International Journal of Clinical Case Reports, 2025, Vol.15, No.5, 200-208 http://medscipublisher.com/index.php/ijccr 205 For instance, a systematic review revealed that only approximately 7% of the evaluations involved environmental and personal factors, while the vast majority of the rest still focused on physical functions. This situation suggests that it is necessary to develop tools that better reflect cultural differences and individual circumstances, so as to more accurately assess the fall risk of different groups of people. Figure 1 Nomogram used to quantitatively predict the risk of falls in the older individuals (Adopted from Liang et al., 2025) 6.2 Application limitations: insufficient personnel training and lack of resources When promoting fall risk assessment tools in the community, there are often constraints such as insufficient staff training and limited resources. Many tools require certain professional knowledge or operational skills to be used correctly and understand the results, but community health workers often fail to receive adequate training or continuous support (Chalke et al., 2025). These deficiencies can easily lead to inconsistent assessment operations, a decline in the reliability of results, and may affect the timing of early risk identification and intervention. Meanwhile, the limited medical resources in the community, such as insufficient time, manpower and equipment, also restrict the wide application of comprehensive assessment methods. Even tools designed for primary care can be difficult to implement if they require more time, space or materials than in general community environments (Strini et al., 2021). These issues indicate that developing more convenient and user-friendly tools and enhancing personnel training are important directions for improving fall prevention. 6.3 Lack of system integration The current fall risk assessment methods often lack an overall and multi-angle framework. They mainly focus on the physical or functional aspects, while often neglecting the influences in the psychological, social and environmental aspects. Review studies have shown that most tools fail to comprehensively incorporate various risk factors, resulting in insufficiently comprehensive assessment and possibly limiting the actual effect of preventive measures (Strini et al., 2021). The singularity of this assessment perspective weakens the ability to accurately identify high-risk groups, whose falls are usually caused by a combination of multiple factors. At present, there is still a lack of an integrated system that can combine qualitative information (such as patient opinions) with quantitative data, which also reduces the role of existing tools. More and more studies suggest the development of multi-factor assessment methods and more advanced models, such as combining sensor data,
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