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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. Content type: Research article

    An electronic frailty index (eFI) has been developed and validated in the UK; it uses data from primary care electronic medical records (EMR) for effective frailty case-finding in primary care. This project ex...

    Authors: Marjan Abbasi, Sheny Khera, Julia Dabravolskaj, Ben Vandermeer, Olga Theou, Darryl Rolfson and Andrew Clegg

    Citation: BMC Geriatrics 2019 19:109

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  2. Content type: Research article

    Deprescribing is a partnership between practitioners, patients and caregivers. External characteristics including age, comorbidities and polypharmacy are poor predictors of attitude towards deprescribing. This...

    Authors: Sion Scott, Allan Clark, Carol Farrow, Helen May, Martyn Patel, Michael J. Twigg, David J. Wright and Debi Bhattacharya

    Citation: BMC Geriatrics 2019 19:108

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  3. Content type: Research article

    Delirium occurs commonly in older adults and is associated with adverse outcomes. Multicentre clinical trials evaluating interventions to prevent delirium are needed. The Confusion Assessment Method (CAM) is a...

    Authors: John R. Green, Jane Smith, Elizabeth Teale, Michelle Collinson, Michael S. Avidan, Eva M. Schmitt, Sharon K. Inouye and John Young

    Citation: BMC Geriatrics 2019 19:107

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  4. Content type: Research article

    Availability of nursing home care has declined and national efforts have been initiated to improve the quality of nursing home care in the U.S. Yet, data are limited on whether there are geographic variations ...

    Authors: Yun Wang, Qiuli Zhang, Erica S. Spatz, Yan Gao, Sheila Eckenrode, Florence Johnson, Shih-Yieh Ho, Shuang Hu, Chao Xing and Harlan M. Krumholz

    Citation: BMC Geriatrics 2019 19:103

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  5. Content type: Research article

    Bed rest for older hospitalized patients places them at risk for hospital-acquired morbidity. We previously evaluated an early mobilization intervention and found it to be effective at improving mobilization r...

    Authors: Julia E. Moore, Barbara Liu, Sobia Khan, Charmalee Harris, Joycelyne E. Ewusie, Jemila S. Hamid and Sharon E. Straus

    Citation: BMC Geriatrics 2019 19:99

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  6. Content type: Research article

    As older people age, they have different health needs compared to younger people. South African elder care policy places a strong emphasis on ageing in community rather than institutional settings, but the pri...

    Authors: Gabrielle Kelly, Lindeka Mrengqwa and Leon Geffen

    Citation: BMC Geriatrics 2019 19:98

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  7. Content type: Research article

    There is lack of adequate training and policy support for employed care workers (CWs) employed in the South African (SA) older persons’ sector. Existing literature neglects the influence of training and policy...

    Authors: Leo Mapira, Gabrielle Kelly and Leon N. Geffen

    Citation: BMC Geriatrics 2019 19:97

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  8. Content type: Research article

    As older patients’ health care needs become more complex, they often experience challenges with managing medications across transitions of care. Families play a major role in older patients’ lives. To date, th...

    Authors: Elizabeth Manias, Tracey Bucknall, Carmel Hughes, Christine Jorm and Robyn Woodward-Kron

    Citation: BMC Geriatrics 2019 19:95

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  9. Content type: Research article

    Core outcome sets (COS) prioritise outcomes based on their importance to key stakeholders, reduce reporting bias and increase comparability across studies. The first phase of a COS study is to form a ‘long-lis...

    Authors: Andrew J. E. Harding, Hazel Morbey, Faraz Ahmed, Carol Opdebeeck, Reena Lasrado, Paula R. Williamson, Caroline Swarbrick, Iracema Leroi, David Challis, Ingrid Hellstrom, Alistair Burns, John Keady and Siobhan T. Reilly

    Citation: BMC Geriatrics 2019 19:94

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  10. Content type: Research article

    Frailty is a clinical condition among older adults defined as the loss of resources in one or more domains (i.e., physical, psychological and social domains) of individual functioning. In frail subjects emerge...

    Authors: Anna Mulasso, Paolo Riccardo Brustio, Alberto Rainoldi, Gianluca Zia, Luca Feletti, Aurèle N’dja, Susanna Del Signore, Eleonora Poggiogalle, Federica Luisi and Lorenzo Maria Donini

    Citation: BMC Geriatrics 2019 19:88

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  11. Content type: Research article

    Informal caregivers are an essential pillar for ensuring and maintaining the outpatient care of the frail elderly. Due to demographic changes, including an increase in the number of people in need of care as w...

    Authors: M. Plöthner, K. Schmidt, L. de Jong, J. Zeidler and K. Damm

    Citation: BMC Geriatrics 2019 19:82

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  12. Content type: Study protocol

    Several outcome measures can be utilised to measure social participation and Quality of Life (QoL) in research and clinical practice. However there have been few large-scale trials of these tools in community ...

    Authors: Lindsey Brett, Andrew Georgiou, Mikaela Jorgensen, Joyce Siette, Grace Scott, Edwina Gow, Gemma Luckett and Johanna Westbrook

    Citation: BMC Geriatrics 2019 19:78

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  13. Content type: Research article

    The occurrence of multimorbidity (i.e., the coexistence of multiple chronic diseases) increases with age in older adults and is a growing concern worldwide. Multimorbidity has been reported to be a driving fac...

    Authors: Takahiro Mori, Shota Hamada, Satoru Yoshie, Boyoung Jeon, Xueying Jin, Hideto Takahashi, Katsuya Iijima, Tatsuro Ishizaki and Nanako Tamiya

    Citation: BMC Geriatrics 2019 19:69

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  14. Content type: Research article

    To explore informal caregivers’ perspectives and perceived needs related to health care services/activities for older adults with dementia, in order to understand barriers and facilitators to participation. Th...

    Authors: Randi Granbo, Elisabeth Boulton, Ingvild Saltvedt, Jorunn L. Helbostad and Kristin Taraldsen

    Citation: BMC Geriatrics 2019 19:75

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  15. Content type: Study protocol

    Multimorbid older adults suffering from a long-term health condition like depression, diabetes mellitus type 2, dementia or frailty are at high risk of losing their autonomy. Disability and multimorbidity in t...

    Authors: Fabian Frank, Frederike Bjerregaard, Jürgen Bengel, Eva Maria Bitzer, Bernhard Heimbach, Klaus Kaier, Jasmin Kiekert, Lena Krämer, Cornelia Kricheldorff, Katharina Laubner, Andy Maun, Gloria Metzner, Wilhelm Niebling, Claudia Salm, Sandra Schütter, Jochen Seufert…

    Citation: BMC Geriatrics 2019 19:64

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  16. Content type: Research article

    Care for people with Alzheimer’s disease or other dementias should be based on up-to-date clinical practice guidelines. The education and training of nurses and other healthcare staff in dementia is a key fact...

    Authors: Laura Parra-Anguita, Inmaculada Sánchez-García, Rafael del Pino-Casado and Pedro L. Pancorbo-Hidalgo

    Citation: BMC Geriatrics 2019 19:63

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  17. Content type: Research article

    Frail individuals are at risk of significant clinical deterioration if their frailty is not identified and managed appropriately. Research suggests that any interaction between an older person and a health or ...

    Authors: David Sunkersing, Finbarr C. Martin, Julie Reed, Maria Woringer and Derek Bell

    Citation: BMC Geriatrics 2019 19:62

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  18. Content type: Research article

    With the ageing population, there is a stronger focus on supporting older people to live independently as long as possible. One of the important factors to take into consideration for independent living older ...

    Authors: Didi Verver, Hanneke Merten, Carolien de Blok and Cordula Wagner

    Citation: BMC Geriatrics 2019 19:61

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  19. Content type: Research article

    Falls in people with dementia can result in a number of physical and psychosocial consequences. However, there is limited evidence to inform how best to deliver services to people with dementia following a fal...

    Authors: Alison Wheatley, Claire Bamford, Caroline Shaw, Elizabeth Flynn, Amy Smith, Fiona Beyer, Chris Fox, Robert Barber, Steve W. Parry, Denise Howel, Tara Homer, Louise Robinson and Louise M. Allan

    Citation: BMC Geriatrics 2019 19:57

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  20. Content type: Research article

    Older population often have multiple and complex needs that are consequently challenged by the presence of polypharmacy, adverse drug reactions and drug-drug interaction. We aimed to determine home medication ...

    Authors: Shakti Shrestha, Ramesh Sharma Poudel, Saroj Pradhan, Aashutosh Adhikari, Arjun Giri and Arjun Poudel

    Citation: BMC Geriatrics 2019 19:55

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  21. Content type: Study protocol

    Reduced mobility is the first sign of functional decline and can lead to dependency in elderly people. Screening for the risk of mobility limitation in this population is an important public health issue to pr...

    Authors: Sofia Perrotin, Thomas Gilbert, Marine Dupuis, Laurent Villeneuve, Sylvie Bin-Dorel, Amna Klich, Laurent Letrilliart and Marc Bonnefoy

    Citation: BMC Geriatrics 2019 19:48

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  22. Content type: Research article

    Frailty and sarcopenia are common amongst hospitalised older people and associated with poor healthcare outcomes. Widely recognised tools for their identification are the Fried Frailty Phenotype, its self-repo...

    Authors: Kinda Ibrahim, Fiona F. A. Howson, David J. Culliford, Avan A. Sayer and Helen C. Roberts

    Citation: BMC Geriatrics 2019 19:42

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  23. Content type: Research article

    Detecting patients with undiagnosed dementia is an important clinical challenge. Changes in medication adherence might represent an early sign of cognitive impairment. We sought to examine antihypertensive and...

    Authors: Zachary A. Marcum, Rod L. Walker, Bobby L. Jones, Arvind Ramaprasan, Shelly L. Gray, Sascha Dublin, Paul K. Crane and Eric B. Larson

    Citation: BMC Geriatrics 2019 19:41

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  24. Content type: Research article

    The benefit of medication reviews for long-term care (LTC) residents has been generally recognized throughout health care systems. Whereas many studies showed the impact of comprehensive medication reviews per...

    Authors: Kerstin Bitter, Christina Pehe, Manfred Krüger, Gabriela Heuer, Regine Quinke and Ulrich Jaehde

    Citation: BMC Geriatrics 2019 19:39

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  25. Content type: Research article

    Psychosocial person-centred interventions are considered best practice for addressing complex behaviours and care needs such as agitation and anxiety, and for improving the quality of life of people with demen...

    Authors: Alys W. Griffiths, Rachael Kelley, Lucy Garrod, Devon Perfect, Olivia Robinson, Emily Shoesmith, Joanne McDermid, Natasha Burnley and Claire A. Surr

    Citation: BMC Geriatrics 2019 19:37

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  26. Content type: Study protocol

    There is a growing interest in developing tailored non-pharmacological strategies to face patients’ needs in dementia. Occupational therapy (OT) may contribute to promote self-empowerment of both patients and ...

    Authors: Clément Pimouguet, Rémi Sitta, Jérôme Wittwer, Nathalie Hayes, Aurélie Petit-Monéger, Jean-François Dartigues and Catherine Helmer

    Citation: BMC Geriatrics 2019 19:35

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  27. Content type: Study protocol

    Due to the gradual loss of function, it is crucial for persons with dementia to discuss advance care planning in due course. However, nursing home staff, residents and their families feel uncomfortable to star...

    Authors: Bart Goossens, Aline Sevenants, Anja Declercq and Chantal Van Audenhove

    Citation: BMC Geriatrics 2019 19:33

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  28. Content type: Study protocol

    Medication safety is an important health issue for nursing home residents (NHR). They usually experience polypharmacy and often take potentially inappropriate medications (PIM) and antipsychotics. This, couple...

    Authors: Olaf Krause, Birgitt Wiese, Ina-Merle Doyle, Claudia Kirsch, Petra Thürmann, Stefan Wilm, Lisa Sparenberg, Regina Stolz, Antje Freytag, Jutta Bleidorn and Ulrike Junius-Walker

    Citation: BMC Geriatrics 2019 19:24

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  29. Content type: Research article

    Elderly living in a Nursing Home (NH) are frequently transferred to an Emergency Department when they need acute medical care. A proportion of these transfers may be considered inappropriate and may be avoidable.

    Authors: Sabine E Lemoyne, Hanne H. Herbots, Dennis De Blick, Roy Remmen, Koenraad G. Monsieurs and Peter Van Bogaert

    Citation: BMC Geriatrics 2019 19:17

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  30. Content type: Research article

    Polypharmacy, and the associated adverse drug events such as non-adherence to prescriptions, is a common problem for elderly people living with multiple comorbidities. Deprescribing, i.e. the gradual withdrawa...

    Authors: Joanna Ulley, Deborah Harrop, Ali Ali, Sarah Alton and Sally Fowler Davis

    Citation: BMC Geriatrics 2019 19:15

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  31. Content type: Research article

    Pro-active assessment programs are increasingly used to improve care for older adults. These programs include comprehensive geriatric tailored to individual patient preferences. Evidence for the effects of the...

    Authors: Wanda Rietkerk, Merel F. Smit, Klaske Wynia, Joris P. J. Slaets, Sytse U. Zuidema and Debby L. Gerritsen

    Citation: BMC Geriatrics 2019 19:12

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  32. Content type: Research article

    The attitudes of care staff toward the sexuality of residents with dementia they care for is assumed to influence the residents’ expression of their sexuality in the way they want. This paper examines the effe...

    Authors: Tineke S. M. Roelofs, Katrien G. Luijkx, Marielle C. M. Cloin and Petri J. C. M. Embregts

    Citation: BMC Geriatrics 2019 19:8

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  33. Content type: Research article

    Research highlights the need for carers of people with dementia to acquire relevant and timely information to assist them to access appropriate respite services. Unfortunately, negative experiences of informat...

    Authors: L. Phillipson, K. Johnson, E. Cridland, D. Hall, C. Neville, E. Fielding and H. Hasan

    Citation: BMC Geriatrics 2019 19:2

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  34. Content type: Research article

    Alongside physiological cognitive ageing, nowadays there is an alarming increase in the incidence of dementia that requires communities to invest in its prevention. The engagement in cognitively stimulating ac...

    Authors: Chiara F. Tagliabue, Sabrina Guzzetti, Giulia Gualco, Giovanna Boccolieri, Alfonsa Boccolieri, Stuart Smith and Roberta Daini

    Citation: BMC Geriatrics 2018 18:321

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  35. Content type: Research article

    Frail older adults living in long term care (LTC) homes have a high fracture risk, which can result in reduced quality of life, pain and death. The Fracture Risk Scale (FRS) was designed for fracture risk asse...

    Authors: Ahmed M. Negm, George Ioannidis, Micaela Jantzi, Jenn Bucek, Lora Giangregorio, Laura Pickard, John P. Hirdes, Jonathan D. Adachi, Julie Richardson, Lehana Thabane and Alexandra Papaioannou

    Citation: BMC Geriatrics 2018 18:320

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  36. Content type: Research article

    The hazards of hospitalisation, and the growing demand for goal-oriented care and shared decision making, increasingly question whether hospitalisation always aligns with the preferences and needs of older adu...

    Authors: Maria Johanna van der Kluit, Geke J. Dijkstra and Sophia E. de Rooij

    Citation: BMC Geriatrics 2018 18:318

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  37. Content type: Research article

    Accurate population-based data regarding hospital-based care utilisation by older persons during their last year of life are important in health services planning. We investigated patterns of acute hospital-ba...

    Authors: Danielle Ní Chróinín, David E. Goldsbury, Alexander Beveridge, Patricia M. Davidson, Afaf Girgis, Nicholas Ingham, Jane L. Phillips, Anne M. Wilkinson, Jane M. Ingham and Dianne L. O’Connell

    Citation: BMC Geriatrics 2018 18:317

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  38. Content type: Research article

    To introduce and manage a Pharmaceutical care programs in geriatric care institutions presents difficulties such as reduced pharmacy service staff, complexity of the patients or lack of integration of the phar...

    Authors: Conxita Mestres, Marta Hernandez, Anna Agustí, Laura Puerta, Blanca Llagostera and Patricia Amorós

    Citation: BMC Geriatrics 2018 18:316

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  39. Content type: Research Article

    The general opinion in society is that everyone has the right to live in their own home as long as possible. Provision of community home health care services is therefore increasingly common. Healthcare person...

    Authors: Dara Rasoal, Annica Kihlgren and Kirsti Skovdahl

    Citation: BMC Geriatrics 2018 18:312

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  40. Content type: Research article

    Informal caregivers are invaluable partners of the health care system. However, their caring responsibilities often affect their psychological wellbeing and ability to continue in their role. It is of paramoun...

    Authors: Raquel S. D. Betini, John P. Hirdes, Nancy Curtin-Telegdi, Lisa Gammage, Jennifer Vansickle, Jeff Poss and George Heckman

    Citation: BMC Geriatrics 2018 18:310

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  41. Content type: Research article

    Polypharmacy is a geriatric syndrome defined variously as the use of potentially inappropriate drugs and/or the concurrent use of multiple medications including prescription and over-the-counter drugs. An asso...

    Authors: Nahathai Wongpakaran, Tinakon Wongpakaran, Thanitha Sirirak, Rewadee Jenraumjit, Surin Jiraniramai and Peerasak Lerttrakarnnon

    Citation: BMC Geriatrics 2018 18:309

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  42. Content type: Research article

    In 2016, one in three older people in the UK were living alone. These patients often have complex health needs and require additional clinical and non-clinical support. This study aimed to analyse the associat...

    Authors: Kathryn Dreyer, Adam Steventon, Rebecca Fisher and Sarah R. Deeny

    Citation: BMC Geriatrics 2018 18:269

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  43. Content type: Research article

    To evaluate a Geriatric Emergency Department Intervention (GEDI) model of service delivery for adults aged 70 years and older.

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

    Citation: BMC Geriatrics 2018 18:297

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  44. Content type: Debate

    The area of “deprescribing” has rapidly expanded in recent years as a positive intervention to reduce inappropriate polypharmacy and improve health outcomes for (older) people with multimorbidity. While our un...

    Authors: Adam Todd, Jesse Jansen, Jim Colvin and Andrew J. McLachlan

    Citation: BMC Geriatrics 2018 18:295

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  45. Content type: Research article

    Despite 32 years of research and 13 reviews published in the field, no intervention can be considered a gold standard for maintaining eating performance among residents with dementia. The study aim was to high...

    Authors: Alvisa Palese, Valentina Bressan, Tea Kasa, Marin Meri, Mark Hayter and Roger Watson

    Citation: BMC Geriatrics 2018 18:292

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  46. Content type: Research article

    Frail seniors often receive ineffective care, which does not meet their needs. It is still unclear how healthcare systems should be redesigned to be more sensitive to the needs and values of frail seniors and ...

    Authors: Anik M. C. Giguere, Elina Farmanova, Jayna M. Holroyd-Leduc, Sharon E. Straus, Robin Urquhart, Valerie Carnovale, Erik Breton, Selynne Guo, Nandini Maharaj, Pierre J. Durand, France Légaré, Alexis F. Turgeon and Michèle Aubin

    Citation: BMC Geriatrics 2018 18:290

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  47. Content type: Research article

    To improve continuity and coordination of care in geriatric rehabilitation, an integrated care pathway was developed and implemented in The Netherlands. The purpose of this study was to assess the effects of t...

    Authors: Irma H. J. Everink, Jolanda C. M. van Haastregt, Frans E. S. Tan, Jos M. G. A. Schols and Gertrudis I. J. M. Kempen

    Citation: BMC Geriatrics 2018 18:285

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  48. Content type: Research article

    Mealtimes are important to quality of life for residents in long-term care (LTC). CHOICE (which stands for Connecting, Honouring dignity, Offering support, supporting Identity, Creating opportunities, and Enjo...

    Authors: Sarah Wu, Jill M. Morrison, Hilary Dunn-Ridgeway, Vanessa Vucea, Sabrina Iuglio and Heather Keller

    Citation: BMC Geriatrics 2018 18:277

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  49. Content type: Study protocol

    According to the principles of Reablement, home care services are meant to be goal-oriented, holistic and person-centred taking into account the capabilities and opportunities of older adults. However, home ca...

    Authors: Silke F. Metzelthin, Teuni H. Rooijackers, Gertrud A. R. Zijlstra, Erik van Rossum, Marja Y. Veenstra, Annemarie Koster, Silvia M. A. A. Evers, Gerard J. P. van Breukelen and Gertrudis I. J. M. Kempen

    Citation: BMC Geriatrics 2018 18:276

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