{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:27:42Z","timestamp":1787117262752,"version":"build-2736575974"},"reference-count":48,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Biogerontology"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1007\/s10522-026-10492-3","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:08:26Z","timestamp":1787116106000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["When is health adequate for older adults? Optimal standards, patient-defined thresholds, and the weight of inequality"],"prefix":"10.1007","volume":"27","author":[{"given":"Daniel","family":"Hern\u00e1ndez-Pando","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"10492_CR1","volume-title":"Unraveling the mystery of health: how people manage stress and stay well","author":"A Antonovsky","year":"1987","unstructured":"Antonovsky A (1987) Unraveling the mystery of health: how people manage stress and stay well. Jossey-Bass, San Francisco"},{"key":"10492_CR2","doi-asserted-by":"publisher","DOI":"10.1093\/geroni\/igz038.3084","author":"TL Barnes","year":"2019","unstructured":"Barnes TL, Musich S, Wang S, Kraemer S, Yeh C (2019) Self-perception of aging and associated characteristics among older adults. Innov Aging. https:\/\/doi.org\/10.1093\/geroni\/igz038.3084","journal-title":"Innov Aging"},{"issue":"4","key":"10492_CR3","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1111\/jgs.15809","volume":"67","author":"C Boyd","year":"2019","unstructured":"Boyd C, Smith CD, Masoudi FA, Blaum CS, Dodson JA, Green AR, Kelley A, Matlock D, Ouellet J, Rich MW, Schoenborn NL, Tinetti ME (2019) Decision making for older adults with multiple chronic conditions: executive summary for the American Geriatrics Society guiding principles on the care of older adults with multimorbidity. J Am Geriatr Soc 67(4):665\u2013673. https:\/\/doi.org\/10.1111\/jgs.15809","journal-title":"J Am Geriatr Soc"},{"key":"10492_CR4","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012705.pub2","volume":"5","author":"R Briggs","year":"2022","unstructured":"Briggs R, McDonough A, Ellis G, Bennett K, O\u2019Neill D, Robinson D (2022) Comprehensive geriatric assessment for community-dwelling, high-risk, frail, older people. Cochrane Database Syst Rev 5:CD012705. https:\/\/doi.org\/10.1002\/14651858.CD012705.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"10492_CR5","doi-asserted-by":"publisher","DOI":"10.4324\/9781315576930","volume-title":"Diagnostic cultures: a cultural approach to the pathologization of modern life","author":"S Brinkmann","year":"2016","unstructured":"Brinkmann S (2016) Diagnostic cultures: a cultural approach to the pathologization of modern life. Routledge, Abingdon"},{"issue":"4","key":"10492_CR6","doi-asserted-by":"publisher","first-page":"77","DOI":"10.3390\/geriatrics11040077","volume":"11","author":"SK Castillo-Vazquez","year":"2026","unstructured":"Castillo-Vazquez SK, Rivero-Segura NA, Gomez-Verjan JC, Camacho J, Hernandez-Pando D (2026) Age, not sex, drives sarcopenia severity in Mexican older adults with a health insurance plan. Geriatrics 11(4):77. https:\/\/doi.org\/10.3390\/geriatrics11040077","journal-title":"Geriatrics"},{"key":"10492_CR7","unstructured":"CEPAL (2025a) Cuidados de largo plazo para personas mayores: perspectivas demograficas y sociales en el Caribe hispano, Centroamerica y Mexico. https:\/\/www.cepal.org\/es\/publicaciones\/81082-cuidados-largo-plazo-personas-mayores-perspectivas-demograficas-sociales-caribe. Accessed 06 August 2026"},{"key":"10492_CR8","unstructured":"CONEVAL (2020) Pobreza y personas mayores en Mexico. https:\/\/www.coneval.org.mx\/Medicion\/MP\/Paginas\/Pobreza_Personas_Mayores.aspx. Accessed 06 August 2026"},{"key":"10492_CR9","unstructured":"CONEVAL (2024a) Personas adultas mayores en Mexico, evidencia para la toma de decisiones. Ciudad de Mexico. https:\/\/www.coneval.org.mx\/InformesPublicaciones\/Documents\/PAM_evidencia.pdf. Accessed 06 August 2026"},{"key":"10492_CR10","doi-asserted-by":"publisher","DOI":"10.56021\/9780801885846","volume-title":"The medicalization of society: on the transformation of human conditions into treatable disorders","author":"P Conrad","year":"2007","unstructured":"Conrad P (2007) The medicalization of society: on the transformation of human conditions into treatable disorders. Johns Hopkins University Press, Baltimore"},{"key":"10492_CR11","unstructured":"Consultorsalud (2026) Aumento de enfermedades cronicas y desafios en el envejecimiento en Mexico: ENASEM. https:\/\/consultorsalud.com.mx\/aumento-de-enfermedades-cronicas-enasem\/. Accessed 06 August 2026"},{"issue":"16","key":"10492_CR12","doi-asserted-by":"publisher","first-page":"1782","DOI":"10.1001\/jama.2011.1556","volume":"306","author":"KE Covinsky","year":"2011","unstructured":"Covinsky KE, Pierluissi E, Johnston CB (2011) Hospitalization-associated disability: \u201cshe was probably able to ambulate, but I\u2019m not sure.\u201d JAMA 306(16):1782\u20131793. https:\/\/doi.org\/10.1001\/jama.2011.1556","journal-title":"JAMA"},{"issue":"5","key":"10492_CR13","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1093\/geront\/29.5.587","volume":"29","author":"CL Estes","year":"1989","unstructured":"Estes CL, Binney EA (1989) The biomedicalization of aging: dangers and dilemmas. Gerontologist 29(5):587\u2013596. https:\/\/doi.org\/10.1093\/geront\/29.5.587","journal-title":"Gerontologist"},{"issue":"3","key":"10492_CR14","doi-asserted-by":"publisher","first-page":"M146","DOI":"10.1093\/gerona\/56.3.M146","volume":"56","author":"LP Fried","year":"2001","unstructured":"Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA (2001) Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 56(3):M146-156. https:\/\/doi.org\/10.1093\/gerona\/56.3.M146","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"10492_CR15","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2026.1874301","volume":"14","author":"L Giraldo-Rodriguez","year":"2026","unstructured":"Giraldo-Rodriguez L, Parra-Rodriguez L, Alvarez-Cisneros T, Agudelo-Botero M (2026) Social frailty independently predicts 9-year mortality among community-dwelling older adults in Mexico: validation of a brief social frailty index. Front Public Health 14:1874301. https:\/\/doi.org\/10.3389\/fpubh.2026.1874301","journal-title":"Front Public Health"},{"issue":"4","key":"10492_CR16","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1111\/jgs.14069","volume":"64","author":"WK Gray","year":"2016","unstructured":"Gray WK, Richardson J, McGuire J, Dewhurst F, Elder V, Weeks J, Walker RW, Dotchin CL (2016) Frailty screening in low- and middle-income countries: a systematic review. J Am Geriatr Soc 64(4):806\u2013823. https:\/\/doi.org\/10.1111\/jgs.14069","journal-title":"J Am Geriatr Soc"},{"issue":"1","key":"10492_CR17","doi-asserted-by":"publisher","first-page":"34","DOI":"10.21149\/17027","volume":"68","author":"E Hoyos-Loya","year":"2026","unstructured":"Hoyos-Loya E, Gonzalez-Robledo MC, Montanez-Hernandez JC, Gutierrez JP (2026) Desigualdad en hospitalizaciones evitables por condiciones cronicas en Mexico: magnitud y determinantes. Salud Publica Mex 68(1):34\u201342. https:\/\/doi.org\/10.21149\/17027","journal-title":"Salud Publica Mex"},{"key":"10492_CR18","doi-asserted-by":"publisher","first-page":"d4163","DOI":"10.1136\/bmj.d4163","volume":"343","author":"M Huber","year":"2011","unstructured":"Huber M, Knottnerus JA, Green L, van der Horst H, Jadad AR, Kromhout D, Leonard B, Lorig K, Loureiro MI, van der Meer JWM, Schnabel P, Smith R, van Weel C, Smid H (2011) How should we define health? BMJ 343:d4163. https:\/\/doi.org\/10.1136\/bmj.d4163","journal-title":"BMJ"},{"key":"10492_CR19","unstructured":"INEGI, Instituto Nacional de Estadistica y Geografia (2023) Encuesta Nacional sobre Salud y Envejecimiento en Mexico (ENASEM) 2021, Comunicado de prensa 394\/23. https:\/\/www.inegi.org.mx\/contenidos\/saladeprensa\/boletines\/2023\/ENASEM\/ENASEM_21.pdf. Accessed 06 August 2026"},{"key":"10492_CR20","unstructured":"INEGI (2026a) Resultados de la Encuesta Nacional sobre Salud y Envejecimiento en Mexico (ENASEM) 2024. https:\/\/www.inegi.org.mx\/contenidos\/saladeprensa\/boletines\/2026\/enasem\/ENASEM_24_RR.pdf. Accessed 06 August 2026"},{"issue":"4","key":"10492_CR21","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1007\/s11357-018-0036-9","volume":"40","author":"M Kaeberlein","year":"2018","unstructured":"Kaeberlein M (2018) How healthy is the healthspan concept? Geroscience 40(4):361\u2013364. https:\/\/doi.org\/10.1007\/s11357-018-0036-9","journal-title":"Geroscience"},{"key":"10492_CR22","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-79515-3_19","volume-title":"The Handbook of Salutogenesis","author":"M Koelen","year":"2022","unstructured":"Koelen M, Eriksson M (2022) Older people, sense of coherence and community. In: Mittelmark MB, Bauer GF, Vaandrager L et al (eds) The Handbook of Salutogenesis, 2nd edn. Springer, Cham. https:\/\/doi.org\/10.1007\/978-3-030-79515-3_19","edition":"2"},{"issue":"1","key":"10492_CR23","doi-asserted-by":"publisher","first-page":"50","DOI":"10.3390\/healthcare3010050","volume":"3","author":"AL Leppin","year":"2015","unstructured":"Leppin AL, Montori VM, Gionfriddo MR (2015) Minimally disruptive medicine: a pragmatically comprehensive model for delivering care to patients with multiple chronic conditions. Healthcare (Basel) 3(1):50\u201363. https:\/\/doi.org\/10.3390\/healthcare3010050","journal-title":"Healthcare (Basel)"},{"issue":"2","key":"10492_CR24","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1037\/0022-3514.83.2.261","volume":"83","author":"BR Levy","year":"2002","unstructured":"Levy BR, Slade MD, Kunkel SR, Kasl SV (2002) Longevity increased by positive self-perceptions of aging. J Pers Soc Psychol 83(2):261\u2013270. https:\/\/doi.org\/10.1037\/0022-3514.83.2.261","journal-title":"J Pers Soc Psychol"},{"issue":"1","key":"10492_CR25","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1080\/11287462.2019.1673028","volume":"30","author":"R Lopez Barreda","year":"2019","unstructured":"Lopez Barreda R, Robertson-Preidler J, Bedregal Garcia P (2019) Health assessment and the capability approach. Glob Bioeth 30(1):19\u201327. https:\/\/doi.org\/10.1080\/11287462.2019.1673028","journal-title":"Glob Bioeth"},{"key":"10492_CR26","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2025.102806","volume":"111","author":"S Masfiah","year":"2025","unstructured":"Masfiah S, Kurnialandi A, Meij JJ, Maier AB (2025) Definitions of healthspan: a systematic review. Ageing Res Rev 111:102806. https:\/\/doi.org\/10.1016\/j.arr.2025.102806","journal-title":"Ageing Res Rev"},{"key":"10492_CR27","unstructured":"Mexico Business News (2026a) Mexico\u2019s out-of-pocket health spending jumps 41% since 2018. https:\/\/mexicobusiness.news\/health\/news\/mexicos-out-pocket-health-spending-jumps-41-2018. Accessed 06 August 2026"},{"key":"10492_CR28","unstructured":"Mexico Business News (2026b) Mexico\u2019s health financing squeeze deepens. https:\/\/mexicobusiness.news\/health\/news\/mexicos-health-financing-squeeze-deepens. Accessed 06 August 2026"},{"issue":"3","key":"10492_CR30","doi-asserted-by":"publisher","first-page":"e121","DOI":"10.1016\/S2666-7568(21)00002-7","volume":"2","author":"JP Michel","year":"2021","unstructured":"Michel JP, Leonardi M, Martin M, Prina M (2021) WHO\u2019s report for the decade of healthy ageing 2021\u201330 sets the stage for globally comparable data on healthy ageing. Lancet Healthy Longev 2(3):e121\u2013e122. https:\/\/doi.org\/10.1016\/S2666-7568(21)00002-7","journal-title":"Lancet Healthy Longev"},{"issue":"7","key":"10492_CR31","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1007\/s12603-012-0084-2","volume":"16","author":"JE Morley","year":"2012","unstructured":"Morley JE, Malmstrom TK, Miller DK (2012) A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging 16(7):601\u2013608. https:\/\/doi.org\/10.1007\/s12603-012-0084-2","journal-title":"J Nutr Health Aging"},{"issue":"4","key":"10492_CR32","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1016\/j.jaging.2008.05.004","volume":"22","author":"CE Mykytyn","year":"2008","unstructured":"Mykytyn CE (2008) Medicalizing the optimal: anti-aging medicine and the quandary of intervention. J Aging Stud 22(4):313\u2013321. https:\/\/doi.org\/10.1016\/j.jaging.2008.05.004","journal-title":"J Aging Stud"},{"issue":"6","key":"10492_CR35","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1007\/s10522-013-9442-7","volume":"14","author":"SIS Rattan","year":"2013","unstructured":"Rattan SIS (2013) Healthy ageing, but what is health? Biogerontology 14(6):673\u2013677. https:\/\/doi.org\/10.1007\/s10522-013-9442-7","journal-title":"Biogerontology"},{"key":"10492_CR36","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1007\/s10522-026-10424-1","volume":"27","author":"SIS Rattan","year":"2026","unstructured":"Rattan SIS (2026) Lifespan stops at death, but when does healthspan stop? Biogerontology 27:78. https:\/\/doi.org\/10.1007\/s10522-026-10424-1","journal-title":"Biogerontology"},{"key":"10492_CR37","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1186\/s12877-018-0928-7","volume":"18","author":"A Rivera-Almaraz","year":"2018","unstructured":"Rivera-Almaraz A, Manrique-Espinoza B, Avila-Funes JA, Chatterji S, Naidoo N, Kowal P, Salinas-Rodriguez A (2018) Disability, quality of life and all-cause mortality in older Mexican adults: association with multimorbidity and frailty. BMC Geriatr 18:236. https:\/\/doi.org\/10.1186\/s12877-018-0928-7","journal-title":"BMC Geriatr"},{"issue":"4","key":"10492_CR38","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glae068","volume":"79","author":"A Rivera-Almaraz","year":"2024","unstructured":"Rivera-Almaraz A, Salinas-Rodriguez A, Gutierrez-Pena E, Manrique-Espinoza BS (2024) Predictors of frailty transitions in Mexican older adults. J Gerontol A Biol Sci Med Sci 79(4):glae068. https:\/\/doi.org\/10.1093\/gerona\/glae068","journal-title":"J Gerontol A Biol Sci Med Sci"},{"issue":"4","key":"10492_CR39","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1093\/geront\/37.4.433","volume":"37","author":"JW Rowe","year":"1997","unstructured":"Rowe JW, Kahn RL (1997) Successful aging. Gerontologist 37(4):433\u2013440. https:\/\/doi.org\/10.1093\/geront\/37.4.433","journal-title":"Gerontologist"},{"key":"10492_CR40","volume-title":"Development as freedom","author":"A Sen","year":"1999","unstructured":"Sen A (1999) Development as freedom. Alfred A. Knopf, New York"},{"issue":"3","key":"10492_CR41","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-018195","volume":"8","author":"DD Siriwardhana","year":"2018","unstructured":"Siriwardhana DD, Hardoon S, Rait G, Weerasinghe MC, Walters KR (2018) Prevalence of frailty and prefrailty among community-dwelling older adults in low-income and middle-income countries: a systematic review and meta-analysis. BMJ Open 8(3):e018195. https:\/\/doi.org\/10.1136\/bmjopen-2017-018195","journal-title":"BMJ Open"},{"issue":"2","key":"10492_CR42","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1093\/geronb\/gbw162","volume":"72","author":"C Tesch-Romer","year":"2017","unstructured":"Tesch-Romer C, Wahl HW (2017) Toward a more comprehensive concept of successful aging: disability and care needs. J Gerontol B Psychol Sci Soc Sci 72(2):310\u2013318. https:\/\/doi.org\/10.1093\/geronb\/gbw162","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"issue":"2","key":"10492_CR43","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1016\/j.cger.2016.01.012","volume":"32","author":"ME Tinetti","year":"2016","unstructured":"Tinetti ME, Esterson J, Ferris R, Posner P, Blaum CS (2016) Patient priority-directed decision making and care for older adults with multiple chronic conditions. Clin Geriatr Med 32(2):261\u2013275. https:\/\/doi.org\/10.1016\/j.cger.2016.01.012","journal-title":"Clin Geriatr Med"},{"issue":"12","key":"10492_CR44","doi-asserted-by":"publisher","first-page":"1688","DOI":"10.1001\/jamainternmed.2019.4235","volume":"179","author":"ME Tinetti","year":"2019","unstructured":"Tinetti ME, Naik AD, Dindo L, Costello DM, Esterson J, Geda M, Rosen J, Hernandez-Bigos K, Smith CD, Ouellet GM, Kang G, Lee Y, Blaum C (2019) Association of patient priorities-aligned decision-making with patient outcomes and ambulatory health care burden among older adults with multiple chronic conditions: a nonrandomized clinical trial. JAMA Intern Med 179(12):1688\u20131697. https:\/\/doi.org\/10.1001\/jamainternmed.2019.4235","journal-title":"JAMA Intern Med"},{"issue":"2","key":"10492_CR45","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1348\/135910709X413124","volume":"15","author":"U Wiesmann","year":"2009","unstructured":"Wiesmann U, Hannich HJ (2009) Subjective health in old age from a salutogenic perspective. Br J Health Psychol 15(2):139\u2013155. https:\/\/doi.org\/10.1348\/135910709X413124","journal-title":"Br J Health Psychol"},{"key":"10492_CR46","doi-asserted-by":"publisher","DOI":"10.1596\/40348","volume-title":"Tracking universal health coverage: 2023 global monitoring report","author":"World Health Organization","year":"2023","unstructured":"World Health Organization, World Bank (2023) Tracking universal health coverage: 2023 global monitoring report. World Health Organization, Geneva"},{"key":"10492_CR47","unstructured":"World Health Organization (2019) Integrated care for older people (ICOPE): guidance for person-centred assessment and pathways in primary care. https:\/\/www.who.int\/teams\/maternal-newborn-child-adolescent-health-and-ageing\/ageing-and-health\/integrated-care-for-older-people-icope. Accessed 06 August 2026"},{"key":"10492_CR48","unstructured":"World Health Organization (2020) Healthy ageing and functional ability. https:\/\/www.who.int\/news-room\/questions-and-answers\/item\/healthy-ageing-and-functional-ability. Accessed 06 August 2026"},{"key":"10492_CR49","unstructured":"World Health Organization (2021) Global report on ageism. https:\/\/www.who.int\/publications\/i\/item\/9789240020504. Accessed 06 August 2026"},{"key":"10492_CR50","unstructured":"World Health Organization (2025) Ageing and health. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/ageing-and-health. Accessed 11 August 2026"},{"issue":"4","key":"10492_CR51","doi-asserted-by":"publisher","first-page":"e051403","DOI":"10.1136\/bmjopen-2021-051403","volume":"12","author":"SE Yi","year":"2022","unstructured":"Yi SE, Harish V, Gutierrez J, Ravaut M, Kornas K, Watson T, Poutanen T, Ghassemi M, Volkovs M, Rosella LC (2022) Predicting hospitalisations related to ambulatory care sensitive conditions with machine learning for population health planning: derivation and validation cohort study. BMJ Open 12(4):e051403. https:\/\/doi.org\/10.1136\/bmjopen-2021-051403","journal-title":"BMJ Open"}],"container-title":["Biogerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10522-026-10492-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10522-026-10492-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10522-026-10492-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:08:29Z","timestamp":1787116109000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10522-026-10492-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,19]]},"references-count":48,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10492"],"URL":"https:\/\/doi.org\/10.1007\/s10522-026-10492-3","relation":{},"ISSN":["1389-5729","1573-6768"],"issn-type":[{"value":"1389-5729","type":"print"},{"value":"1573-6768","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,19]]},"assertion":[{"value":"29 July 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 August 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The author is employed by Koltin, a private preventive-health membership company mentioned in this article as the source of an internal clinical observation on multimorbidity screening. Koltin had no role in the analysis, writing, or the decision to submit this manuscript. The author declares no other financial or non-financial competing interests.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable. This perspective does not report original research involving human participants or animals.","order":2,"name":"Ethics","label":"Ethical approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":4,"name":"Ethics","label":"Consent to publish","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"142"}}