Outcomes of primary care-based Medicare annual wellness visits with older adults: A scoping review


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Abstract

HighlightsMaximizing wellness efforts can enhance health and independence for older adults.Medicare's annual wellness visit focuses upon enhancing health promotion efforts.Limited evidence exists concerning outcomes for this primary care-based visit.This scoping review provides preliminary evidence of visit impact on prevention.The increasing aging population creates many challenges for countries around the world. Keeping this population healthy to prevent frailty and functional decline requires a stronger focus on health promotion and disease prevention. Maximization of well-being and quality of life of older adults can occur if determinants of health are addressed and preventive behaviors are supported. Primary care-based preventive visits such as the Medicare annual wellness visit can be used with older adults to enhance health promotion efforts. A scoping review of studies was conducted to identify current evidence concerning the impact of this visit on preventive practices, risk reduction and lifestyle behavior changes for community-dwelling older adults. A total of 11 studies were included in this review. Preventive services use outcomes including vaccinations and screenings were most frequently reported. Visits such as these can provide a platform for development of strategies to provide ongoing support for health promotion efforts.

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