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. Research Article

    Patient-centered professional practice models for managing low back pain in older adults: a pilot randomized controlled trial

    Low back pain is a debilitating condition for older adults, who may seek healthcare from multiple providers. Few studies have evaluated impacts of different healthcare delivery models on back pain outcomes in ...

    Christine M. Goertz, Stacie A. Salsbury, Cynthia R. Long, Robert D. Vining, Andrew A. Andresen, Maria A. Hondras, Kevin J. Lyons, Lisa Z. Killinger, Fredric D. Wolinsky and Robert B. Wallace

    BMC Geriatrics 2017 17:235

    Published on: 13 October 2017

  2. Research Article

    What is polypharmacy? A systematic review of definitions

    Multimorbidity and the associated use of multiple medicines (polypharmacy), is common in the older population. Despite this, there is no consensus definition for polypharmacy. A systematic review was conducted...

    Nashwa Masnoon, Sepehr Shakib, Lisa Kalisch-Ellett and Gillian E. Caughey

    BMC Geriatrics 2017 17:230

    Published on: 10 October 2017

  3. Research Article

    Dying comfortably in very old age with or without dementia in different care settings – a representative “older old” population study

    Comfort is frequently ranked important for a good death. Although rising numbers of people are dying in very old age, many with dementia, little is known about symptom control for “older old” people or whether...

    Jane Fleming, Rowan Calloway, Anouk Perrels, Morag Farquhar, Stephen Barclay and Carol Brayne

    BMC Geriatrics 2017 17:222

    Published on: 5 October 2017

  4. Study protocol

    Informed decision-making with and for people with dementia – efficacy of the PRODECIDE education program for legal representatives: protocol of a randomized controlled trial (PRODECIDE-RCT)

    In Germany, the guardianship system provides adults who are no longer able to handle their own affairs a court-appointed legal representative, for support without restriction of legal capacity. Although these ...

    Julia Lühnen, Burkhard Haastert, Ingrid Mühlhauser and Tanja Richter

    BMC Geriatrics 2017 17:217

    Published on: 15 September 2017

  5. Research Article

    Meeting psychosocial needs for persons with dementia in home care services – a qualitative study of different perceptions and practices among health care providers

    The majority of persons with dementia are home-dwelling. To enable these persons to stay in their own homes as long as possible, a holistic, individual and flexible care is recommended. Despite a requirement f...

    Anette Hansen, Solveig Hauge and Ådel Bergland

    BMC Geriatrics 2017 17:211

    Published on: 11 September 2017

  6. Research Article

    Distinctive subgroups derived by cluster analysis based on pain and psychological symptoms in Swedish older adults with chronic pain – a population study (PainS65+)

    Improved knowledge based on clinical features of chronic pain in older adults would be valuable in terms of patient-orientated approaches and would provide support for health care systems in optimizing health ...

    Britt Larsson, Björn Gerdle, Lars Bernfort, Lars-Åke Levin and Elena Dragioti

    BMC Geriatrics 2017 17:200

    Published on: 2 September 2017

  7. Research Article

    Cost-effectiveness analysis of a multifactorial fall prevention intervention in older home care clients at risk for falling

    Falls among older adults can cause serious morbidity and pose economic burdens on society. Older age is a known risk factor for falls and age has been shown to influence the effectiveness of fall prevention pr...

    Wanrudee Isaranuwatchai, Johnna Perdrizet, Maureen Markle-Reid and Jeffrey S. Hoch

    BMC Geriatrics 2017 17:199

    Published on: 1 September 2017

  8. Study protocol

    A multi-center, randomized, controlled trial to assess the efficacy of optimization of drug prescribing in an elderly population, at 18 months of follow-up, in the evolution of functional autonomy: the OPTIM study protocol

    Pharmacotherapy is necessary for the management of many diseases which number increased with aging. However, potentially inappropriate prescriptions and polymedication increases iatrogenic risks and can lead t...

    Virginie Dauphinot, Elodie Jean-Bart, Pierre Krolak-Salmon and Christelle Mouchoux

    BMC Geriatrics 2017 17:195

    Published on: 30 August 2017

  9. Research article

    Comparison of procalcitonin and high-sensitivity C-reactive protein for the diagnosis of sepsis and septic shock in the oldest old patients

    Although the role of serum procalcitonin (PCT) and high-sensitivity C-reactive protein (hs-CRP) in the diagnosis of sepsis and septic shock is well studied, it has not been investigated among oldest old patien...

    Hongmin Zhang, Xiaoting Wang, Qing Zhang, Ying Xia and Dawei Liu

    BMC Geriatrics 2017 17:173

    Published on: 1 August 2017

  10. Research Article

    Collaborative goal setting with elderly patients with chronic disease or multimorbidity: a systematic review

    It is challenging to use shared decision-making with patients who have a chronic health condition or, especially, multimorbidity. A patient-goal-oriented approach can thus be beneficial. This study aims to ide...

    Neeltje P. C. A. Vermunt, Mirjam Harmsen, Gert P. Westert, Marcel G. M. Olde Rikkert and Marjan J. Faber

    BMC Geriatrics 2017 17:167

    Published on: 31 July 2017

  11. Research Article

    Dementia knowledge assessment scale (DKAS): confirmatory factor analysis and comparative subscale scores among an international cohort

    Dementia is a life-limiting condition that is increasing in global prevalence in line with population ageing. In this context, it is necessary to accurately measure dementia knowledge across a spectrum of heal...

    Michael J. Annear, Chris Toye, Kate-Ellen J. Elliott, Frances McInerney, Claire Eccleston and Andrew Robinson

    BMC Geriatrics 2017 17:168

    Published on: 31 July 2017

  12. Research Article

    Non-adherence to medication regimens among older African-American adults

    Despite concerns about racial differences on adherence to prescribed medication rigimens among older adults, current information about nonadherence among underserved elderly African Americans with co-morbiditi...

    Mohsen Bazargan, James Smith, Hamed Yazdanshenas, Masoud Movassaghi, David Martins and Gail Orum

    BMC Geriatrics 2017 17:163

    Published on: 25 July 2017

  13. Research Article

    A prospective study assessing agreement and reliability of a geriatric evaluation

    The present study takes place within a geriatric program, aiming at improving the diagnosis and management of geriatric syndromes in primary care. Within this program it was of prime importance to be able to r...

    Isabella Locatelli, Stéfanie Monod, Jacques Cornuz, Christophe J. Büla and Nicolas Senn

    BMC Geriatrics 2017 17:153

    Published on: 19 July 2017

  14. Research Article

    Dissemination and implementation research in dementia care: a systematic scoping review and evidence map

    The need to better understand implementing evidence-informed dementia care has been recognised in multiple priority-setting partnerships. The aim of this scoping review was to give an overview of the state of ...

    Ilianna Lourida, Rebecca A Abbott, Morwenna Rogers, Iain A Lang, Ken Stein, Bridie Kent and Jo Thompson Coon

    BMC Geriatrics 2017 17:147

    Published on: 14 July 2017

  15. Research Article

    A comprehensive intervention following the clinical pathway of eating and swallowing disorder in the elderly with dementia: historically controlled study

    Eating problems in patients with advanced dementia are strongly associated with their deteriorating survival. Food and drink intake in people with dementia may be supported by specific interventions, but the e...

    Masahisa Arahata, Makoto Oura, Yuka Tomiyama, Naoe Morikawa, Hatsue Fujii, Shinji Minani and Yukihiro Shimizu

    BMC Geriatrics 2017 17:146

    Published on: 14 July 2017

  16. Research Article

    Improving early detection initiatives: a qualitative study exploring perspectives of older people and professionals

    A wide range of initiatives on early detection and intervention have been developed to proactively identify problems related to health and wellbeing in (frail) older people, with the aim of supporting them to ...

    Manon Lette, Annerieke Stoop, Lidwien C. Lemmens, Yvette Buist, Caroline A. Baan and Simone R. de Bruin

    BMC Geriatrics 2017 17:132

    Published on: 23 June 2017

  17. Study protocol

    Decision-making experiences of family members of older adults with moderate dementia towards community and residential care home services: a grounded theory study protocol

    Caring and supporting older people with dementia have become a major public health priority. Recent reports have also revealed a diminishing number of family carers to provide dementia care in the future. Care...

    Lisa Pau Le Low, Lai Wah Lam and Kim Pong Fan

    BMC Geriatrics 2017 17:120

    Published on: 5 June 2017

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