Health services research

Section edited by Koen Milisen

The section considers manuscripts on management of elderly healthcare, practitioner/nursing viewpoints, finance (from a health service perspective), intensive care, systems, emergency care, admissions data/management, prescribing practices/errors, decision making, care homes/facilities, technology.

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  1. Research Article

    Validation and psychometric properties of the commitment to hip protectors (C-HiP) index in long-term care providers of British Columbia, Canada: a cross-sectional survey

    If worn during a fall, hip protectors substantially reduce risk for hip fracture. However, a major barrier to their clinical efficacy is poor user adherence. In long-term care, adherence likely depends on how ...

    Alexandra M.B. Korall, Judith Godin, Fabio Feldman, Ian D. Cameron, Pet-Ming Leung, Joanie Sims-Gould and Stephen N. Robinovitch

    BMC Geriatrics 2017 17:103

    Published on: 3 May 2017

  2. Research Article

    Setting-related influences on physical inactivity of older adults in residential care settings: a review

    Despite the detrimental effects of physical inactivity for older adults, especially aged residents of residential care settings may spend much time in inactive behavior. This may be partly due to their poorer ...

    Johanna G. Douma, Karin M. Volkers, Gwenda Engels, Marieke H. Sonneveld, Richard H.M. Goossens and Erik J.A. Scherder

    BMC Geriatrics 2017 17:97

    Published on: 28 April 2017

  3. Research Article

    Variation in GP decisions on antihypertensive treatment in oldest-old and frail individuals across 29 countries

    In oldest-old patients (>80), few trials showed efficacy of treating hypertension and they included mostly the healthiest elderly. The resulting lack of knowledge has led to inconsistent guidelines, mainly bas...

    Sven Streit, Marjolein Verschoor, Nicolas Rodondi, Daiana Bonfim, Robert A. Burman, Claire Collins, Gerasimovska Kitanovska Biljana, Sandra Gintere, Raquel Gómez Bravo, Kathryn Hoffmann, Claudia Iftode, Kasper L. Johansen, Ngaire Kerse, Tuomas H. Koskela, Sanda Kreitmayer Peštić, Donata Kurpas…

    BMC Geriatrics 2017 17:93

    Published on: 20 April 2017

  4. Study protocol

    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

    Limited evidence exists on the effectiveness of the chronic care model for people with multimorbidity. This study aims to evaluate the effectiveness of an information and communication technology- (ICT-)enhanc...

    Hongsoo Kim, Yeon-Hwan Park, Young-il Jung, Hyoungshim Choi, Seyune Lee, Gi-Soo Kim, Dong-wook Yang, Myunghee Cho Paik and Tae-Jin Lee

    BMC Geriatrics 2017 17:88

    Published on: 18 April 2017

    The Erratum to this article has been published in BMC Geriatrics 2017 17:106

  5. Study protocol

    Perspectives of Frailty and Frailty Screening: Protocol for a Collaborative Knowledge Translation Approach and Qualitative Study of Stakeholder Understandings and Experiences

    Accompanying the unprecedented growth in the older adult population worldwide is an increase in the prevalence of frailty, an age-related clinical state of increased vulnerability to stressor events. This incr...

    Mandy M. Archibald, Rachel Ambagtsheer, Justin Beilby, Mellick J. Chehade, Tiffany K. Gill, Renuka Visvanathan and Alison L. Kitson

    BMC Geriatrics 2017 17:87

    Published on: 17 April 2017

  6. Study protocol

    A qualitative study protocol of ageing carers’ caregiving experiences and their planning for continuation of care for their immediate family members with intellectual disability

    Understanding the difficulties and needs of the family carers in taking care of a person with ID can facilitate the development of appropriate intervention programmes and services to strengthen their caring ca...

    Lisa Pau Le Low, Wai Tong Chien, Lai Wah Lam and Kayla Ka Yin Wong

    BMC Geriatrics 2017 17:81

    Published on: 7 April 2017

  7. Study protocol

    A structure, process and outcome evaluation of the Geriatric Emergency Department Intervention model of care: a study protocol

    Emergency departments are chaotic environments in which complex, frail older persons living in the community and residential aged care facilities are sometimes subjected to prolonged emergency department lengt...

    Elizabeth Marsden, Andrea Taylor, Marianne Wallis, Alison Craswell, Marc Broadbent, Adrian Barnett, Kim-Huong Nguyen, Julia Crilly, Colleen Johnston and Amanda Glenwright

    BMC Geriatrics 2017 17:76

    Published on: 23 March 2017

  8. Research Article

    External validation of the Vulnerable Elder’s Survey for predicting mortality and emergency admission in older community-dwelling people: a prospective cohort study

    Prospective external validation of the Vulnerable Elder’s Survey (VES-13) in primary care remains limited. The aim of this study is to externally validate the VES-13 in predicting mortality and emergency admis...

    Emma Wallace, Ronald McDowell, Kathleen Bennett, Tom Fahey and Susan M. Smith

    BMC Geriatrics 2017 17:69

    Published on: 20 March 2017

  9. Research Article

    Geriatric support in the emergency department: a national survey in Belgium

    Older people in the emergency department (ED) represent a growing population and increasing proportion of the workload in the ED. This study investigated the support for frail older people in the ED, by explor...

    Els Devriendt, Isabelle De Brauwer, Lies Vandersaenen, Pieter Heeren, Simon Conroy, Benoit Boland, Johan Flamaing, Marc Sabbe and Koen Milisen

    BMC Geriatrics 2017 17:68

    Published on: 16 March 2017

  10. Study protocol

    Problem-solving in caregiver-counselling (PLiP Study): study protocol of a cluster randomized pragmatic trial

    Despite the positive evaluation of various caregiver interventions over the past 3 decades, only very few intervention protocols have been translated to delivery in service contexts. The purpose of this study ...

    Klaus Pfeiffer, Martin Hautzinger, Margarete Patak, Julia Grünwald, Clemens Becker and Diana Albrecht

    BMC Geriatrics 2017 17:64

    Published on: 6 March 2017

  11. Research Article

    Systematic pain assessment in nursing homes: a cluster-randomized trial using mixed-methods approach

    Chronic pain affects nursing home residents’ daily life. Pain assessment is central to adequate pain management. The overall aim was to investigate effects of a pain management intervention on nursing homes re...

    Anna-Greta Mamhidir, Britt-Marie Sjölund, Birgitta Fläckman, Anders Wimo, Anders Sköldunger and Maria Engström

    BMC Geriatrics 2017 17:61

    Published on: 28 February 2017

  12. Study protocol

    Effects and meanings of a person-centred and health-promoting intervention in home care services - a study protocol of a non-randomised controlled trial

    The literature indicates that current home care service are largely task oriented with limited focus on the involvement of the older people themselves, and studies show that lack of involvement might reduce ol...

    Karin Bölenius, Kristina Lämås, Per-Olof Sandman and David Edvardsson

    BMC Geriatrics 2017 17:57

    Published on: 16 February 2017

  13. Research Article

    Drug-based pain management for people with dementia after hip or pelvic fractures: a systematic review

    Studies indicate that people with dementia do not receive the same amount of analgesia after a hip or pelvic fracture compared to those without cognitive impairment. However, there is no systematic review that...

    Kai Moschinski, Silke Kuske, Silke Andrich, Astrid Stephan, Irmela Gnass, Erika Sirsch and Andrea Icks

    BMC Geriatrics 2017 17:54

    Published on: 14 February 2017

  14. Research Article

    Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: a prospective controlled trial

    Care of frail and dependent older adults with multiple chronic conditions is a major challenge for health care systems. The study objective was to test the efficacy of providing integrated care at home to redu...

    Laura Di Pollina, Idris Guessous, Véronique Petoud, Christophe Combescure, Bertrand Buchs, Philippe Schaller, Michel Kossovsky and Jean-Michel Gaspoz

    BMC Geriatrics 2017 17:53

    Published on: 14 February 2017

  15. Research Article

    Longevity and gender as the risk factors of methicillin-resistant Staphylococcus aureus infections in southern Poland

    The proportion of older people among the general population has risen. Staphylococcus aureus (SA) constitutes a significant problem. Underlying disease and functional debility, predispose the older adult to staph...

    Monika Pomorska-Wesołowska, Anna Różańska, Joanna Natkaniec, Barbara Gryglewska, Anna Szczypta, Mirosława Dzikowska, Agnieszka Chmielarczyk and Jadwiga Wójkowska-Mach

    BMC Geriatrics 2017 17:51

    Published on: 10 February 2017

  16. Research article

    Managing multiple chronic conditions in the community: a Canadian qualitative study of the experiences of older adults, family caregivers and healthcare providers

    The prevalence of multiple chronic conditions (MCC) among older persons is increasing worldwide and is associated with poor health status and high rates of healthcare utilization and costs. Current health and ...

    Jenny Ploeg, Nancy Matthew-Maich, Kimberly Fraser, Sinéad Dufour, Carrie McAiney, Sharon Kaasalainen, Maureen Markle-Reid, Ross Upshur, Laura Cleghorn and Anna Emili

    BMC Geriatrics 2017 17:40

    Published on: 31 January 2017

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