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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 6

  1. 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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. Content type: Research article

    Medication regimens in nursing home (NH) residents with severe dementia should be frequently reviewed to avoid inappropriate medication, overtreatment and adverse drug events, within a comfort care approach. T...

    Authors: Machelle Wilchesky, Gerhard Mueller, Michèle Morin, Martine Marcotte, Philippe Voyer, Michèle Aubin, Pierre-Hugues Carmichael, Nathalie Champoux, Johanne Monette, Anik Giguère, Pierre Durand, René Verreault, Marcel Arcand and Edeltraut Kröger

    Citation: BMC Geriatrics 2018 18:204

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  11. Content type: Research article

    Older persons are substantial consumers of both hospital- and community care, and there are discussions regarding the potential for preventing hospitalizations through high quality community care. The present ...

    Authors: Martha Therese Gjestsen, Kolbjørn Brønnick and Ingelin Testad

    Citation: BMC Geriatrics 2018 18:203

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  12. Content type: Research article

    This study aimed to determine whether the number of anti-hypertensive medication classes or any change in anti-hypertensive medication were associated with injurious fall among the community-dwelling older pop...

    Authors: Zafirah Banu, Ka Keat Lim, Yu Heng Kwan, Kai Zhen Yap, Hui Ting Ang, Chuen Seng Tan, Warren Fong, Julian Thumboo, Kheng Hock Lee, Truls Ostbye and Lian Leng Low

    Citation: BMC Geriatrics 2018 18:195

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  13. Content type: Research article

    Recently hospitalized patients experience a period of generalized risk of adverse health events. This study examined reasons for, and predictors of, readmission to acute care facilities within 30 and 180 days ...

    Authors: Lloyd D. Hughes and Miles D. Witham

    Citation: BMC Geriatrics 2018 18:197

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  14. Content type: Study protocol

    Frail community-dwelling older adults, whom might experience problems regarding physical, cognitive, psychological, social and environmental factors, are at risk for adverse outcomes such as disability, instit...

    Authors: Deborah Lambotte, Liesbeth De Donder, Ellen E. De Roeck, Lieve J. Hoeyberghs, Anne van der Vorst, Daan Duppen, Michaël Van der Elst, Bram Fret, Sarah Dury, An-Sofie Smetcoren, Martinus J. M. Kardol, Sebastiaan Engelborghs, Peter Paul De Deyn, Nico De Witte, Jos M. G. A. Schols, Gertrudis I. J. M. Kempen…

    Citation: BMC Geriatrics 2018 18:194

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  15. Content type: Study protocol

    Clinical medication reviews (CMR) are increasingly performed in older patients with polypharmacy. Studies have shown positive effects of CMR on process- and intermediate outcomes, like drug-related problems (D...

    Authors: Sanne Verdoorn, Henk-Frans Kwint, Jeanet Blom, Jacobijn Gussekloo and Marcel L. Bouvy

    Citation: BMC Geriatrics 2018 18:190

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  16. Content type: Research article

    ACP enables individuals to define and discuss goals and preferences for future medical treatment and care with family and healthcare providers, and to record these goals and preferences if appropriate. Because...

    Authors: Bram Tilburgs, Myrra Vernooij-Dassen, Raymond Koopmans, Marije Weidema, Marieke Perry and Yvonne Engels

    Citation: BMC Geriatrics 2018 18:184

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  17. Content type: Study protocol

    Close to half of all deaths in Norway occur in nursing homes, which signals a need for good communication on end-of-life care. Advance care planning (ACP) is one means to that end, but in Norwegian nursing hom...

    Authors: Trygve Johannes Lereim Sævareid, Lillian Lillemoen, Lisbeth Thoresen, Reidun Førde, Elisabeth Gjerberg and Reidar Pedersen

    Citation: BMC Geriatrics 2018 18:180

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  18. Content type: Research Article

    The period after hospitalization due to deteriorated heart failure (HF) is characterized as a time of high generalized risk. The transition from hospital to home is often problematic due to insufficient coordi...

    Authors: Emma Säfström, Tiny Jaarsma and Anna Strömberg

    Citation: BMC Geriatrics 2018 18:177

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  19. Content type: Research article

    This paper provides a first comparative exploratory analysis of our findings from DEMDATA, a collaborative project between Austria and the Czech Republic. Analysed here are data from the residents and the envi...

    Authors: Stefanie R. Auer, Margit Höfler, Elisabeth Linsmayer, Anna Beránková, Doris Prieschl, Paulina Ratajczak, Michal Šteffl and Iva Holmerová

    Citation: BMC Geriatrics 2018 18:178

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  20. Content type: Research Article

    While much literature reported the access of Chinese older migrants to health services, little was known about the differences among sub-groups of older adults, including urban-to-urban and rural-to-urban migr...

    Authors: Sha Ma, Xudong Zhou, Minmin Jiang, Qiuju Li, Chao Gao, Weiming Cao and Lu Li

    Citation: BMC Geriatrics 2018 18:174

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  21. Content type: Study protocol

    A major challenge in primary healthcare is the substantial increase in the proportion of frail community-dwelling older persons with long-term conditions and multiple complex needs. Consequently, a fundamental...

    Authors: Lotte Vestjens, Jane M. Cramm, Erwin Birnie and Anna P. Nieboer

    Citation: BMC Geriatrics 2018 18:173

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  22. Content type: Research article

    Oldest-old persons frequently receive potentially inappropriate medication. Medication use takes place under the patients’ informal caregivers’ influence. We explored informal caregivers’ perspectives on medic...

    Authors: Nadine Janis Pohontsch, Antje Löffler, Tobias Luck, Kathrin Heser, Debora Parker, Britta Haenisch, Steffi G. Riedel-Heller, Frank Jessen and Martin Scherer

    Citation: BMC Geriatrics 2018 18:169

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  23. Content type: Research article

    Health care systems are increasingly moving towards more integrated approaches. Shared decision making (SDM) is central to these models but may be complicated by the need to negotiate and communicate decisions...

    Authors: Frances Bunn, Claire Goodman, Bridget Russell, Patricia Wilson, Jill Manthorpe, Greta Rait, Isabel Hodkinson and Marie-Anne Durand

    Citation: BMC Geriatrics 2018 18:165

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  24. Content type: Research article

    In intensive care units (ICU) octogenarians become a routine patients group with aggravated therapeutic and diagnostic decision-making. Due to increased mortality and a reduced quality of life in this high-ris...

    Authors: Johanna M. Muessig, Amir M. Nia, Maryna Masyuk, Alexander Lauten, Anne Lena Sacher, Thorsten Brenner, Marcus Franz, Frank Bloos, Henning Ebelt, Stefan J. Schaller, Kristina Fuest, Christian Rabe, Thorben Dieck, Stephan Steiner, Tobias Graf, Rolf A. Jánosi…

    Citation: BMC Geriatrics 2018 18:162

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  25. Content type: Research Article

    This paper describes an integrated series of functional, clinical, and discharge post-acute care (PAC) quality indicators (QIs) and an examination of the distribution of the QIs in skilled nursing facilities (...

    Authors: John N. Morris, Katherine Berg, Eva Topinkova, Leonard C. Gray and Erez Schachter

    Citation: BMC Geriatrics 2018 18:161

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  26. Content type: Research article

    Nursing home (NH) residents are frequent users of emergency departments (ED) and while prior research suggests that repeat visits are common, there is little data describing this phenomenon. Our objectives wer...

    Authors: Andrea Gruneir, Candemir Cigsar, Xuesong Wang, Alice Newman, Susan E. Bronskill, Geoff M. Anderson and Paula A. Rochon

    Citation: BMC Geriatrics 2018 18:157

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  27. Content type: Research article

    In 2015, the Japan Geriatric Society (JGS) updated “the Guidelines for Medical Treatment and its Safety in the elderly,” accompanied with the Screening Tool for Older Persons’ Appropriate Prescriptions for Jap...

    Authors: Kaori Nomura, Taro Kojima, Shinya Ishii, Takuto Yonekawa, Masahiro Akishita and Manabu Akazawa

    Citation: BMC Geriatrics 2018 18:154

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  28. Content type: Research article

    The aim was to assess the morbidity and in-hospital mortality that occur in surgical patients with pre-existing dementia compared with those outcomes in non-dementia patients following emergent and nonemergent...

    Authors: Woubet Tefera Kassahun

    Citation: BMC Geriatrics 2018 18:153

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  29. Content type: Research article

    In the past decade, the number of long-term care (LTC) services for older adults in China has grown annually by an average of 10%. Older adults, their family members, and policymakers in China are concerned ab...

    Authors: Yuebin Xu, Nan Jiang, Yean Wang, Qiang Zhang, Lin Chen and Shuang Ma

    Citation: BMC Geriatrics 2018 18:152

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  30. Content type: Research Article

    Interdisciplinary geriatric consultation teams (IGCT) are regularly requested to provide comprehensive geriatric assessments in older inpatients. Our primary aim was to evaluate whether medication reviews incr...

    Authors: Lorenz Van der Linden, Julie Hias, Lisa Dreessen, Koen Milisen, Johan Flamaing, Isabel Spriet and Jos Tournoy

    Citation: BMC Geriatrics 2018 18:155

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  31. Content type: Research Article

    Our study explored client experience of Australian Consumer Directed Care. This evolving funding model enables consumer autonomy and choice, allowing older people to remain in their community as they age and n...

    Authors: Liz Gill, Sandra L. Bradley, Ian D. Cameron and Julie Ratcliffe

    Citation: BMC Geriatrics 2018 18:148

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  32. Content type: Research article

    Geriatric syndromes, multimorbidity, and disability are prevalent among ageing population. However, no study empirically examined their additive or synergistic effect on healthcare use. The present study aims ...

    Authors: Johnny T. K. Cheung, Ruby Yu, Zimu Wu, Samuel Y.S. Wong and Jean Woo

    Citation: BMC Geriatrics 2018 18:147

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  33. Content type: Research Article

    The Quality of Life in Alzheimer’s disease scale (QoL-AD) is a widely used Health Related Quality of Life (HRQoL) instrument. However, studies investigating the instrument’s inter-rater reliability (IRR) are m...

    Authors: Martin Nikolaus Dichter, Eva-Maria Wolschon, Christian G. G. Schwab, Gabriele Meyer and Sascha Köpke

    Citation: BMC Geriatrics 2018 18:145

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  34. Content type: Research article

    Adherence to recommendations and medication is deemed to be important for effectiveness of case management interventions. Thus, reasons for non-adherence and effects on health-related quality of life (HRQoL) s...

    Authors: Gundula Krack, Rolf Holle, Inge Kirchberger, Bernhard Kuch, Ute Amann and Hildegard Seidl

    Citation: BMC Geriatrics 2018 18:136

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  35. Content type: Research Article

    Elderly patients are vulnerable to adverse drug reactions (ADRs). Drug-related readmissions (DRRs) can be a major consequence of ADR. Therefore, this study aimed to investigate the effects of a ward-based, com...

    Authors: R. Lenssen, K. Schmitz, C. Griesel, A. Heidenreich, J. B. Schulz, C. Trautwein, N. Marx, C. Fitzner, U. Jaehde and A. Eisert

    Citation: BMC Geriatrics 2018 18:135

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  36. Content type: Research article

    People with dementia and informal carers often access formal care late in the process of dementia. The barriers and facilitators to service use from the perspectives of different stakeholders involved are not ...

    Authors: Astrid Stephan, Anja Bieber, Louise Hopper, Rachael Joyce, Kate Irving, Orazio Zanetti, Elisa Portolani, Liselot Kerpershoek, Frans Verhey, Marjolein de Vugt, Claire Wolfs, Siren Eriksen, Janne Røsvik, Maria J. Marques, Manuel Gonçalves-Pereira, Britt-Marie Sjölund…

    Citation: BMC Geriatrics 2018 18:131

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  37. Content type: Research article

    The protective, custodial, task-oriented care provided in residential aged care facilitates decreases health and wellbeing of residents. The aim of the study was to conduct a feasibility study of LifeFul – a 1...

    Authors: Lee-Fay Low, Shruti Venkatesh, Lindy Clemson, Dafna Merom, Anne-Nicole Casey and Henry Brodaty

    Citation: BMC Geriatrics 2018 18:129

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  38. Content type: Research Article

    Older people who present to the Emergency Department (ED) experience high rates of prevalent and incident delirium. This study aimed to determine whether an assistant workforce in the ED could effectively cond...

    Authors: Carolyn Hullick, Jane Conway, Isabel Higgins, Jacqueline Hewitt, Bernadette Stewart, Sophie Dilworth and John Attia

    Citation: BMC Geriatrics 2018 18:126

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  39. Content type: Study protocol

    Depression and hypertension are common, costly, and destructive conditions among the rapidly aging population of China. The two disorders commonly coexist and are poorly recognized and inadequately treated, es...

    Authors: Shulin Chen, Yeates Conwell, Jiang Xue, Lydia W. Li, Wan Tang, Hillary R. Bogner and Hengjin Dong

    Citation: BMC Geriatrics 2018 18:124

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  40. Content type: Research article

    Heart failure (HF) is associated with a high rate of readmissions within 30 days post-discharge and in the following year, especially in frail elderly patients. Biomarker data are scarce in this high-risk popu...

    Authors: Cristina Pacho, Mar Domingo, Raquel Núñez, Josep Lupón, Julio Núñez, Jaume Barallat, Pedro Moliner, Marta de Antonio, Javier Santesmases, Germán Cediel, Santiago Roura, M. Cruz Pastor, Jordi Tor and Antoni Bayes-Genis

    Citation: BMC Geriatrics 2018 18:109

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  41. Content type: Study protocol

    Approximately 20% of community-dwelling older adults discharged from the emergency department (ED) return to an ED within 30 days, an occurrence partially resulting from poor care transitions. Prior published ...

    Authors: Ranran Mi, Matthew M. Hollander, Courtney M. C. Jones, Eva H. DuGoff, Thomas V. Caprio, Jeremy T. Cushman, Amy J. H. Kind, Michael Lohmeier and Manish N. Shah

    Citation: BMC Geriatrics 2018 18:104

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  42. Content type: Research Article

    Elderly people often have more complicated healthcare needs than younger adults due to additional functional decline, physical illness, and psychosocial needs. Unmet healthcare needs increase illness severity,...

    Authors: Yoon-Sook Kim, Jongmin Lee, Yeonsil Moon, Kyoung Jin Kim, Kunsei Lee, Jaekyung Choi and Seol-Heui Han

    Citation: BMC Geriatrics 2018 18:98

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  43. Content type: Research article

    Few studies have evaluated the characteristics of elderly patients with polypharmacy refusing deprescribing. The aim of this study was to evaluate the prevalence of potentially inappropriate medication (PIM) u...

    Authors: Junpei Komagamine, Kenichi Sugawara and Kazuhiko Hagane

    Citation: BMC Geriatrics 2018 18:96

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  44. Content type: Research article

    Supporting older adults’ health and wellbeing in the community is an important policy goal that can be supported by health promotion. Despite widespread acceptance of the biopsychosocial model of health and it...

    Authors: Gina Agarwal and Madison Brydges

    Citation: BMC Geriatrics 2018 18:95

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