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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 9

  1. In institutional care, oral liquid pharmaceutical products are widely prescribed for older patients, especially for those with swallowing disorders. As medicines acceptability is a key factor for compliance in...

    Authors: Emilie Belissa, Thibault Vallet, Sandra Laribe-Caget, Alain Chevallier, François-Xavier Chedhomme, Fattima Abdallah, Nathalie Bachalat, Sid-Ahmed Belbachir, Imad Boulaich, Vanessa Bloch, Anne Delahaye, Mathieu Depoisson, Amélie Dufaÿ Wojcicki, Stéphane Gibaud, Anne-Sophie Grancher, Caroline Guinot…

    Citation: BMC Geriatrics 2019 19:344

    Content type: Research article

    Published on:

  2. Regarding the health care of older populations, WHO recommends shifting from disease-driven attention models towards a personalized, integrated and continuous care aimed to the maintenance and enhancement of f...

    Authors: Itziar Vergara, Maider Mateo-Abad, María Carmen Saucedo-Figueredo, Mónica Machón, Alonso Montiel-Luque, Kalliopi Vrotsou, María Antonia Nava del Val, Ana Díez-Ruiz, Carolina Güell, Ander Matheu, Antonio Bueno, Jazmina Núñez and Francisco Rivas-Ruiz

    Citation: BMC Geriatrics 2019 19:342

    Content type: Research article

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  3. Urinary tract infections (UTI) are among the most frequent bacterial infections in older adults. The aim of the study was to analyse the existence of differences in clinical features, microbiological data and ...

    Authors: Alex Smithson, Javier Ramos, Esther Niño, Alex Culla, Ubaldo Pertierra, Michele Friscia and Maria Teresa Bastida

    Citation: BMC Geriatrics 2019 19:334

    Content type: Research article

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  4. As populations are aging, a growing number of home care clients are frail and use multiple, complex medications. Combined with the lack of coordination of care this may pose uncontrolled polypharmacy and poten...

    Authors: Terhi Toivo, Marja Airaksinen, Maarit Dimitrow, Eeva Savela, Katariina Pelkonen, Valtteri Kiuru, Tuula Suominen, Mira Uunimäki, Sirkka-Liisa Kivelä, Saija Leikola and Juha Puustinen

    Citation: BMC Geriatrics 2019 19:332

    Content type: Research article

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  5. Collaborative medication review (CMR) practices for older adults are evolving in many countries. Development has been under way in Finland for over a decade, but no inventory of evolved practices has been cond...

    Authors: A. Kiiski, M. Airaksinen, A. Mäntylä, S. Desselle, A. Kumpusalo-Vauhkonen, T. Järvensivu and M. Pohjanoksa-Mäntylä

    Citation: BMC Geriatrics 2019 19:321

    Content type: Research article

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  6. Recent studies indicate inadequate nutritional care practices in healthcare institutions and identify several barriers to perform individualized nutritional care to older persons. Organisation of care can beco...

    Authors: Christine Hillestad Hestevik, Marianne Molin, Jonas Debesay, Astrid Bergland and Asta Bye

    Citation: BMC Geriatrics 2019 19:317

    Content type: Research article

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  7. Living with multiple chronic conditions (MCC), the coexistence of two or more chronic conditions, is becoming more prevalent as the population ages. Primary care and home care providers play key roles in carin...

    Authors: Jenny Ploeg, Marie-Lee Yous, Kimberly Fraser, Sinéad Dufour, Lisa Garland Baird, Sharon Kaasalainen, Carrie McAiney and Maureen Markle-Reid

    Citation: BMC Geriatrics 2019 19:316

    Content type: Research article

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  8. Global societal changes, such as increasing longevity and a shortage of family caregivers, have given rise to a popular worldwide trend of employing live-in migrant care workers (MCWs) to provide homecare for ...

    Authors: Ken H. M. HO, Vico C. L. CHIANG, Doris LEUNG and Daphne S. K. CHEUNG

    Citation: BMC Geriatrics 2019 19:314

    Content type: Research article

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  9. African American caregivers of community-residing persons with dementia are mostly unpaid and have high rates of unmet basic and health needs. The National Alzheimer’s Project Act (NAPA) mandates improved coor...

    Authors: Emily M. Abramsohn, Jessica Jerome, Kelsey Paradise, Tia Kostas, Wesley Alexandra Spacht and Stacy Tessler Lindau

    Citation: BMC Geriatrics 2019 19:311

    Content type: Research article

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  10. Elder abuse is a serious violation of human rights and a worldwide issue. Upon hospital admission, elderly patients become vulnerable and susceptible to abuse. Understanding the issues perceived as abuse by th...

    Authors: Zeinab Naderi, Sakineh Gholamzadeh, Ladan Zarshenas and Abbas Ebadi

    Citation: BMC Geriatrics 2019 19:307

    Content type: Research article

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  11. Proximal femoral fractures are strongly associated with morbidity and mortality in elderly patients. Mortality is highest among frail institutionalized elderly with both physical and cognitive comorbidities wh...

    Authors: Pieter Joosse, Sverre A. I. Loggers, C. L. P. (Marc) Van de Ree, Romke Van Balen, Jeroen Steens, Rutger G. Zuurmond, Taco Gosens, Sven H. Van Helden, Suzanne Polinder, Hanna C. Willems and Esther M. M. Van Lieshout

    Citation: BMC Geriatrics 2019 19:301

    Content type: Study protocol

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  12. The Community for Successful Ageing (ComSA) program has implemented overlapping BioPsychoSocial (BPS) components as part of a Community Development (CD) grassroots and volunteer-led initiative. Implementation ...

    Authors: Su Aw, Gerald C. H. Koh, Chuen Seng Tan, Mee Lian Wong, Hubertus J. M. Vrijhoef, Susana Concordo Harding, Mary Ann B. Geronimo and Zoe J. L. Hildon

    Citation: BMC Geriatrics 2019 19:263

    Content type: Research article

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  13. Person-centered care is widely recognized as a gold standard and is based on a supportive psychosocial climate for both residents and staff in nursing homes. Residents and staff may have different perspectives...

    Authors: Yunxia Yang, Hui Li, Lily Dongxia XIAO, Wenhui Zhang, Menghan Xia and Hui Feng

    Citation: BMC Geriatrics 2019 19:292

    Content type: Research article

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  14. Although the interest of antibiotics is well known, antibiotics prescription is associated with side effect, especially in patients with multiples comorbidities. One way to reduce the incidence of side effects...

    Authors: Anthony Dylis, Anne Sophie Boureau, Audrey Coutant, Eric Batard, François Javaudin, Gilles Berrut, Laure de Decker and Guillaume Chapelet

    Citation: BMC Geriatrics 2019 19:291

    Content type: Research article

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  15. As the population ages, older hospitalized patients are at increased risk for hospital-acquired morbidity. The Mobilization of Vulnerable Elders (MOVE) program is an evidence-informed early mobilization interv...

    Authors: Jayna Holroyd-Leduc, Charmalee Harris, Jemila S. Hamid, Joycelyne E. Ewusie, Jacquelyn Quirk, Karen Osiowy, Julia E. Moore, Sobia Khan, Barbara Liu and Sharon E. Straus

    Citation: BMC Geriatrics 2019 19:288

    Content type: Research article

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  16. Over two-thirds of older Australians use different types/levels of aged care at some point in later life. Our aims were to estimate transitional probabilities and to identify risk factors influencing the movem...

    Authors: Md. Mijanur Rahman, Jimmy T. Efird and Julie E. Byles

    Citation: BMC Geriatrics 2019 19:286

    Content type: Research article

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  17. ‘Screening tool of older people’s prescriptions (STOPP) and screening tool to alert to right treatment (START)’ criteria is a useful tool to assess the appropriateness of medicines among older adults. However,...

    Authors: N. R. Samaranayake, A. Balasuriya, G. H. Fernando, D. Samaraweera, L. G. T. Shanika, J. K. P. Wanigasuriya, C. N. Wijekoon and C. A. Wanigatunge

    Citation: BMC Geriatrics 2019 19:282

    Content type: Research article

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  18. Falls and fall-related injuries exacerbate the health problems of older adults, and they are a public health concern. Despite an abundance of research, the implementation of evidence-based fall prevention prog...

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

    Citation: BMC Geriatrics 2019 19:278

    Content type: Research article

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  19. Some interventions are developed from practice, and implemented before evidence of effect is determined, or the intervention is fully specified. An example is Namaste Care, a multi-component intervention for p...

    Authors: Catherine Walshe, Julie Kinley, Shakil Patel, Claire Goodman, Frances Bunn, Jennifer Lynch, David Scott, Anne Davidson Lund, Min Stacpoole, Nancy Preston and Katherine Froggatt

    Citation: BMC Geriatrics 2019 19:275

    Content type: Research article

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  20. Complex medication schedules in Parkinson’s disease (PD) result in lower therapy adherence, which contributes to suboptimal therapy and clinical deterioration. Medication reminder systems might improve therapy...

    Authors: K. Hannink, L. ter Brake, N.G.M. Oonk, A.A. Wertenbroek, M. Piek, L. Vree-Egberts, M.J. Faber, J. van der Palen and L.D. Dorresteijn

    Citation: BMC Geriatrics 2019 19:273

    Content type: Research article

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  21. For older adults, a good transition from hospital to the primary or long-term care setting can decrease readmissions. This paper presents the 6-month post-discharge healthcare utilization of older adults and d...

    Authors: Yvonne de Man, Femke Atsma, Wilma Jonkers, Sophia E. J. A. de Rooij, Gert P. Westert, Patrick P. T. Jeurissen and A. Stef Groenewoud

    Citation: BMC Geriatrics 2019 19:266

    Content type: Research article

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  22. Hyponatremia is the most common electrolyte disorder in older adults and it can increase morbidity and mortality. Approximately one in three older adults fall each year; mild chronic hyponatremia can predispos...

    Authors: Sophie Boyer, Caroline Gayot, Charlotte Bimou, Thomas Mergans, Patrick Kajeu, Muriel Castelli, Thierry Dantoine and Achille Tchalla

    Citation: BMC Geriatrics 2019 19:265

    Content type: Research article

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  23. Many older adults with multiple chronic conditions, particularly those who are functionally impaired, spend considerable time juggling the competing demands of managing their conditions often assisted by careg...

    Authors: Orla C. Sheehan, Bruce Leff, Christine S. Ritchie, Sarah K. Garrigues, Lingsheng Li, Debra Saliba, Roya Fathi and Cynthia M. Boyd

    Citation: BMC Geriatrics 2019 19:262

    Content type: Research article

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  24. Uncoordinated interprofessional communication in nursing homes increases the risk of polypharmacy and inappropriate medication use. This may lead to augmented frequency of adverse drug events, hospitalizations...

    Authors: Angelika Mahlknecht, Laura Krisch, Nadja Nestler, Ulrike Bauer, Nina Letz, Daniel Zenz, Jochen Schuler, Laura Fährmann, Georg Hempel, Maria Flamm and Jürgen Osterbrink

    Citation: BMC Geriatrics 2019 19:257

    Content type: Research article

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  25. As ageing emerges as the next public health threat in Africa, there is a paucity of information on how prepared its health systems are to provide geriatric friendly care services. In this study, we explored th...

    Authors: Jude Thaddeus Ssensamba, Moses Mukuru, Mary Nakafeero, Ronald Ssenyonga and Suzanne N. Kiwanuka

    Citation: BMC Geriatrics 2019 19:256

    Content type: Research article

    Published on:

  26. The world is facing many socio-demographic changes, such as an increased average life expectancy and the presence of chronic and non-communicable diseases, which in turn, leads to an enhanced dependency on oth...

    Authors: Maria dos Anjos Coelho Rodrigues Dixe, Liliana Fernanda da Conceição Teixeira, Timóteo João Teixeira Camacho Coelho Areosa, Roberta Caçador Frontini, Teresa de Jesus Almeida Peralta and Ana Isabel Fernandes Querido

    Citation: BMC Geriatrics 2019 19:255

    Content type: Research article

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  27. Delirium is a geriatric syndrome that presents in 1 out of 5 hospitalized older patients. It is also common in the community, in hospices, and in nursing homes. Delirium prevalence varies according to clinical...

    Authors: Alessandro Morandi, Christian Pozzi, Koen Milisen, Hans Hobbelen, Jennifer M. Bottomley, Alessandro Lanzoni, Verena C. Tatzer, Maria Gracia Carpena, Antonio Cherubini, Anette Ranhoff, Alasdair M. J. MacLullich, Andrew Teodorczuk and Giuseppe Bellelli

    Citation: BMC Geriatrics 2019 19:253

    Content type: Debate

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  28. People living with dementia at home are a group who are at increased risk of malnutrition. Health care professionals and home care workers, are ideally placed to support nutritional care in this vulnerable gro...

    Authors: Louise Mole, Bridie Kent, Mary Hickson and Rebecca Abbott

    Citation: BMC Geriatrics 2019 19:250

    Content type: Research article

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  29. Data quality is of special concern when it comes to survey research in nursing homes. Very little is known about specifics of cognitively impaired elderly in responding to survey questions. This study examines...

    Authors: Patrick Kutschar, Martin Weichbold and Jürgen Osterbrink

    Citation: BMC Geriatrics 2019 19:244

    Content type: Research article

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  30. Urinary incontinence is a chronic, age-related disorder, likely to increase in the future due to global population ageing. In Italy, as in most countries, older people with incontinence are often cared for by ...

    Authors: Sara Santini, Paolo Fabbietti and Giovanni Lamura

    Citation: BMC Geriatrics 2019 19:239

    Content type: Research article

    Published on:

  31. Given the complexity of providing dementia care in hospitals, integrating technology into practice is a high challenge and an important opportunity. Although there are a growing demand and interest in using so...

    Authors: Lillian Hung, Cindy Liu, Evan Woldum, Andy Au-Yeung, Annette Berndt, Christine Wallsworth, Neil Horne, Mario Gregorio, Jim Mann and Habib Chaudhury

    Citation: BMC Geriatrics 2019 19:232

    Content type: Research article

    Published on:

  32. Qualitative methods are increasingly included in larger studies to provide a richer understanding of people’s experience. This paper explores the potential of using a novel approach to embedded qualitative des...

    Authors: Michele Abendstern, Karen Davies, Helen Chester, Paul Clarkson, Jane Hughes, Caroline Sutcliffe, Fiona Poland and David Challis

    Citation: BMC Geriatrics 2019 19:227

    Content type: Research article

    Published on:

  33. Hospitals are in need of valid and economic screening and assessment tools that help identifying older patients at risk for complications which require intensified support during their hospital stay.

    Authors: Anne-Carina Scharf, Janine Gronewold, Christian Dahlmann, Jeanina Schlitzer, Andreas Kribben, Guido Gerken, Tienush Rassaf, Christoph Kleinschnitz, Richard Dodel, Helmut Frohnhofen and Dirk M. Hermann

    Citation: BMC Geriatrics 2019 19:221

    Content type: Research article

    Published on:

  34. A growing number of older people, mainly women, live in single households. They represent a vulnerable group as staying at home may turn out challenging when care needs increase, particularly at the end of lif...

    Authors: Sabine Pleschberger, Elisabeth Reitinger, Birgit Trukeschitz and Paulina Wosko

    Citation: BMC Geriatrics 2019 19:219

    Content type: Study protocol

    Published on:

  35. Interventions that enable people to remain in their own home as they age are of interest to stakeholders, yet detailed information on effective interventions is scarce. Our objective was to systematically sear...

    Authors: Julie A. Luker, Anthea Worley, Mandy Stanley, Jeric Uy, Amber M. Watt and Susan L. Hillier

    Citation: BMC Geriatrics 2019 19:217

    Content type: Research article

    Published on:

  36. URGENT is a comprehensive geriatric assessment (CGA) based nurse-led care model in the emergency department (ED) with geriatric follow-up after ED discharge aiming to prevent unplanned ED readmissions.

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

    Citation: BMC Geriatrics 2019 19:215

    Content type: Research article

    Published on:

  38. The rate of aging in Korea is extremely fast compared to major countries. We examined the key demands of community-dwelling older adults with regard to Connected Active Space technology, which provides tailore...

    Authors: Yeon-Hwan Park, Hee Kyung Chang, Min Hye Lee and Seong Hyeon Lee

    Citation: BMC Geriatrics 2019 19:208

    Content type: Research article

    Published on:

  39. The early screening of frail individuals and of patients with complex care needs are challenges that countries witnessing population aging face. Homecare nurses are actors of choice in meeting these challenges...

    Authors: Catherine Ludwig and Catherine Busnel

    Citation: BMC Geriatrics 2019 19:207

    Content type: Study protocol

    Published on:

  41. To evaluate the prevalence and management of heart failure (HF) in very old patients in geriatric settings.

    Authors: Clémence Boully, Jean-Sébastien Vidal, Etienne Guibert, Fanny Nisrin Ghazali, Alain Pesce, Bérengère Beauplet, Jean-Dominique Roger, Isabelle Carrière, Boubacar Timbely, Houria Idiri, Jean-Pierre Constensoux, Anne-Marie Durocher, Delphine Dubail, Marc Fargier, Claude Jeandel, Gilles Berrut…

    Citation: BMC Geriatrics 2019 19:204

    Content type: Research article

    Published on:

  42. People living with dementia in care homes are regularly admitted to hospital. The transition between hospitals and care homes is an area of documented poor care leading to adverse outcomes including costly re-...

    Authors: Angela Richardson, Alison Blenkinsopp, Murna Downs and Kathryn Lord

    Citation: BMC Geriatrics 2019 19:202

    Content type: Research article

    Published on:

  43. A major gap exists internationally in providing support to maintain functional and social independence of older people with dementia living at home. This project evaluates a model of care that integrates evide...

    Authors: Yun-Hee Jeon, Judy M. Simpson, Lee-Fay Low, Robert Woods, Richard Norman, Loren Mowszowski, Lindy Clemson, Sharon L. Naismith, Henry Brodaty, Sarah Hilmer, Amanda Miller Amberber, Laura N. Gitlin and Sarah Szanton

    Citation: BMC Geriatrics 2019 19:199

    Content type: Study protocol

    Published on:

  44. Day-care and telephone counseling have been discussed as effective support measures for caregivers of people with cognitive impairment.

    Authors: Carolin Donath, Katharina Luttenberger, Elmar Graessel, Jennifer Scheel, Anna Pendergrass and Elisa-Marie Behrndt

    Citation: BMC Geriatrics 2019 19:196

    Content type: Research article

    Published on:

  45. The number of older people with unmet care and support needs is increasing substantially due to the challenges facing the formal and informal care system in the United Kingdom. Addressing these unmet needs is ...

    Authors: Sarah Abdi, Alice Spann, Jacinta Borilovic, Luc de Witte and Mark Hawley

    Citation: BMC Geriatrics 2019 19:195

    Content type: Research article

    Published on:

  46. Older adults aged 65 and over will make up more than 20% of U.S. residents by 2030, and in 2050, this population will reach 83.7 million. Depression among older adults is a major public health concern projecte...

    Authors: Vinay K. Cheruvu and Edward T. Chiyaka

    Citation: BMC Geriatrics 2019 19:192

    Content type: Research article

    Published on:

  47. With life expectancy continuing to rise in the United Kingdom there is an increasing public health focus on the maintenance of physical independence among all older adults. Identifying interventions that impro...

    Authors: Tara Kidd, Freda Mold, Claire Jones, Emma Ream, Wendy Grosvenor, Märtha Sund-Levander, Pia Tingström and Nicola Carey

    Citation: BMC Geriatrics 2019 19:184

    Content type: Research article

    Published on:

  48. Frequent geriatric users of emergency departments (EDs) constitute a small group of individuals accounting for a disproportionately high number of ED visits. In addition to overcrowding, this situation might r...

    Authors: Isabelle Dufour, Maud-Christine Chouinard, Nicole Dubuc, Jérémie Beaudin, Sarah Lafontaine and Catherine Hudon

    Citation: BMC Geriatrics 2019 19:185

    Content type: Research article

    Published on:

  49. Vitamin D supplement use is recommended best practice in residential aged care facilities (RACFs) for the prevention of falls, however has experienced delays in uptake. Following successful international effor...

    Authors: Pippy Walker, Annette Kifley, Susan Kurrle and Ian D. Cameron

    Citation: BMC Geriatrics 2019 19:177

    Content type: Research article

    Published on:

  50. Up to 80% of care home residents have dementia. Ensuring this workforce is appropriately trained is of international concern. Research indicates variable impact of training on a range of resident and staff out...

    Authors: Claire A. Surr, Cara Sass, Michelle Drury, Natasha Burnley, Alison Dennison, Sarah Burden and Jan Oyebode

    Citation: BMC Geriatrics 2019 19:175

    Content type: Research article

    Published on:

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