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

    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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. Research Article

    Validation and psychometric properties of the commitment to hip protectors (C-HiP) index in long-term care providers of British Columbia, Canada: a cross-sectional survey

    If worn during a fall, hip protectors substantially reduce risk for hip fracture. However, a major barrier to their clinical efficacy is poor user adherence. In long-term care, adherence likely depends on how ...

    Alexandra M.B. Korall, Judith Godin, Fabio Feldman, Ian D. Cameron, Pet-Ming Leung, Joanie Sims-Gould and Stephen N. Robinovitch

    BMC Geriatrics 2017 17:103

    Published on: 3 May 2017

  11. Research Article

    Setting-related influences on physical inactivity of older adults in residential care settings: a review

    Despite the detrimental effects of physical inactivity for older adults, especially aged residents of residential care settings may spend much time in inactive behavior. This may be partly due to their poorer ...

    Johanna G. Douma, Karin M. Volkers, Gwenda Engels, Marieke H. Sonneveld, Richard H.M. Goossens and Erik J.A. Scherder

    BMC Geriatrics 2017 17:97

    Published on: 28 April 2017

  12. Research Article

    Variation in GP decisions on antihypertensive treatment in oldest-old and frail individuals across 29 countries

    In oldest-old patients (>80), few trials showed efficacy of treating hypertension and they included mostly the healthiest elderly. The resulting lack of knowledge has led to inconsistent guidelines, mainly bas...

    Sven Streit, Marjolein Verschoor, Nicolas Rodondi, Daiana Bonfim, Robert A. Burman, Claire Collins, Gerasimovska Kitanovska Biljana, Sandra Gintere, Raquel Gómez Bravo, Kathryn Hoffmann, Claudia Iftode, Kasper L. Johansen, Ngaire Kerse, Tuomas H. Koskela, Sanda Kreitmayer Peštić, Donata Kurpas…

    BMC Geriatrics 2017 17:93

    Published on: 20 April 2017

  13. Study protocol

    Evaluation of a technology-enhanced integrated care model for frail older persons: protocol of the SPEC study, a stepped-wedge cluster randomized trial in nursing homes

    Limited evidence exists on the effectiveness of the chronic care model for people with multimorbidity. This study aims to evaluate the effectiveness of an information and communication technology- (ICT-)enhanc...

    Hongsoo Kim, Yeon-Hwan Park, Young-il Jung, Hyoungshim Choi, Seyune Lee, Gi-Soo Kim, Dong-wook Yang, Myunghee Cho Paik and Tae-Jin Lee

    BMC Geriatrics 2017 17:88

    Published on: 18 April 2017

    The Erratum to this article has been published in BMC Geriatrics 2017 17:106

  14. Study protocol

    Perspectives of Frailty and Frailty Screening: Protocol for a Collaborative Knowledge Translation Approach and Qualitative Study of Stakeholder Understandings and Experiences

    Accompanying the unprecedented growth in the older adult population worldwide is an increase in the prevalence of frailty, an age-related clinical state of increased vulnerability to stressor events. This incr...

    Mandy M. Archibald, Rachel Ambagtsheer, Justin Beilby, Mellick J. Chehade, Tiffany K. Gill, Renuka Visvanathan and Alison L. Kitson

    BMC Geriatrics 2017 17:87

    Published on: 17 April 2017

  15. Study protocol

    A qualitative study protocol of ageing carers’ caregiving experiences and their planning for continuation of care for their immediate family members with intellectual disability

    Understanding the difficulties and needs of the family carers in taking care of a person with ID can facilitate the development of appropriate intervention programmes and services to strengthen their caring ca...

    Lisa Pau Le Low, Wai Tong Chien, Lai Wah Lam and Kayla Ka Yin Wong

    BMC Geriatrics 2017 17:81

    Published on: 7 April 2017

  16. Study protocol

    A structure, process and outcome evaluation of the Geriatric Emergency Department Intervention model of care: a study protocol

    Emergency departments are chaotic environments in which complex, frail older persons living in the community and residential aged care facilities are sometimes subjected to prolonged emergency department lengt...

    Elizabeth Marsden, Andrea Taylor, Marianne Wallis, Alison Craswell, Marc Broadbent, Adrian Barnett, Kim-Huong Nguyen, Julia Crilly, Colleen Johnston and Amanda Glenwright

    BMC Geriatrics 2017 17:76

    Published on: 23 March 2017

  17. Research Article

    External validation of the Vulnerable Elder’s Survey for predicting mortality and emergency admission in older community-dwelling people: a prospective cohort study

    Prospective external validation of the Vulnerable Elder’s Survey (VES-13) in primary care remains limited. The aim of this study is to externally validate the VES-13 in predicting mortality and emergency admis...

    Emma Wallace, Ronald McDowell, Kathleen Bennett, Tom Fahey and Susan M. Smith

    BMC Geriatrics 2017 17:69

    Published on: 20 March 2017

  18. Research Article

    Geriatric support in the emergency department: a national survey in Belgium

    Older people in the emergency department (ED) represent a growing population and increasing proportion of the workload in the ED. This study investigated the support for frail older people in the ED, by explor...

    Els Devriendt, Isabelle De Brauwer, Lies Vandersaenen, Pieter Heeren, Simon Conroy, Benoit Boland, Johan Flamaing, Marc Sabbe and Koen Milisen

    BMC Geriatrics 2017 17:68

    Published on: 16 March 2017

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