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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 8

  1. Content type: Research article

    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

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  2. Content type: Research article

    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

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  3. Content type: Research article

    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

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  4. Content type: Research article

    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

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  5. Content type: Debate

    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

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  6. Content type: Research article

    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

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  7. Content type: Research article

    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

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  8. Content type: Research article

    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

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  9. Content type: Research article

    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

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  10. Content type: Research article

    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

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  11. Content type: Research article

    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

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  12. Content type: Study protocol

    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

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  13. Content type: Research article

    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

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  14. Content type: Research article

    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

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  15. Content type: Research article

    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

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  16. Content type: Study protocol

    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

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  17. Content type: Research article

    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

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  18. Content type: Research article

    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

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  19. Content type: Study protocol

    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

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  20. Content type: Research article

    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

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  21. Content type: Research article

    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

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  22. Content type: Research article

    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

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  23. Content type: Research article

    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

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  24. Content type: Research article

    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

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  25. Content type: Research article

    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

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  26. Content type: Research article

    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

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  27. Content type: Research article

    In older patients, timely recognition and treatment of medication misuse and dependence are crucial to secure medication safety and to avoid increasing health expenditure. Nonetheless, the detection of this co...

    Authors: Socheat Cheng, Tahreem Ghazal Siddiqui, Michael Gossop, Espen Saxhaug Kristoffersen and Christofer Lundqvist

    Citation: BMC Geriatrics 2019 19:174

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  28. Content type: Research article

    PHARAO is a decision support system developed to evaluate the risk for a set of either common or serious side-effects resulting from a combination of pharmacodynamic effects from a patient’s medications. The o...

    Authors: Khedidja Hedna, Marine L. Andersson, Hanna Gyllensten, Staffan Hägg and Ylva Böttiger

    Citation: BMC Geriatrics 2019 19:164

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  29. Content type: Research article

    Community-based blood pressure (BP) monitoring plays an important role in national hypertension management in China. However, the utilisation of this service, together with its associations on hypertension tre...

    Authors: Hongxun Song, Donglan Zhang, Zhuo Chen, Ruoxi Wang, Shangfeng Tang, Ghose Bishwajit, Shanquan Chen, Da Feng, Tailai Wu, Yang Wang, Yanwei Su and Zhanchun Feng

    Citation: BMC Geriatrics 2019 19:162

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  30. Content type: Research article

    Taiwan, one of the fastest-aging countries in the world, started implementing version 1.0 of its long-term care (LTC) plan in 2008. In 2017, LTC Plan 2.0 began a new era with its goal to integrate Taiwan’s fra...

    Authors: Tzu-Ying Chiu, Hsiao-Wei Yu, Rei Goto, Wen-Lin Lai, Hsi-Chang Li, En-Tien Tsai and Ya-Mei Chen

    Citation: BMC Geriatrics 2019 19:159

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  31. Content type: Research article

    Enhanced recovery programmes (ERPs) aim to attenuate the surgical stress response and accelerate recovery after surgery, but are not specifically designed for older patients. The objective of this study was to...

    Authors: Katleen Fagard, Albert Wolthuis, André D’Hoore, Marleen Verhaegen, Jos Tournoy, Johan Flamaing and Mieke Deschodt

    Citation: BMC Geriatrics 2019 19:157

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  32. Content type: Research article

    Screening for inpatients at risk for long length of stay (LOS) is the first step of an effective hospital care plan for older inpatients. This study aims, in older adults admitted to a geriatric acute care war...

    Authors: Olivier Beauchet, Shek Fung, Cyrille P. Launay, Liam Anders Cooper-Brown, Jonathan Afilalo, Paul Herbert, Marc Afilalo and Julia Chabot

    Citation: BMC Geriatrics 2019 19:156

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  33. Content type: Research article

    Nursing home residents (NHR) are characterized by increasing frailty, multimorbidity and care dependency. These conditions result in frequent hospital transfers which can lead to negative effects on residents’...

    Authors: Alexandra Pulst, Alexander Maximilian Fassmer and Guido Schmiemann

    Citation: BMC Geriatrics 2019 19:155

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  34. Content type: Research article

    Hip fracture among older adults is not only a major health issue but also preventable by providing proper care, but there is a lack of studies on the association between type of long-term care (LTC) service an...

    Authors: Juyeong Kim, Young Choi and Eun-Cheol Park

    Citation: BMC Geriatrics 2019 19:152

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  35. Content type: Research article

    Having a match between a nursing home and the preferences of people with dementia is beneficial for their well-being. It is suggested that innovative types of nursing homes such as small-scale living facilitie...

    Authors: Bram de Boer, Hilde Verbeek, Sandra M. G. Zwakhalen and Jan P. H. Hamers

    Citation: BMC Geriatrics 2019 19:149

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  36. Content type: Research article

    Many older people (care recipients) experience long-term psychological distress due to the fear of falling again. Falls can affect carers due to concerns about their care recipients falling. Understanding care...

    Authors: Seng Giap Marcus Ang, Anthony Paul O’Brien and Amanda Wilson

    Citation: BMC Geriatrics 2019 19:144

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  37. Content type: Research article

    It is acknowledged that preservation of self-determination is very important in order for older adults to experience good quality of life, but to what degree and in what areas people receiving help from home c...

    Authors: Karin Bölenius, Kristina Lämås, Per-Olof Sandman, Marie Lindkvist and David Edvardsson

    Citation: BMC Geriatrics 2019 19:142

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  38. Content type: Research article

    Little is known about the quality of end of life care in long-term care (LTC) for residents with different diagnostic trajectories. The aim of this study was to compare symptoms before death in LTC for those w...

    Authors: Michal Boyd, Rosemary Frey, Deborah Balmer, Jackie Robinson, Heather McLeod, Susan Foster, Julia Slark and Merryn Gott

    Citation: BMC Geriatrics 2019 19:137

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  39. Content type: Research article

    Few studies have investigated the healthcare utilization of Mexican-American Medicare beneficiaries. We used survey data that has been linked with Medicare claims records to describe the healthcare utilization...

    Authors: Brian Downer, Soham Al Snih, Lin-Na Chou, Yong-Fang Kuo, Kyriakos S. Markides and Kenneth J. Ottenbacher

    Citation: BMC Geriatrics 2019 19:136

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  40. Content type: Study protocol

    Most surviving hip-fracture patients experience reduced mobility and lose some of their functional ability, which increases the risk of complications and rehospitalization. Post-discharge transitional programs...

    Authors: Yafit Gilboa, Talia Maeir, Sharon Karni, Michal E. Eisenberg, Meir Liebergall, Isabella Schwartz and Yakir Kaufman

    Citation: BMC Geriatrics 2019 19:135

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  41. Content type: Research article

    Older patients is a complex group at increased risk of adverse outcomes compared to younger patients, which should be considered in the risk assessment performed in emergency departments. We evaluated whether ...

    Authors: Martin Schultz, Line Jee Hartmann Rasmussen, Nicolas Carlson, Rasmus Bo Hasselbalch, Birgitte Nybo Jensen, Lotte Usinger, Jesper Eugen-Olsen, Christian Torp-Pedersen, Lars Simon Rasmussen and Kasper Karmark Iversen

    Citation: BMC Geriatrics 2019 19:134

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  42. Content type: Research article

    Multimorbid patients in nursing homes are prescribed long lists of medication, often without sufficient clinical evaluations beforehand. This results in poor clinical effects of the prescribed medication and s...

    Authors: Christine Gulla, Elisabeth Flo, Reidun L. S. Kjome and Bettina S. Husebo

    Citation: BMC Geriatrics 2019 19:130

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  43. Content type: Research article

    National policies seek to involve older Australian’s in decisions regarding their care; however, research has found varying levels of decision self-efficacy and health literacy skills. An increasing number of ...

    Authors: Caroline A. Smith, Esther Chang, Gisselle Gallego, Afshan Khan, Mike Armour and Lynda G. Balneaves

    Citation: BMC Geriatrics 2019 19:129

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  44. Content type: Research article

    This paper details a subset of the findings from a participatory action research project exploring a palliative intervention in long-term care sites across Canada. The findings presented in this paper relate t...

    Authors: Lorraine Smith-MacDonald, Lorraine Venturato, Paulette Hunter, Sharon Kaasalainen, Tamara Sussman, Lynn McCleary, Genevieve Thompson, Abigail Wickson-Griffiths and Shane Sinclair

    Citation: BMC Geriatrics 2019 19:128

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  45. Content type: Research article

    New approaches are needed to address the challenges of demographic change, staff shortages, and societal change in the care of the elderly. While volunteering has barely been established as a pillar of the wel...

    Authors: Anne Goehner, Cornelia Kricheldorff and Eva Maria Bitzer

    Citation: BMC Geriatrics 2019 19:126

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