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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. 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:

  3. 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

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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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

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  9. 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

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  10. 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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  11. 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

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  12. 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

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  13. 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

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  14. 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

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  16. 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

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  17. 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

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  18. 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

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  19. 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

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  21. 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

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  22. 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

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  24. 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

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  25. 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

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  26. In nursing home residents (NHRs), polypharmacy is widespread, accompanied by elevated risks of medication related complications. Managing medication in NHRs is a priority, but prone to several challenges, incl...

    Authors: Johanna Katharina Dellinger, Stefan Pitzer, Dagmar Schaffler-Schaden, Maria Magdalena Schreier, Laura Sandre Fährmann, Georg Hempel, Rudolf Likar, Jürgen Osterbrink and Maria Flamm

    Citation: BMC Geriatrics 2020 20:506

    Content type: Research article

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  27. Aging implies a higher prevalence of chronic pathologies and a corresponding increase in medication. The correct adherence and use of the medication are prerequisites for reducing risks of disease progression,...

    Authors: Javier Plaza-Zamora, Isabel Legaz, Eduardo Osuna and María D. Pérez-Cárceles

    Citation: BMC Geriatrics 2020 20:501

    Content type: Research article

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  28. With increasing cost of healthcare in our aging society, a consistent pain point is that of end-of-life care. It is particularly difficult to prognosticate in non-cancer patients, leading to more healthcare ut...

    Authors: Vanda Ho, Cynthia Chen, Sara Ho, Benjamin Hooi, Loo Swee Chin and Reshma Aziz Merchant

    Citation: BMC Geriatrics 2020 20:495

    Content type: Research article

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  29. Dementia is affecting both the person with the disease and the family members. It is associated with nursing home admission, and a reduced ability to perform personal activities of daily living (P-ADL). The ai...

    Authors: Reidun Haarr Johansen, Karoline Olsen, Sverre Bergh, Jūratė Šaltytė Benth, Geir Selbæk and Anne-Sofie Helvik

    Citation: BMC Geriatrics 2020 20:488

    Content type: Research article

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  30. The ability to locate, navigate and use dementia services and information, either for oneself or in providing care for others, is an essential component of dementia literacy. Despite dementia literacy being un...

    Authors: Kathleen Veronica Doherty, Hoang Nguyen, Claire E. A. Eccleston, Laura Tierney, Ron L. Mason, Aidan Bindoff, Andrew Robinson, James Vickers and Fran McInerney

    Citation: BMC Geriatrics 2020 20:484

    Content type: Research article

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  31. Numerous studies have documented racial and ethnic differences in the prevalence and incidence of Alzheimer’s disease and related dementias (ADRD). Less is known, however, about racial and ethnic differences i...

    Authors: Sungchul Park and Jie Chen

    Citation: BMC Geriatrics 2020 20:482

    Content type: Research article

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  32. Social engagement (SE) has been consistently shown to improve survival among community-dwelling older people, but the evidence in nursing home residents is inconclusive and prone to short-term reverse causatio...

    Authors: Roberto Pastor-Barriuso, Alicia Padrón-Monedero, Lina M. Parra-Ramírez, Fernando J. García López and Javier Damián

    Citation: BMC Geriatrics 2020 20:480

    Content type: Research article

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  33. Despite the incremental implementation of the essential public health services (EPHS) during the last decade, the goal of EPHS’s equalization is impossible to cannot be achieved without appropriate policies ta...

    Authors: Chengxu Long, Shangfeng Tang, Ruoxi Wang, Lu Ji, Yang Wang, Tailai Wu, Zhifei Li and Zhanchun Feng

    Citation: BMC Geriatrics 2020 20:475

    Content type: Research article

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  34. Management of patients with polypharmacy is challenging, and evidence for beneficial effects of deprescribing interventions is mixed. This study aimed to investigate whether a patient-centred deprescribing int...

    Authors: Stefan Zechmann, Oliver Senn, Fabio Valeri, Stefan Essig, Christoph Merlo, Thomas Rosemann and Stefan Neuner-Jehle

    Citation: BMC Geriatrics 2020 20:471

    Content type: Research article

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  35. The area of hospital readmission in older adults within 30 days of discharge is extensively researched but few studies look at the whole process. In this study we investigated risk factors related, not only to...

    Authors: Maria Glans, Annika Kragh Ekstam, Ulf Jakobsson, Åsa Bondesson and Patrik Midlöv

    Citation: BMC Geriatrics 2020 20:467

    Content type: Research article

    Published on:

  36. A critical challenge facing elderly care systems throughout the world is to meet the complex care needs of a growing population of older persons. Although person-centred care has been advocated as the “gold st...

    Authors: Anders Sköldunger, Per-Olof Sandman and Annica Backman

    Citation: BMC Geriatrics 2020 20:465

    Content type: Research article

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  37. In the US, post-acute care in skilled nursing facilities (SNFs) is common and outcomes vary greatly across facilities. Little is known about the expectations of patients and their caregivers about physician ca...

    Authors: Kira L. Ryskina, Kierra A. Foley, Jason H. Karlawish, Joshua D. Uy, Briana Lott, Erica Goldberg and Nancy A. Hodgson

    Citation: BMC Geriatrics 2020 20:463

    Content type: Research article

    Published on:

  38. Falls in hospitals are a major risk to patient safety. Health professional education has the potential to be an important aspect of falls prevention interventions. This scoping review was designed to investiga...

    Authors: L. Shaw, D. Kiegaldie and M. K. Farlie

    Citation: BMC Geriatrics 2020 20:460

    Content type: Research article

    Published on:

  39. As the population ages, potentially inappropriate prescribing (PIP) in the older adults may become increasingly prevalent. This undermines patient safety and creates a potential source of major morbidity and m...

    Authors: Sabrina Lau, Penny Lun, Wendy Ang, Keng Teng Tan and Yew Yoong Ding

    Citation: BMC Geriatrics 2020 20:459

    Content type: Research article

    Published on:

  40. Among Canadian residents living in long-term care (LTC) facilities, and especially among those with limited ability to communicate due to dementia, pain remains underassessed and undermanaged. Although evidenc...

    Authors: Natasha L. Gallant, Allie Peckham, Gregory Marchildon, Thomas Hadjistavropoulos, Blair Roblin and Rhonda J. N. Stopyn

    Citation: BMC Geriatrics 2020 20:458

    Content type: Research article

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  41. Falls are common undesirable events for older adults in institutions. Even though the patient’s fall risk may be scored on admission, the medication-induced fall risk may be ignored. This study developed a pre...

    Authors: Jana Michalcova, Karel Vasut, Marja Airaksinen and Katarina Bielakova

    Citation: BMC Geriatrics 2020 20:454

    Content type: Research article

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  42. Evidence is lacking on the differences between hospitalisation of people with dementia living in nursing homes and those living in the community. The objectives of this study were: 1) to describe the frequency...

    Authors: F. Javier Afonso-Argilés, Gabriele Meyer, Astrid Stephan, Mercè Comas, Ansgar Wübker, Helena Leino-Kilpi, Connie Lethin, Kai Saks, Maria Soto-Martin, Caroline Sutcliffe, Hilde Verbeek, Adelaida Zabalegui and Anna Renom-Guiteras

    Citation: BMC Geriatrics 2020 20:453

    Content type: Research article

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  43. Diagnosing urinary tract infections (UTI) in nursing home residents is complex, due to frequent non-specific symptomatology and asymptomatic bacteriuria. The objective of this study was to explore health care ...

    Authors: S. D. Kuil, C. Schneeberger, F. van Leth, M. D. de Jong and J. Harting

    Citation: BMC Geriatrics 2020 20:450

    Content type: Research article

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  44. The US population is maturing. As of 2020, over 52 million (16%) people are age 65 or older. With a citizenry that is increasingly “gray,” the nation is short of medical providers who specialize in geriatric m...

    Authors: Andrzej Kozikowski, Trenton Honda, Freddi Segal-Gidan and Roderick S. Hooker

    Citation: BMC Geriatrics 2020 20:449

    Content type: Research article

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  45. Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in LTC research. This study aimed to develop a...

    Authors: Hsiao-Wei Yu, Tzu-Ying Chiu, Pin-Yuan Chen, Tai-Hsiang Liao, Wen-Hui Chang, Mei-Wen Wang and Pay-Shin Lin

    Citation: BMC Geriatrics 2020 20:448

    Content type: Research article

    Published on:

  46. The Hong Kong government has launched the Elderly Health Care Voucher (EHCV) scheme to facilitate primary care in the private sector for older adults. This study aimed to examine whether voucher use was associ...

    Authors: Johnny T. K. Cheung, Samuel Y.S. Wong, Dicken C. C. Chan, Dexing Zhang, Lawrence H. F. Luk, Patsy Y. K. Chau, Benjamin H. K. Yip, Eric K. P. Lee, Eliza L. Y. Wong and E. K. Yeoh

    Citation: BMC Geriatrics 2020 20:442

    Content type: Research article

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  47. Middle-aged and older adults play an important role in the provision of informal support, however, the impact on the health of those individuals who provide informal care is unclear. The main objectives of thi...

    Authors: Fátima Barbosa, Gina Voss and Alice Delerue Matos

    Citation: BMC Geriatrics 2020 20:440

    Content type: Research article

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  48. A growing number of older people are care dependent and live in nursing homes, which accounts for the majority of long-term-care spending. Specific medical conditions and resident characteristics may serve as ...

    Authors: Katrin C. Reber, Ivonne Lindlbauer, Claudia Schulz, Kilian Rapp and Hans-Helmut König

    Citation: BMC Geriatrics 2020 20:439

    Content type: Research article

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  49. Falls in older adults are an increasingly important public-health concern. Despite abundant research, fall rates have not been reduced, because implementation of evidence-based fall-prevention measures has bee...

    Authors: Hilde Worum, Daniela Lillekroken, Kirsti Skavberg Roaldsen, Birgitte Ahlsen and Astrid Bergland

    Citation: BMC Geriatrics 2020 20:432

    Content type: Research article

    Published on:

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