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Health services research

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. Informal caregiving for people with dementia can negatively impact caregivers’ health. In Asia-Pacific regions, growing dementia incidence has made caregiver burnout a pressing public health issue. A cross-sec...

    Authors: Crystal Y. Chan, Gary Cheung, Adrian Martinez-Ruiz, Patsy Y. K. Chau, Kailu Wang, E. K. Yeoh and Eliza L. Y. Wong

    Citation: BMC Geriatrics 2021 21:261

    Content type: Research article

    Published on:

  2. Older people living with frailty are often exposed to polypharmacy and potential harm from medications. Targeted deprescribing in this population represents an important component of optimizing medication. Thi...

    Authors: Kinda Ibrahim, Natalie J. Cox, Jennifer M. Stevenson, Stephen Lim, Simon D. S. Fraser and Helen C. Roberts

    Citation: BMC Geriatrics 2021 21:258

    Content type: Research article

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  3. During a disaster, home-based care fills the critical need for continuation of health care. Home-based care is intended to function using existing care delivery models, continuing to provide care for patients ...

    Authors: Sue Anne Bell, Lydia K. Krienke, Sarah Dickey and Raymond G. De Vries

    Citation: BMC Geriatrics 2021 21:235

    Content type: Research article

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  4. The elder population suffered from social, economic, and health (which includes physical) related problems. Thus, these problems are complex and interrelated, thereby requiring specific knowledge and expertise...

    Authors: Erkihun Tadesse Amsalu, Tesfaye Alemayehu Messele and Metadel Adane

    Citation: BMC Geriatrics 2021 21:227

    Content type: Research article

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  5. This study describes the process evaluation of an intervention developed to reduce fear of falling (FoF) after hip fracture, within an inpatient geriatric rehabilitation setting. This ‘FIT-HIP intervention’ is...

    Authors: Maaike N. Scheffers-Barnhoorn, Monica van Eijk, Jos M. G. A. Schols, Romke van Balen, Gertrudis I. J. M. Kempen, Wilco P. Achterberg and Jolanda C. M. van Haastregt

    Citation: BMC Geriatrics 2021 21:224

    Content type: Research article

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  6. Most people with dementia (PwD) are cared for at home, with general practitioners (GPs) playing a key part in the treatment. However, primary dementia care suffers from a number of shortcomings: Often, diagnos...

    Authors: Isabella Bablok, Harald Binder, Dominikus Stelzer, Klaus Kaier, Erika Graf, Julian Wangler, Michael Jansky, Michael Löhr, Michael Schulz, Marie Kockläuner, Katharina Geschke, Alexandra Wuttke-Linnemann, Andreas Fellgiebel and Erik Farin

    Citation: BMC Geriatrics 2021 21:222

    Content type: Study protocol

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  7. Many hospitalized older adults cannot be discharged because they lack the health and social support to meet their post-acute care needs. Transitional care programs (TCPs) are designed to provide short-term and...

    Authors: Katherine S. McGilton, Shirin Vellani, Alexandra Krassikova, Sheryl Robertson, Constance Irwin, Alexia Cumal, Jennifer Bethell, Elaine Burr, Margaret Keatings, Sandra McKay, Kathryn Nichol, Martine Puts, Anita Singh and Souraya Sidani

    Citation: BMC Geriatrics 2021 21:210

    Content type: Research article

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  8. At present, the provision of informal care to older relatives is an essential pillar of the long-term care system in Germany. However, the impact of demographic and social changes on informal caregiving remain...

    Authors: Lea de Jong, Jona Theodor Stahmeyer, Sveja Eberhard, Jan Zeidler and Kathrin Damm

    Citation: BMC Geriatrics 2021 21:207

    Content type: Research article

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  9. The health care situation of geriatric patients is often multifaceted, complex and often overlaps with social living conditions. Due to the lack of cross-sectoral and interprofessional health care geriatric pa...

    Authors: Simone Gloystein, Friederike Thomé, Katja Goetz, Nicole Warkentin, Karola Mergenthal, Fabian Engler, Volker Amelung, Matthias Arnold, Felix Freigang, Ann-Kathrin Klähn, Sonja Laag and Neeltje van den Berg

    Citation: BMC Geriatrics 2021 21:183

    Content type: Study protocol

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  10. Following a hip fracture up to 60% of patients are unable to regain their pre-fracture level of mobility. For hospitalized older adults, the deconditioning effect of bedrest and functional decline has been ide...

    Authors: Lynn Haslam-Larmer, Catherine Donnelly, Mohammad Auais, Kevin Woo and Vincent DePaul

    Citation: BMC Geriatrics 2021 21:181

    Content type: Research article

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  11. Married female caregivers face a higher risk of an informal care burden than other caregivers. No study has explored the effect of socioeconomic status (SES) on the intensity of informal care provided by marri...

    Authors: Yi Wang, Jiajia Li, Lulu Ding, Yuejing Feng, Xue Tang, Long Sun and Chengchao Zhou

    Citation: BMC Geriatrics 2021 21:164

    Content type: Research article

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  12. The impact of dementia for communication skills can result in difficulties in social interactions between people with dementia and their conversation partner, as initiating and maintaining conversations become...

    Authors: Viktoria Hoel, Carine Mendom Feunou and Karin Wolf-Ostermann

    Citation: BMC Geriatrics 2021 21:157

    Content type: Research article

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  13. Older patients suffering from multimorbidity are at high risk of medication nonadherence. It has been well established that self-management support is an effective strategy to enhance medication adherence for ...

    Authors: Chen Yang, Zhaozhao Hui, Dejian Zeng, Song Zhu, Xiuhua Wang, Diana Tze Fan Lee and Sek Ying Chair

    Citation: BMC Geriatrics 2021 21:152

    Content type: Study protocol

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  14. The challenges imposed by ageing populations will confront health care systems in the years to come. Hospital owners are concerned about the increasing number of acute admissions of older citizens and preventi...

    Authors: Anders Fournaise, Jørgen T. Lauridsen, Mickael Bech, Uffe K. Wiil, Jesper B. Rasmussen, Kristian Kidholm, Kurt Espersen and Karen Andersen-Ranberg

    Citation: BMC Geriatrics 2021 21:146

    Content type: Study protocol

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  15. Policy makers and care providers see assistive technology and telecare as potential products to support people with dementia to live independently in their homes and communities. Previous research rarely exami...

    Authors: Matthew Lariviere, Fiona Poland, John Woolham, Stanton Newman and Chris Fox

    Citation: BMC Geriatrics 2021 21:121

    Content type: Research article

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  16. The use of potentially inappropriate medication (PIM) in population of older adults may result in adverse drug events (ADE) already after short term exposure, especially when it is prescribed to patients with ...

    Authors: Safoura Sheikh Rezaei, Hana Šinkovec, Alexander Schöberl, Christoph Rinner, Georg Heinze, Michael Wolzt and Walter Gall

    Citation: BMC Geriatrics 2021 21:117

    Content type: Research article

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  17. Emergency department (ED) care of older patients is often complex. Geriatric ED guidelines can help to meet this challenge. However, training requirements, the use of time-consuming tools for comprehensive ger...

    Authors: Jenny Liu, Therese Palmgren, Sari Ponzer, Italo Masiello and Nasim Farrokhnia

    Citation: BMC Geriatrics 2021 21:115

    Content type: Research article

    Published on:

  18. Prevalence of hearing loss increases with age. Its estimated prevalence is 40–50 % in people over 75 years of age. Recent studies agree that declinein hearing threshold contribute to deterioration in sociality...

    Authors: Domenico Cuda, Sara Ghiselli and Alessandra Murri

    Citation: BMC Geriatrics 2021 21:107

    Content type: Study protocol

    Published on:

  19. Advance care planning (ACP) is a process that enables individuals to describe, in advance, the kind of health care they would want in the future. There is evidence that ACP reduces hospital-based interventions...

    Authors: Michelle B. Cox, Margaret J. McGregor, Madison Huggins, Paige Moorhouse, Laurie Mallery and Katie Bauder

    Citation: BMC Geriatrics 2021 21:97

    Content type: Research article

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  20. Combining observation principles and geriatric care concepts is considered a promising strategy for risk-stratification of older patients with emergency care needs. We aimed to map the structure and processes ...

    Authors: Pieter Heeren, Annabelle Hendrikx, Janne Ceyssens, Els Devriendt, Mieke Deschodt, Didier Desruelles, Johan Flamaing, Marc Sabbe and Koen Milisen

    Citation: BMC Geriatrics 2021 21:95

    Content type: Research article

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  21. Informal caregivers of persons living with dementia have an increased risk of adverse mental health effects. It is therefore important to systematically summarize published literature in order to find out whic...

    Authors: Henrik Wiegelmann, Sarah Speller, Lisa-Marie Verhaert, Liane Schirra-Weirich and Karin Wolf-Ostermann

    Citation: BMC Geriatrics 2021 21:94

    Content type: Research article

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  22. Older adults hospitalized following a fall often encounter preventable adverse events when transitioning from hospital to home. Discharge planning interventions developed to prevent these events do not all pro...

    Authors: Véronique Provencher, Monia D’Amours, Matthew Menear, Natasa Obradovic, Nathalie Veillette, Marie-Josée Sirois and Marie-Jeanne Kergoat

    Citation: BMC Geriatrics 2021 21:84

    Content type: Research article

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  23. In Japan, approximately half of all lung cancer patients are aged > 75 years, and the proportion of older patients is increasing. In older patients, it is necessary to consider comorbidities and concomitant dr...

    Authors: Yukari Tsubata, Shun Shinomiya, Koji Inoue, Nobuhisa Ishikawa, Ryota Saito, Kazuhisa Nakashima, Katsuyuki Hotta, Akinobu Hamada, Fumio Nagashima, Yuichi Ando, Satoshi Morita, Kunihiko Kobayashi and Takeshi Isobe

    Citation: BMC Geriatrics 2021 21:74

    Content type: Study protocol

    Published on:

  24. Perioperative medicine services for older surgical patients are being developed across several countries. This qualitative study aims to explore geriatricians’ perspectives on challenges and opportunities for ...

    Authors: Janani Thillainadesan, Jesse Jansen, Jacqui Close, Sarah Hilmer and Vasi Naganathan

    Citation: BMC Geriatrics 2021 21:68

    Content type: Research article

    Published on:

  25. Caregivers of persons with dementia (PWD) face high caregiving burden, distress related to responsive behaviours, and psychiatric morbidity. The present paper examines how these are associated with healthcare ...

    Authors: Jue Hua Lau, Edimansyah Abdin, Anitha Jeyagurunathan, Esmond Seow, Li Ling Ng, Janhavi Ajit Vaingankar, Siow Ann Chong and Mythily Subramaniam

    Citation: BMC Geriatrics 2021 21:67

    Content type: Research article

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  26. The transition to residential care facilities can be stressful for older people, entailing numerous challenges. Many qualitative studies focused on the adjustment and the experiences associated with older adul...

    Authors: Changxian Sun, Yaping Ding, Yan Cui, Shuqin Zhu, Xianwen Li, Shen Chen, Rong Zhou and Yiting Yu

    Citation: BMC Geriatrics 2021 21:64

    Content type: Research article

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  27. While the field of rehabilitation has determined a common definition of professional practice, legislators and healthcare professionals in various Western countries have struggled to reach consensus about how ...

    Authors: Amy Clotworthy, Sasmita Kusumastuti and Rudi G. J. Westendorp

    Citation: BMC Geriatrics 2021 21:61

    Content type: Research article

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  28. In many cases, life-sustaining treatment preferences are not timely discussed with older patients. Advance care planning (ACP) offers medical professionals an opportunity to discuss patients’ preferences. We a...

    Authors: Daisy J. M. Ermers, Marit P. H. van Beuningen-van Wijk, Evi Peters Rit, Sonja C. Stalpers-Konijnenburg, Diana G. Taekema, Frank H. Bosch, Yvonne Engels and Patricia J. W. B. van Mierlo

    Citation: BMC Geriatrics 2021 21:58

    Content type: Research article

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  29. Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based heal...

    Authors: John A. Batsis, Curtis L. Petersen, Matthew M. Clark, Summer B. Cook, David Kotz, Tyler L. Gooding, Meredith N. Roderka, Rima I. Al-Nimr, Dawna Pidgeon, Ann Haedrich, K. C. Wright, Christina Aquila and Todd A. Mackenzie

    Citation: BMC Geriatrics 2021 21:44

    Content type: Research article

    Published on:

  30. The economic and public health burden of fragility fractures of the hip in Germany is high. The likelihood of requiring long-term care and the risk of suffering from a secondary fracture increases substantiall...

    Authors: Isabel Geiger, Christian Kammerlander, Christine Höfer, Ruth Volland, Jörg Trinemeier, Martina Henschelchen, Thomas Friess, Wolfgang Böcker and Leonie Sundmacher

    Citation: BMC Geriatrics 2021 21:43

    Content type: Study protocol

    Published on:

  31. In Pakistan, health system is facing unprecedented challenges to deal with the healthcare demand of the growing ageing population. Using conceptual framework, this study aims to analyze the factors associated ...

    Authors: Lubna Naz, Umesh Ghimire and Abida Zainab

    Citation: BMC Geriatrics 2021 21:42

    Content type: Research article

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  32. Health, participation, and security are the basic pillars of active ageing suggested by the WHO. The concept is used by professionals but requires exploration from the perspectives of older people themselves. ...

    Authors: Manothai Wongsala, Els-Marie Anbäcken and Sirpa Rosendahl

    Citation: BMC Geriatrics 2021 21:41

    Content type: Research article

    Published on:

  33. Sleep problems are highly prevalent in people with dementia. Nevertheless, there is no “gold standard” intervention to prevent or reduce sleep problems in people with dementia. Existing interventions are chara...

    Authors: Martin N. Dichter, Almuth Berg, Jonas Hylla, Daniela Eggers, Denise Wilfling, Ralph Möhler, Burkhard Haastert, Gabriele Meyer, Margareta Halek and Sascha Köpke

    Citation: BMC Geriatrics 2021 21:40

    Content type: Study protocol

    Published on:

  34. Globally, oral health status of the geriatric population residing in nursing homes is poor. The integration of non-dental professionals is vital to monitor oral health, early identification and triaging of ora...

    Authors: Rojina Thapa, Ritesh Chimoriya and Amit Arora

    Citation: BMC Geriatrics 2021 21:35

    Content type: Research article

    Published on:

  35. Hearing and vision loss in older people has been proven to affect physical and mental health and increase the speed of cognitive decline. Studies have demonstrated that certain practices and improved staff kno...

    Authors: Wendy Andrusjak, Ana Barbosa and Gail Mountain

    Citation: BMC Geriatrics 2021 21:32

    Content type: Research article

    Published on:

  36. Polymedicated older patients are at greater risk of suffering from adverse events. For this reason, the detection of both inappropriate polypharmacy and polypharmacy-associated Drug-Related Problems (DRPs) are...

    Authors: Ana Isabel Plácido, Maria Teresa Herdeiro, João Lindo Simões, Odete Amaral, Adolfo Figueiras and Fátima Roque

    Citation: BMC Geriatrics 2021 21:27

    Content type: Research article

    Published on:

  37. General practitioners (GPs) should regularly review patients’ medications and, if necessary, deprescribe, as inappropriate polypharmacy may harm patients’ health. However, deprescribing can be challenging for ...

    Authors: Katharina Tabea Jungo, Sophie Mantelli, Zsofia Rozsnyai, Aristea Missiou, Biljana Gerasimovska Kitanovska, Birgitta Weltermann, Christian Mallen, Claire Collins, Daiana Bonfim, Donata Kurpas, Ferdinando Petrazzuoli, Gindrovel Dumitra, Hans Thulesius, Heidrun Lingner, Kasper Lorenz Johansen, Katharine Wallis…

    Citation: BMC Geriatrics 2021 21:19

    Content type: Research article

    Published on:

  38. With the extended life expectancy of the Chinese population and improvements in surgery and anesthesia techniques, the number of aged patients undergoing surgery has been increasing annually. However, safety, ...

    Authors: Yanhong Zhang, Lina Ma, Tianlong Wang, Wei Xiao, Shibao Lu, Chao Kong, Chaodong Wang, Xiaoying Li, Yun Li, Chunlin Yin, Suying Yan, Ying Li, Kun Yang and Piu Chan

    Citation: BMC Geriatrics 2021 21:14

    Content type: Study protocol

    Published on:

  39. Many community-dwelling older adults experience limitations in (instrumental) activities of daily living, resulting in the need for homecare services. Whereas services should ideally aim at maintaining indepen...

    Authors: Teuni H. Rooijackers, G. A. Rixt Zijlstra, Erik van Rossum, Ruth G. M. Vogel, Marja Y. Veenstra, Gertrudis I. J. M. Kempen and Silke F. Metzelthin

    Citation: BMC Geriatrics 2021 21:5

    Content type: Research article

    Published on:

  40. Direct payments (DPs) are cash-payments that eligible individuals can receive to purchase care services by themselves. DPs are central to current social care policy in England, but their advantages remain cont...

    Authors: Vanessa Davey

    Citation: BMC Geriatrics 2021 21:1

    Content type: Research article

    Published on:

    The Correction to this article has been published in BMC Geriatrics 2021 21:254

  41. People with dementia are not routinely offered rehabilitation services despite experiencing disability associated with the condition and accumulating evidence for therapies such as exercise, occupational thera...

    Authors: Kate E. Laver, Maria Crotty, Lee-Fay Low, Lindy Clemson, Craig Whitehead, James McLoughlin, Kate Swaffer and Monica Cations

    Citation: BMC Geriatrics 2020 20:531

    Content type: Research article

    Published on:

  42. Residential aged care facility residents experience high rates of hospital admissions which are stressful, costly and often preventable. The EDDIE program is a hospital avoidance initiative designed to enable ...

    Authors: Hannah E. Carter, Xing J. Lee, Trudy Dwyer, Barbara O’Neill, Dee Jeffrey, Christopher M Doran, Lynne Parkinson, Sonya R Osborne, Kerry Reid-Searl and Nicholas Graves

    Citation: BMC Geriatrics 2020 20:527

    Content type: Research article

    Published on:

  43. China is one of the most rapidly ageing countries and has the largest ageing population in the world. The demand for long-term care is increasing. Nursing home placement is one of the most stressful events in ...

    Authors: Changxian Sun, Yiting Yu, Xuxu Li, Yan Cui, Yaping Ding, Shuqin Zhu, Xianwen Li, Shen Chen and Rong Zhou

    Citation: BMC Geriatrics 2020 20:517

    Content type: Research article

    Published on:

  44. The use of home health care (HHC) is increasing worldwide. This may have an impact not only on patients and their caregivers’ health but on care resource utilization and costs. We lack information on the impac...

    Authors: Jung-Yu Liao, Ping-Jen Chen, Yu-Lin Wu, Ching-Hsia Cheng, Sang-Ju Yu, Chi-Hsien Huang, Chia-Ming Li, Ying-Wei Wang, Kai-Ping Zhang, I-Te Liu, Hiroyuki Umegaki, Jun Hamano, Masanori Mori, Irene Petersen, Elizabeth L. Sampson and Chao A. Hsiung

    Citation: BMC Geriatrics 2020 20:511

    Content type: Study protocol

    Published on:

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