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. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. Study protocol

    Supporting clinical rules engine in the adjustment of medication (SCREAM): protocol of a multicentre, prospective, randomised study

    In the nursing home population, it is estimated that 1 in every 3 patients is polymedicated and given their considerable frailty, these patients are especially prone to adverse drug reactions. Clinical pharmac...

    Carlota Mestres Gonzalvo, Hugo A. J. M. de Wit, Brigit P. C. van Oijen, Kim P. G. M. Hurkens, Rob Janknegt, Jos M. G. A. Schols, Wubbo J. Mulder, Frans R. Verhey, Bjorn Winkens and Paul-Hugo M. van der Kuy

    BMC Geriatrics 2017 17:35

    Published on: 26 January 2017

  12. Research Article

    Variation in use of antipsychotic medications in nursing homes in the United States: A systematic review

    The use of antipsychotic medications (APMs) in nursing home residents in the U.S. is an increasingly prominent issue and has been associated with increased risk of hospitalization, cardiovascular events, hip f...

    Hannah Cioltan, Samah Alshehri, Carol Howe, Jeannie Lee, Mindy Fain, Howard Eng, Kenneth Schachter and Jane Mohler

    BMC Geriatrics 2017 17:32

    Published on: 26 January 2017

  13. Research Article

    How does washing without water perform compared to the traditional bed bath: a systematic review

    For immobile patients, a body wash in bed is sometimes the only bathing option. Traditionally, the bed bath is performed with water and soap. However, alternatives are increasingly used in health care. Washing...

    Fabian M. V. Groven, Sandra M. G. Zwakhalen, Gaby Odekerken-Schröder, Erik J. T. Joosten and Jan P. H. Hamers

    BMC Geriatrics 2017 17:31

    Published on: 25 January 2017

  14. Research Article

    The use of physical restraints in long-term care in Spain: a multi-center cross-sectional study

    Physical restraint is a procedure used frequently in long-term care. It is a controversial practice because its use is associated with numerous complications and also affects freedom and individual autonomy. T...

    Gabriel J. Estévez-Guerra, Emilio Fariña-López, Eduardo Núñez-González, Manuel Gandoy-Crego, Fernando Calvo-Francés and Elizabeth A. Capezuti

    BMC Geriatrics 2017 17:29

    Published on: 21 January 2017

  15. Research Article

    Prioritizing problems in and solutions to homecare safety of people with dementia: supporting carers, streamlining care

    Dementia care is predominantly provided by carers in home settings. We aimed to identify the priorities for homecare safety of people with dementia according to dementia health and social care professionals us...

    Lorainne Tudor Car, Mona El-Khatib, Robert Perneczky, Nikolaos Papachristou, Rifat Atun, Igor Rudan, Josip Car, Charles Vincent and Azeem Majeed

    BMC Geriatrics 2017 17:26

    Published on: 19 January 2017

  16. Study protocol

    Effect of training and structured medication review on medication appropriateness in nursing home residents and on cooperation between health care professionals: the InTherAKT study protocol

    Pharmacotherapy in residents of nursing homes is critical due to the special vulnerability of this population. Medical care and interprofessional communication in nursing homes are often uncoordinated. As a co...

    Angelika Mahlknecht, Nadja Nestler, Ulrike Bauer, Nadine Schüßler, Jochen Schuler, Sebastian Scharer, Ralf Becker, Isabel Waltering, Georg Hempel, Oliver Schwalbe, Maria Flamm and Jürgen Osterbrink

    BMC Geriatrics 2017 17:24

    Published on: 18 January 2017

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