Abstract:
The rapid aging of the population in Brazil, combined with changes in the population's epidemiological profile, has brought demands for health care for older adults, ensuring adequate and dignified care, while promoting autonomy and independence for as long as possible. Considering the Unified Health System's guidelines for prioritizing actions and services and structuring health care networks, with primary health care (PHC) as the system's entry point, where care should begin with a multidimensional assessment that encompasses clinical, psychosocial, and functional dimensions, this scoping review sought to analyze the scientific literature in national and international literature on the implementation of the multidimensional assessment of older adults (MPIA). The Joanna Briggs methodology was used, with a survey of the following databases: Virtual Health Library (VHL), U.S. National Library of Medicine (PubMed), SCIELO Web Science, and gray literature, using the descriptors "aged," "elderly," "frail elderly," "primary care," "primary health care," "geriatric assessment," "multidimensional assessment" and the Boolean operators, "AND" (restrictive combination) and "OR" (additive combination). Inclusion criteria were empirical research with primary and secondary data, experience reports, dissertations, theses, and electronically available articles published in full in English, Spanish, and Portuguese, in Brazil and worldwide, from 2014 onward.Duplicate articles, review articles, studies with life cycles up to 59 years, those outside the PHC context, and those that did not address the implementation of the AMPI with variables were excluded. The results identified several instruments and provided in-depth insights into their limitations and potential, highlighting the need to redesign care for older adults, including actions necessary to ensure healthy aging and a good quality of life. Recommendations were developed as guidance; however, the need for research with a higher level of scientific evidence, particularly regarding the perceptions of managers in this implementation process, is highlighted.
