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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.

Page 1 of 7

  1. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. Content type: Research article

    The objective of this study was to explore the issues surrounding access to health and social care services for frail older adults with Polish stakeholders, including healthy and frail/pre-frail older adults, ...

    Authors: Donata Kurpas, Holly Gwyther, Katarzyna Szwamel, Rachel L. Shaw, Barbara D’Avanzo, Carol A. Holland and Maria Magdalena Bujnowska-Fedak

    Citation: BMC Geriatrics 2018 18:273

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  31. Content type: Research article

    There is growing reliance on unpaid caregivers to provide support to people with care needs. Integrated care approaches that aim to coordinate primary care with community care known as community based primary ...

    Authors: Kerry Kuluski, Allie Peckham, Ashlinder Gill, Jasleen Arneja, Frances Morton-Chang, John Parsons, Cecilia Wong-Cornall, Ann McKillop, Ross E. G. Upshur and Nicolette Sheridan

    Citation: BMC Geriatrics 2018 18:275

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  32. Content type: Research article

    Senior high cost health care users (HCU) are a priority for many governments. Little research has addressed regional variation of HCU incidence and outcomes, especially among incident HCU. This study describes...

    Authors: Sergei Muratov, Justin Lee, Anne Holbrook, Andrew Costa, J. Michael Paterson, Jason R. Guertin, Lawrence Mbuagbaw, Tara Gomes, Wayne Khuu and Jean-Eric Tarride

    Citation: BMC Geriatrics 2018 18:262

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  33. Content type: Research article

    There has been a steady increase in the aging population and an increase in the need for long-term care beds in institutions and hospitals (LTCHs) in Korea. The aim of this study was to investigate prognosis a...

    Authors: Su Hwan Lee, Soo Jung Kim, Yoon Hee Choi, Jin Hwa Lee, Jung Hyun Chang and Yon Ju Ryu

    Citation: BMC Geriatrics 2018 18:259

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  35. Content type: Study protocol

    Caring for people with dementia imposes heavy burdens on caregivers, especially spouses. This can lead to depression, anxiety, and physical symptoms in the caregiver, with early institutionalization for the pa...

    Authors: Elizabeth G. Birkenhäger-Gillesse, Boudewijn J. Kollen, Sytse U. Zuidema and Wilco P. Achterberg

    Citation: BMC Geriatrics 2018 18:252

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  36. Content type: Research Article

    According to some studies, interventions can prevent or delay frailty, but their effect in preventing adverse outcomes in frail community-dwelling older people is unclear. The aim is to investigate the effect ...

    Authors: Michael Van der Elst, Birgitte Schoenmakers, Daan Duppen, Deborah Lambotte, Bram Fret, Bert Vaes and Jan De Lepeleire

    Citation: BMC Geriatrics 2018 18:249

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  37. Content type: Research article

    Accurate assessment of health-related quality of life as an endpoint in intervention studies is a major challenge in dementia research. The DEMQOL (29 items) and the proxy version (32 items), which is partly base...

    Authors: Christian G. G. Schwab, Martin Nikolaus Dichter and Martin Berwig

    Citation: BMC Geriatrics 2018 18:247

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  38. Content type: Study protocol

    International guidelines recommend adapting the classic emergency department (ED) management model to the needs of older adults in order to ameliorate post-ED outcomes among this vulnerable group. To improve t...

    Authors: Els Devriendt, Pieter Heeren, Steffen Fieuws, Nathalie I. H. Wellens, Mieke Deschodt, Johan Flamaing, Marc Sabbe and Koen Milisen

    Citation: BMC Geriatrics 2018 18:244

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  41. Content type: Research article

    Medically complex vulnerable older adults often face social challenges that affect compliance with their medical care plans, and thus require home and community-based services (HCBS). This study describes how ...

    Authors: Gregory J. Norman, Amy J. Wade, Andrea M. Morris and Jill C. Slaboda

    Citation: BMC Geriatrics 2018 18:241

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  43. Content type: Research article

    The prevalence of vision and hearing loss is higher amongst older individuals with dementia, as well as higher in long-term care settings than in the wider community. However, the incidence of sensory impairme...

    Authors: Fiona Höbler, Xochil Argueta-Warden, Miriam Rodríguez-Monforte, Astrid Escrig-Pinol, Walter Wittich and Katherine S. McGilton

    Citation: BMC Geriatrics 2018 18:235

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  44. Content type: Research article

    As the population is aging, the number of persons living with multiple chronic conditions (MCC) is expected to increase. This review seeks to answer two research questions from the perspectives of older adults...

    Authors: Katherine S. McGilton, Shirin Vellani, Lily Yeung, Jawad Chishtie, Elana Commisso, Jenny Ploeg, Melissa K. Andrew, Ana Patricia Ayala, Mikaela Gray, Debra Morgan, Amanda Froehlich Chow, Edna Parrott, Doug Stephens, Lori Hale, Margaret Keatings, Jennifer Walker…

    Citation: BMC Geriatrics 2018 18:231

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  45. Content type: Research article

    Falls and fractures are extremely frequent in long-term care facilities (LTCFs). Therefore, a fall and fracture prevention program was started in nearly 1000 LTCFs in Bavaria/Germany between 2007 and 2010. The...

    Authors: Patrick Roigk, Clemens Becker, Claudia Schulz, Hans-Helmut König and Kilian Rapp

    Citation: BMC Geriatrics 2018 18:233

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  46. Content type: Research article

    The family often takes care of an elderly person who suddenly becomes dependent. This greatly affects different aspects of the caregivers’ lives. The aim of this study is to explore the initial experiences, du...

    Authors: Lourdes Moral-Fernández, Antonio Frías-Osuna, Sara Moreno-Cámara, Pedro A. Palomino-Moral and Rafael Del-Pino-Casado

    Citation: BMC Geriatrics 2018 18:228

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  47. Content type: Research article

    Urinary tract infections (UTIs) are the most prevalent infections in long-term care facilities (LTCFs). Numerous studies have described the problem of inadequate UTI diagnosis and treatment. We assessed the ro...

    Authors: J. Haaijman, E. E. Stobberingh, L. W. van Buul, C. M. P. M. Hertogh and H. Horninge

    Citation: BMC Geriatrics 2018 18:221

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  50. Content type: Research article

    The identification of contextual factors that modify associations between client frailty and their health and service use outcomes is essential for informed home health care and policy planning. Our objective ...

    Authors: Colleen J. Maxwell, Michael A. Campitelli, Christina Diong, Luke Mondor, David B. Hogan, Joseph E. Amuah, Sarah Leslie, Dallas Seitz, Sudeep Gill, Kednapa Thavorn, Walter P. Wodchis, Andrea Gruneir, Gary Teare and Susan E. Bronskill

    Citation: BMC Geriatrics 2018 18:211

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