidity and comorbidity

JF - Journal of multimorbidity and comorbidity

M1 - 26335565251357781

ER -

Stratification tools for assessing older adults with multimorbidity in an integrated care context: A scoping review

Abstract

Funding

Keywords

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Virtuelle 4-parts Møder om fælles mål og plan for patientens forløb - på tværs af specialer og sektorer

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