Sustainability and Well-being in Geriatrics: proposing a performance-based approach for the implementation of geriatric care activities


The evaluation and measurement of Sustainable Development and Well-being represent a widespread emerging theme in healthcare, especially concerning, among others, the concepts of social equity and universality of health from an intergenerational perspective. To achieve such goals, Geriatrics would play a prominent role, especially considering the growing portion of the senior population in developed countries. This work intends to explore the possibility to connect Sustainable Development Goals and dimensions of Well-being to a set of performance indicators which are representative of geriatric activities in different settings of care. To this purpose, a pattern of indicators from Emilia- Romagna Region (RER) in Italy is considered. Furthermore, a range of Transitional Care interventions is discussed and proposed in order to ameliorate (or keep stable) the performance.



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ISTAT. Indicatori Demografici anno 2019 Report; 2020. Available from:

Crimmins EM, Beltrán-Sánchez H. Mortality and morbidity trends: is there compression of morbidity? J Gerontol B Psychol Sci Soc Sci 2011;66:75-86. DOI:

George G, Jell C, Todd BS. Effect of population ageing on emergency department speed and efficiency: a historical perspective from a district general hospital in the UK. Emerg Med J 2006;23:379-83. DOI:

Partridge JS, Collingridge G, Gordon AL, et al. Where are we in perioperative medicine for older surgical patients? A UK survey of geriatric medicine delivered services in surgery. Age Ageing 2014;43:721-4. DOI:

Bo M, Fonte G, Pivaro F et al. Prevalence of and factors associated with prolonged length of stay in older hospitalized medical patients. Geriatr Gerontol Int 2016;16:314-321. DOI:

Carpentieri G, Guida C, Masoumi HE. Multimodal accessibility to primary health services for the elderly: A case study of Naples, Italy. Sustainability 2020;12:781. DOI:

Marchetti G, Simonelli M, Dente MG et al. Accessibility to health services in Italy and in the world. Eur J Public Health, 2020;30:ckaa166-1398. DOI:

United Nations. Sustainable Development. Available from:

Murray CJ. Shifting to Sustainable Development Goals - implications for global health. New Engl J Med 2015;373:1390-3. DOI:

Hogan DR, Stevens GA, Hosseinpoor AR, Boerma T. Monitoring universal health coverage within the Sustainable Development Goals: development and baseline data for an index of essential health services. Lancet Glob Health, 2018;6:e152-68. DOI:

Fullman N, Barber RM, Abajobir AA, et al. Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016. Lancet, 2017;390:1423-59. DOI:

United Nations. Measuring progress towards the SDGs. Available from:

ISTAT. Rapporto Sdgs 2020. Informazioni Statistiche Per L’agenda 2030 In Italia. Available from:

ASviS. Rapporto ASviS 2020. I territori e gli Obiettivi di Sviluppo sostenibile. Available from:

Alaimo LS, Maggino F. Sustainable development goals indicators at territorial level: Conceptual and methodological issues - The Italian perspective. Soc Indic Res 2020;147:383-419. DOI:

ISTAT. BES 2019. Il Benessere Equo e Sostenibile in Italia. Available from:

Bacchini F, Baldazzi B, Di Biagio L. The evolution of composite indices of well-being: An application to Italy. Ecol Indic 2020;117:106603. DOI:

ISTAT. Le differenze territoriali di benessere. Una lettura a livello provinciale; 2019. Available from:

Papi L, Ievoli R, Gobbo G, et al. Performance governance per la generazione di Valore Pubblico in sanità. Evidenze empiriche dalle aziende sanitarie dell’Emilia-Romagna. Mecosan 2021;117:27-58. DOI:

Zurlo A, Bellelli G. Orthogeriatrics in Italy: the Gruppo Italiano di Ortogeriatria (GIOG) audit on hip fractures in the elderly. Geriatric Care 2018;4:7726. DOI:

Coleman EA, Boult C. Improving the quality of transitional care for persons with complex care needs: Position statement of the American Geriatrics Society Health Care Systems Committee. J Am Ger Soc 2003;51:556-7. DOI:

Pines JM, Mullins PM, Cooper JK, et al. National trends in emergency department use, care patterns, and quality of care of older adults in the United States. J Am Ger Soc 2013;61:12-7. DOI:

Gonçalves‐Bradley DC, Lannin NA, Clemson LM et al. Discharge planning from hospital. Cochrane Database Syst Rev 2016;1. DOI:

ISTAT-ISS. Impatto dell’epidemia COVID-19 sulla mortalità totale della popolazione residente; 2021 Available from:

ISTAT. BES 2020. Il Benessere Equo e Sostenibile in Italia. Available from:

Original Articles
Continuity of care, transitional care, sustainability, well-being, performance.
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How to Cite
Mazza, L., & Ievoli, R. (2021). Sustainability and Well-being in Geriatrics: proposing a performance-based approach for the implementation of geriatric care activities. Geriatric Care, 7(2).