{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T13:12:41Z","timestamp":1778505161343,"version":"3.51.4"},"reference-count":72,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T00:00:00Z","timestamp":1762128000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001665","name":"Agence Nationale de la Recherche","doi-asserted-by":"publisher","award":["ANR-23-IAHU-0011"],"award-info":[{"award-number":["ANR-23-IAHU-0011"]}],"id":[{"id":"10.13039\/501100001665","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Archives of Gerontology and Geriatrics"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.archger.2025.106077","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T15:30:59Z","timestamp":1762183859000},"page":"106077","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["An overview of care coordination elements for older adults with long-term care needs: A narrative review"],"prefix":"10.1016","volume":"141","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6777-5869","authenticated-orcid":false,"given":"Natasha","family":"Grande de Fran\u00e7a","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipe","family":"de Souto Barreto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyobum","family":"Jang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Cesari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Rolland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.archger.2025.106077_bib0001","doi-asserted-by":"crossref","DOI":"10.2196\/63710","article-title":"Enhancing standardized and structured recording by elderly care physicians for reusing electronic health record data: Interview study","volume":"12","author":"Albers","year":"2024","journal-title":"JMIR Medical Informatics"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0002","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1097\/00003727-200307000-00007","article-title":"Using interagency collaboration to serve older adults with chronic care needs: The Care Advocate Program","volume":"26","author":"Alkema","year":"2003","journal-title":"Family & Community Health"},{"issue":"2","key":"10.1016\/j.archger.2025.106077_bib0003","doi-asserted-by":"crossref","first-page":"E61","DOI":"10.1111\/ajag.12512","article-title":"Factors influencing decision-making processes for unwell residents in residential aged care: Hospital transfer or Residential InReach referral?","volume":"37","author":"Amadoru","year":"2018","journal-title":"Australasian Journal on Ageing"},{"issue":"5","key":"10.1016\/j.archger.2025.106077_bib0004","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1093\/geront\/36.5.701","article-title":"Long-term care case management: A look at alternative models","volume":"36","author":"Applebaum","year":"1996","journal-title":"Gerontologist"},{"issue":"15","key":"10.1016\/j.archger.2025.106077_bib0005","doi-asserted-by":"crossref","first-page":"2217","DOI":"10.3390\/healthcare11152217","article-title":"Towards cultural adequacy of experience-based design: A qualitative evaluation of community-integrated intermediary care to enhance the Family-based long-term care for Thai older adults","volume":"11","author":"Aung","year":"2023","journal-title":"Healthcare (Basel)"},{"issue":"4","key":"10.1016\/j.archger.2025.106077_bib0006","first-page":"172","article-title":"Care coordination in managed care. Creating a quality continuum for high risk elderly patients","volume":"3","author":"Bailey","year":"1998","journal-title":"Nursing Case Management"},{"issue":"6","key":"10.1016\/j.archger.2025.106077_bib0007","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1007\/s10916-015-0252-0","article-title":"Use of information technology for medication management in residential care facilities: Correlates of facility characteristics","volume":"39","author":"Bhuyan","year":"2015","journal-title":"Journal of Medical Systems"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0008","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1186\/s12913-019-4747-0","article-title":"Neighbourhood Team Development to promote resident centred approaches in nursing homes: A protocol for a multi component intervention","volume":"19","author":"Boscart","year":"2019","journal-title":"BMC Health Services Research"},{"issue":"2","key":"10.1016\/j.archger.2025.106077_bib0009","doi-asserted-by":"crossref","DOI":"10.2196\/10697","article-title":"Tool to facilitate caregiving for home-dwelling frail older persons in the Netherlands: Mixed-methods study","volume":"1","author":"Breebaart","year":"2018","journal-title":"JMIR Aging"},{"issue":"2","key":"10.1016\/j.archger.2025.106077_bib0010","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgh-2021-007778","article-title":"Implementing care for healthy ageing","volume":"7","author":"Cesari","year":"2022","journal-title":"BMJ Glob Health"},{"issue":"2\u20133","key":"10.1016\/j.archger.2025.106077_bib0011","first-page":"83","article-title":"National consistency and provincial diversity in delivery of long-term care in Canada","volume":"13","author":"Chan","year":"2001","journal-title":"Journal of Aging & Social Policy"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0012","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1089\/153056203322502650","article-title":"Opening a window of opportunity through technology and coordination: A multisite case study","volume":"9","author":"Cherry","year":"2003","journal-title":"Telemedicine Journal and E-Health"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0013","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1186\/s12877-019-1172-5","article-title":"From fragmentation toward integration: A preliminary study of a new long-term care policy in a fast-aging country","volume":"19","author":"Chiu","year":"2019","journal-title":"BMC Geriatrics"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0014","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1300\/J027v09n01_02","article-title":"Organizing and delivering case management services: Lessons from the National Long Term Care Channeling Demonstration","volume":"9","author":"Christianson","year":"1988","journal-title":"Home Health Care Services Quarterly"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0015","doi-asserted-by":"crossref","first-page":"455","DOI":"10.2190\/FYP6-DLWY-WKKT-6NNJ","article-title":"European models of long-term care in the home and community","volume":"25","author":"Coleman","year":"1995","journal-title":"International Journal of Health Services"},{"issue":"5","key":"10.1016\/j.archger.2025.106077_bib0016","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1093\/geront\/gns154","article-title":"Palliative care for long-term care residents: Effect on clinical outcomes","volume":"53","author":"Comart","year":"2013","journal-title":"Gerontologist"},{"key":"10.1016\/j.archger.2025.106077_bib0017","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.maturitas.2018.08.014","article-title":"Reducing emergency presentations from long-term care: A before-and-after study of a multidisciplinary team intervention","volume":"117","author":"Connolly","year":"2018","journal-title":"Maturitas"},{"issue":"5","key":"10.1016\/j.archger.2025.106077_bib0019","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1111\/1475-6773.00176","article-title":"How state-funded home care programs respond to changes in Medicare home health care: Resource allocation decisions on the front line","volume":"38","author":"Corazzini","year":"2003","journal-title":"Health Services Research"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0020","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1186\/s13012-022-01245-0","article-title":"The updated Consolidated Framework for Implementation Research based on user feedback","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implementation Science"},{"issue":"10","key":"10.1016\/j.archger.2025.106077_bib0021","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1089\/tmj.2008.0021","article-title":"Care Coordination\/Home Telehealth: The systematic implementation of health informatics, home telehealth, and disease management to support the care of veteran patients with chronic conditions","volume":"14","author":"Darkins","year":"2008","journal-title":"Telemedicine Journal and E-Health"},{"issue":"6","key":"10.1016\/j.archger.2025.106077_bib0022","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1007\/s11606-021-07158-w","article-title":"Care coordination models and tools-systematic review and key informant interviews","volume":"37","author":"Duan-Porter","year":"2022","journal-title":"Journal of General Internal Medicine"},{"key":"10.1016\/j.archger.2025.106077_bib0032","doi-asserted-by":"crossref","unstructured":"Esaki, K., Azuma, M., Komiyama, T. (2013). Introduction of Quality Requirement and Evaluation Based on ISO\/IEC SQuaRE Series of Standard. In Yuan, Y., Wu, X., Lu, Y. (Eds.), Trustworthy Computing and Services. ISCTCS 2012. Communications in Computer and Information Science (94-101). Springer, Berlin, Heidelberg. 10.1007\/978-3-642-35795-4_12.","DOI":"10.1007\/978-3-642-35795-4_12"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0023","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1177\/0898264302239027","article-title":"Managed long-term care: Care integration through care coordination","volume":"15","author":"Fisher","year":"2003","journal-title":"Journal of Aging and Health"},{"key":"10.1016\/j.archger.2025.106077_bib0024","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1186\/1471-2318-12-54","article-title":"Aged Residential Care Health Utilisation Study (ARCHUS): A randomised controlled trial to reduce acute hospitalisations from residential aged care","volume":"12","author":"Foster","year":"2012","journal-title":"BMC Geriatrics"},{"issue":"4","key":"10.1016\/j.archger.2025.106077_bib0025","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1177\/07334648221142014","article-title":"Improving care coordination between Veterans Health Administration primary care teams and Community Home Health aide providers: A qualitative study","volume":"42","author":"Franzosa","year":"2023","journal-title":"Journal of Applied Gerontology"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0026","first-page":"57","article-title":"An effective, efficient elder care program. Providence ElderPlace focuses on maintaining the continuum of care","volume":"74","author":"Gorshe","year":"1993","journal-title":"Health Progress"},{"issue":"2","key":"10.1016\/j.archger.2025.106077_bib0027","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1080\/08959420.2012.659113","article-title":"Care coordination for dually eligible medicare-medicaid beneficiaries under the affordable care act","volume":"24","author":"Grabowski","year":"2012","journal-title":"Journal of Aging & Social Policy"},{"issue":"9","key":"10.1016\/j.archger.2025.106077_bib0028","doi-asserted-by":"crossref","first-page":"1432","DOI":"10.1377\/hlthaff.2018.0452","article-title":"Beneficiaries respond to California\u2019s program to integrate Medicare, Medicaid, and long-term services","volume":"37","author":"Graham","year":"2018","journal-title":"Health Aff (Millwood)"},{"issue":"8","key":"10.1016\/j.archger.2025.106077_bib0029","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1016\/j.jamda.2020.03.003","article-title":"The feasibility of using electronic consultation in long-term care homes","volume":"21","author":"Helmer-Smith","year":"2020","journal-title":"Journal of the American Medical Directors Association"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0030","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5334\/ijic.5434","article-title":"Integrated care for older adults: A struggle for sustained implementation in Northern Netherlands","volume":"20","author":"Holterman","year":"2020","journal-title":"International Journal of Integrated Care"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0031","doi-asserted-by":"crossref","first-page":"21","DOI":"10.14302\/issn.2474-7785.jarh-16-1123","article-title":"COLLAGE 360: A model of person-centered care to promote health among older adults","volume":"1","author":"Howard","year":"2016","journal-title":"Journal of Aging Research and Healthcare"},{"key":"10.1016\/j.archger.2025.106077_bib0018","unstructured":"Consolidated Framework for Implementation Research (CFIR). (2023). Updated CFIR x ERIC matching file. Retrieved from https:\/\/cfirguide.org\/download-updated-cfirxeric-matching-file\/. Accessed October 13, 2025."},{"key":"10.1016\/j.archger.2025.106077_bib0033","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijnurstu.2024.104862","article-title":"Outcomes of advanced care management in home-based long-term care: A retrospective population-based observational study","volume":"158","author":"Itoh","year":"2024","journal-title":"International Journal of Nursing Studies"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0035","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1002\/gps.819","article-title":"International experiments in integrated care for the elderly: A synthesis of the evidence","volume":"18","author":"Johri","year":"2003","journal-title":"International Journal of Geriatric Psychiatry"},{"issue":"11","key":"10.1016\/j.archger.2025.106077_bib0036","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0204342","article-title":"Recommended long term care settings following aged care assessments in Australia","volume":"13","author":"Jukic","year":"2018","journal-title":"PLoS One"},{"issue":"2","key":"10.1016\/j.archger.2025.106077_bib0037","first-page":"41","article-title":"Managed-care projects strive for affordable long-term care","volume":"21","author":"Kenkel","year":"1991","journal-title":"Modern Healthcare"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0038","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1186\/s12913-023-09718-8","article-title":"Continuity and care coordination of primary health care: A scoping review","volume":"23","author":"Khatri","year":"2023","journal-title":"BMC Health Services Research"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0039","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1186\/s12877-017-0459-7","article-title":"Evaluation of a technology-enhanced integrated care model for frail older persons: Protocol of the SPEC study, a stepped-wedge cluster randomized trial in nursing homes","volume":"17","author":"Kim","year":"2017","journal-title":"BMC Geriatrics"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0040","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1186\/s12913-022-08583-1","article-title":"Continuity of care for older adults in a Canadian long-term care setting: A qualitative study","volume":"22","author":"King","year":"2022","journal-title":"BMC Health Services Research"},{"issue":"5","key":"10.1016\/j.archger.2025.106077_bib0041","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1111\/j.1365-2524.2006.00655.x","article-title":"Whole-system approaches to health and social care partnerships for the frail elderly: An exploration of North American models and lessons","volume":"14","author":"Kodner","year":"2006","journal-title":"Health & Social Care in the Community"},{"key":"10.1016\/j.archger.2025.106077_bib0042","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1186\/s13033-019-0311-x","article-title":"Insights into the system of care of the elderly with mental disorders from the perspective of informal caregivers in Lithuania","volume":"13","author":"Kontrimiene","year":"2019","journal-title":"International Journal of Mental Health Systems"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0043","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1089\/jpm.2019.0110","article-title":"Using nurse care managers trained in the serious illness conversation guide to increase goals-of-care conversations in an accountable care organization","volume":"23","author":"Lally","year":"2020","journal-title":"Journal of Palliative Medicine"},{"key":"10.1016\/j.archger.2025.106077_bib0044","first-page":"1","article-title":"Collaborate across silos: Perceived barriers to integration of care for the elderly from the perspectives of service providers","author":"Lau","year":"2018","journal-title":"Int. J. Health Plan. Manag."},{"issue":"5","key":"10.1016\/j.archger.2025.106077_bib0045","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1111\/1475-6773.13936","article-title":"Effects of a nursing home telehealth program on spending and utilization for Medicare residents","volume":"57","author":"Li","year":"2022","journal-title":"Health Services Research"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0046","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.healthpol.2016.01.014","article-title":"The policy and politics of the 2015 long-term care reform in the Netherlands","volume":"120","author":"Maarse","year":"2016","journal-title":"Health Policy"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0047","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00006216-200004000-00003","article-title":"Aging in place: A new model for long-term care","volume":"24","author":"Marek","year":"2000","journal-title":"Nursing Administration Quarterly"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0048","first-page":"e129","article-title":"Care by design: New model of coordinated on-site primary and acute care in long-term care facilities","volume":"61","author":"Marshall","year":"2015","journal-title":"Canadian Family Physician"},{"key":"10.1016\/j.archger.2025.106077_bib0049","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.5334\/ijic.39","article-title":"Long-term care insurance and integrated care for the aged in Japan","volume":"1","author":"Matsuda","year":"2001","journal-title":"International Journal of Integrated Care"},{"key":"10.1016\/j.archger.2025.106077_bib0050","article-title":"Care Coordination Atlas version 4 (Prepared by Stanford University under subcontract to American Institutes for Research on Contract No. HHSA290-2010-00005I)","author":"McDonald","year":"2014","journal-title":"AHRQ publication No. 14-0037- EF. Rockville, MD: Agency for Healthcare Research and Quality"},{"issue":"2\u20133","key":"10.1016\/j.archger.2025.106077_bib0051","first-page":"185","article-title":"Organization and delivery of long-term care in Singapore: Present issues and future challenges","volume":"13","author":"Mehta","year":"2001","journal-title":"Journal of Aging & Social Policy"},{"issue":"2\u20133","key":"10.1016\/j.archger.2025.106077_bib0052","first-page":"53","article-title":"The Program of All-Inclusive Care for the Elderly (PACE): An innovative long-term care model in the United States","volume":"13","author":"Mui","year":"2001","journal-title":"Journal of Aging & Social Policy"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0053","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.jamda.2013.12.005","article-title":"The Interventions to Reduce Acute Care Transfers (INTERACT) quality improvement program: An overview for medical directors and primary care clinicians in long term care","volume":"15","author":"Ouslander","year":"2014","journal-title":"Journal of the American Medical Directors Association"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0054","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1300\/J031v17n03_04","article-title":"Long-term care insurance in Japan","volume":"17","author":"Ozawa","year":"2005","journal-title":"Journal of Aging & Social Policy"},{"key":"10.1016\/j.archger.2025.106077_bib0055","unstructured":"Parliament of Australia. Chapter 4 - coordinated care trial. Retrieved from https:\/\/www.aph.gov.au\/parliamentary_business\/committees\/senate\/community_affairs\/completed_inquiries\/1999-02\/pubhosp\/report\/c04. Accessed February 14, 2025."},{"issue":"6","key":"10.1016\/j.archger.2025.106077_bib0056","first-page":"306","article-title":"Comparing aging in place to home health care: Impact of nurse care coordination on utilization and costs","volume":"33","author":"Popejoy","year":"2015","journal-title":"Nursing Economic"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0057","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1017\/dmp.2020.211","article-title":"Long-term care planning, preparedness, and response among rural Long-term care providers","volume":"16","author":"Radcliff","year":"2022","journal-title":"Disaster Medicine and Public Health Preparedness"},{"issue":"2","key":"10.1016\/j.archger.2025.106077_bib0058","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1089\/pop.2013.0017","article-title":"Results of the promoting effective advance care planning for elders (PEACE) randomized pilot study","volume":"17","author":"Radwany","year":"2014","journal-title":"Population Health Management"},{"issue":"10","key":"10.1016\/j.archger.2025.106077_bib0059","doi-asserted-by":"crossref","first-page":"1780","DOI":"10.1111\/j.1532-5415.2005.53515.x","article-title":"Computerized physician order entry with clinical decision support in the long-term care setting: Insights from the Baycrest Centre for Geriatric Care","volume":"53","author":"Rochon","year":"2005","journal-title":"Journal of the American Geriatrics Society"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0060","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1186\/s12913-023-09750-8","article-title":"Modes and models of care delivery in municipal long-term care services: A cross-sectional study from Norway","volume":"23","author":"Rostad","year":"2023","journal-title":"BMC Health Services Research"},{"issue":"2","key":"10.1016\/j.archger.2025.106077_bib0061","first-page":"73","article-title":"Care management in long-term care insurance: Meeting the needs of policyholders?","volume":"4","author":"Scharlach","year":"2003","journal-title":"Care Management Journal"},{"issue":"1\u20132","key":"10.1016\/j.archger.2025.106077_bib0062","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1177\/2053435414540615","article-title":"What is care coordination?","volume":"17","author":"Schultz","year":"2014","journal-title":"International Journal of Care Coordination"},{"key":"10.1016\/j.archger.2025.106077_bib0063","series-title":"Evaluation of the diffusion and impact of the chronic care management (CCM) services: final report","author":"Schurrer","year":"2017"},{"issue":"3","key":"10.1016\/j.archger.2025.106077_bib0065","first-page":"157","article-title":"Changing patterns of care coordination within old-age services in England","volume":"11","author":"Sutcliffe","year":"2010","journal-title":"Care Management Journal"},{"issue":"11","key":"10.1016\/j.archger.2025.106077_bib0066","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0207109","article-title":"Experiences of case managers in providing person-centered and integrated care based on the Chronic Care Model: A qualitative study on embrace","volume":"13","author":"Uittenbroek","year":"2018","journal-title":"PLoS One"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0067","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1111\/jgs.13141","article-title":"The optimizing patient transfers, impacting medical quality, andImproving symptoms:Transforming Institutional Care approach: Preliminary data from the implementation of a Centers for Medicare and Medicaid Services nursing facility demonstration project","volume":"63","author":"Unroe","year":"2015","journal-title":"Journal of the American Geriatrics Society"},{"issue":"6","key":"10.1016\/j.archger.2025.106077_bib0068","doi-asserted-by":"crossref","DOI":"10.1016\/j.jamda.2024.02.014","article-title":"Geriatric team health care pathways\u201d: An organizational innovation to enhance care pathways of long-term care facilities\u2019 Residents in the French region of Occitania","volume":"25","author":"Villars","year":"2024","journal-title":"Journal of the American Medical Directors Association"},{"issue":"1","key":"10.1016\/j.archger.2025.106077_bib0069","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s13012-019-0892-4","article-title":"Choosing implementation strategies to address contextual barriers: Diversity in recommendations and future directions","volume":"14","author":"Waltz","year":"2019","journal-title":"Implementation Science"},{"key":"10.1016\/j.archger.2025.106077_bib0070","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/1471-2318-11-24","article-title":"Design of a randomized controlled study of a multi-professional and multidimensional intervention targeting frail elderly people","volume":"11","author":"Wilhelmson","year":"2011","journal-title":"BMC Geriatrics"},{"key":"10.1016\/j.archger.2025.106077_bib0072","unstructured":"World Health Organization. (2024). Long-term care financing: lessons for low- and middle-income settings: Brief 1. Drivers of the demand for long-term care. World Health Organization. Retrieved from https:\/\/www.who.int\/publications\/b\/71556. Accessed March 31, 2025."},{"key":"10.1016\/j.archger.2025.106077_bib0071","unstructured":"World Health Organization. (2021). Framework for countries to achieve an integrated continuum of long-term care. World Health Organization. Retrieved from https:\/\/iris.who.int\/handle\/10665\/349911. Accessed April 30, 2025."},{"key":"10.1016\/j.archger.2025.106077_bib0034","unstructured":"Japan Health Policy NOW (JHPN) (2015). Japanese Health Policy: Japan\u2019s long-term care insurance system. Retrieved from https:\/\/japanhpn.org\/en\/section-3-2\/. Accessed October 27, 2025."},{"key":"10.1016\/j.archger.2025.106077_bib0073","first-page":"83","article-title":"Case management in the social health maintenance organization demonstrations","author":"Yordi","year":"1988","journal-title":"Health Care Financing Review"}],"container-title":["Archives of Gerontology and Geriatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0167494325003346?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0167494325003346?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:33:28Z","timestamp":1778502808000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0167494325003346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":72,"alternative-id":["S0167494325003346"],"URL":"https:\/\/doi.org\/10.1016\/j.archger.2025.106077","relation":{},"ISSN":["0167-4943"],"issn-type":[{"value":"0167-4943","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"An overview of care coordination elements for older adults with long-term care needs: A narrative review","name":"articletitle","label":"Article Title"},{"value":"Archives of Gerontology and Geriatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.archger.2025.106077","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"106077"}}