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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.

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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  22. Content type: Research article

    Legal dispositions for advance care planning (ACP) are available but used by a minority of older adults in Switzerland. Some studies found that knowledge of and perception of those dispositions are positively ...

    Authors: Anne Cattagni Kleiner, Brigitte Santos-Eggimann, Sarah Fustinoni, Anne-Véronique Dürst, Katja Haunreiter, Eve Rubli-Truchard and Laurence Seematter-Bagnoud

    Citation: BMC Geriatrics 2019 19:118

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  23. Content type: Research article

    Comprehensive adoption of culture change via person-centered care (PCC) practices in nursing homes has been slow. Change such as this, requires transformation of organizational culture, frequently generating r...

    Authors: Laci J. Cornelison, Linda Hermer, Maggie L. Syme and Gayle Doll

    Citation: BMC Geriatrics 2019 19:115

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  24. Content type: Research article

    An electronic frailty index (eFI) has been developed and validated in the UK; it uses data from primary care electronic medical records (EMR) for effective frailty case-finding in primary care. This project ex...

    Authors: Marjan Abbasi, Sheny Khera, Julia Dabravolskaj, Ben Vandermeer, Olga Theou, Darryl Rolfson and Andrew Clegg

    Citation: BMC Geriatrics 2019 19:109

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    The Correction to this article has been published in BMC Geriatrics 2019 19:133

  25. Content type: Research article

    Deprescribing is a partnership between practitioners, patients and caregivers. External characteristics including age, comorbidities and polypharmacy are poor predictors of attitude towards deprescribing. This...

    Authors: Sion Scott, Allan Clark, Carol Farrow, Helen May, Martyn Patel, Michael J. Twigg, David J. Wright and Debi Bhattacharya

    Citation: BMC Geriatrics 2019 19:108

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  26. Content type: Research article

    Delirium occurs commonly in older adults and is associated with adverse outcomes. Multicentre clinical trials evaluating interventions to prevent delirium are needed. The Confusion Assessment Method (CAM) is a...

    Authors: John R. Green, Jane Smith, Elizabeth Teale, Michelle Collinson, Michael S. Avidan, Eva M. Schmitt, Sharon K. Inouye and John Young

    Citation: BMC Geriatrics 2019 19:107

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  27. Content type: Research article

    Availability of nursing home care has declined and national efforts have been initiated to improve the quality of nursing home care in the U.S. Yet, data are limited on whether there are geographic variations ...

    Authors: Yun Wang, Qiuli Zhang, Erica S. Spatz, Yan Gao, Sheila Eckenrode, Florence Johnson, Shih-Yieh Ho, Shuang Hu, Chao Xing and Harlan M. Krumholz

    Citation: BMC Geriatrics 2019 19:103

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  28. Content type: Research article

    Bed rest for older hospitalized patients places them at risk for hospital-acquired morbidity. We previously evaluated an early mobilization intervention and found it to be effective at improving mobilization r...

    Authors: Julia E. Moore, Barbara Liu, Sobia Khan, Charmalee Harris, Joycelyne E. Ewusie, Jemila S. Hamid and Sharon E. Straus

    Citation: BMC Geriatrics 2019 19:99

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  29. Content type: Research article

    As older people age, they have different health needs compared to younger people. South African elder care policy places a strong emphasis on ageing in community rather than institutional settings, but the pri...

    Authors: Gabrielle Kelly, Lindeka Mrengqwa and Leon Geffen

    Citation: BMC Geriatrics 2019 19:98

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  30. Content type: Research article

    There is lack of adequate training and policy support for employed care workers (CWs) employed in the South African (SA) older persons’ sector. Existing literature neglects the influence of training and policy...

    Authors: Leo Mapira, Gabrielle Kelly and Leon N. Geffen

    Citation: BMC Geriatrics 2019 19:97

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  31. Content type: Research article

    As older patients’ health care needs become more complex, they often experience challenges with managing medications across transitions of care. Families play a major role in older patients’ lives. To date, th...

    Authors: Elizabeth Manias, Tracey Bucknall, Carmel Hughes, Christine Jorm and Robyn Woodward-Kron

    Citation: BMC Geriatrics 2019 19:95

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  32. Content type: Research article

    Core outcome sets (COS) prioritise outcomes based on their importance to key stakeholders, reduce reporting bias and increase comparability across studies. The first phase of a COS study is to form a ‘long-lis...

    Authors: Andrew J. E. Harding, Hazel Morbey, Faraz Ahmed, Carol Opdebeeck, Reena Lasrado, Paula R. Williamson, Caroline Swarbrick, Iracema Leroi, David Challis, Ingrid Hellstrom, Alistair Burns, John Keady and Siobhan T. Reilly

    Citation: BMC Geriatrics 2019 19:94

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  33. Content type: Research article

    Frailty is a clinical condition among older adults defined as the loss of resources in one or more domains (i.e., physical, psychological and social domains) of individual functioning. In frail subjects emerge...

    Authors: Anna Mulasso, Paolo Riccardo Brustio, Alberto Rainoldi, Gianluca Zia, Luca Feletti, Aurèle N’dja, Susanna Del Signore, Eleonora Poggiogalle, Federica Luisi and Lorenzo Maria Donini

    Citation: BMC Geriatrics 2019 19:88

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  34. Content type: Research article

    Informal caregivers are an essential pillar for ensuring and maintaining the outpatient care of the frail elderly. Due to demographic changes, including an increase in the number of people in need of care as w...

    Authors: M. Plöthner, K. Schmidt, L. de Jong, J. Zeidler and K. Damm

    Citation: BMC Geriatrics 2019 19:82

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  35. Content type: Study protocol

    Several outcome measures can be utilised to measure social participation and Quality of Life (QoL) in research and clinical practice. However there have been few large-scale trials of these tools in community ...

    Authors: Lindsey Brett, Andrew Georgiou, Mikaela Jorgensen, Joyce Siette, Grace Scott, Edwina Gow, Gemma Luckett and Johanna Westbrook

    Citation: BMC Geriatrics 2019 19:78

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  36. Content type: Research article

    The occurrence of multimorbidity (i.e., the coexistence of multiple chronic diseases) increases with age in older adults and is a growing concern worldwide. Multimorbidity has been reported to be a driving fac...

    Authors: Takahiro Mori, Shota Hamada, Satoru Yoshie, Boyoung Jeon, Xueying Jin, Hideto Takahashi, Katsuya Iijima, Tatsuro Ishizaki and Nanako Tamiya

    Citation: BMC Geriatrics 2019 19:69

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  37. Content type: Research article

    To explore informal caregivers’ perspectives and perceived needs related to health care services/activities for older adults with dementia, in order to understand barriers and facilitators to participation. Th...

    Authors: Randi Granbo, Elisabeth Boulton, Ingvild Saltvedt, Jorunn L. Helbostad and Kristin Taraldsen

    Citation: BMC Geriatrics 2019 19:75

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  38. Content type: Study protocol

    Multimorbid older adults suffering from a long-term health condition like depression, diabetes mellitus type 2, dementia or frailty are at high risk of losing their autonomy. Disability and multimorbidity in t...

    Authors: Fabian Frank, Frederike Bjerregaard, Jürgen Bengel, Eva Maria Bitzer, Bernhard Heimbach, Klaus Kaier, Jasmin Kiekert, Lena Krämer, Cornelia Kricheldorff, Katharina Laubner, Andy Maun, Gloria Metzner, Wilhelm Niebling, Claudia Salm, Sandra Schütter, Jochen Seufert…

    Citation: BMC Geriatrics 2019 19:64

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  39. Content type: Research article

    Care for people with Alzheimer’s disease or other dementias should be based on up-to-date clinical practice guidelines. The education and training of nurses and other healthcare staff in dementia is a key fact...

    Authors: Laura Parra-Anguita, Inmaculada Sánchez-García, Rafael del Pino-Casado and Pedro L. Pancorbo-Hidalgo

    Citation: BMC Geriatrics 2019 19:63

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  40. Content type: Research article

    Frail individuals are at risk of significant clinical deterioration if their frailty is not identified and managed appropriately. Research suggests that any interaction between an older person and a health or ...

    Authors: David Sunkersing, Finbarr C. Martin, Julie Reed, Maria Woringer and Derek Bell

    Citation: BMC Geriatrics 2019 19:62

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  41. Content type: Research article

    With the ageing population, there is a stronger focus on supporting older people to live independently as long as possible. One of the important factors to take into consideration for independent living older ...

    Authors: Didi Verver, Hanneke Merten, Carolien de Blok and Cordula Wagner

    Citation: BMC Geriatrics 2019 19:61

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  42. Content type: Research article

    Falls in people with dementia can result in a number of physical and psychosocial consequences. However, there is limited evidence to inform how best to deliver services to people with dementia following a fal...

    Authors: Alison Wheatley, Claire Bamford, Caroline Shaw, Elizabeth Flynn, Amy Smith, Fiona Beyer, Chris Fox, Robert Barber, Steve W. Parry, Denise Howel, Tara Homer, Louise Robinson and Louise M. Allan

    Citation: BMC Geriatrics 2019 19:57

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  43. Content type: Research article

    Older population often have multiple and complex needs that are consequently challenged by the presence of polypharmacy, adverse drug reactions and drug-drug interaction. We aimed to determine home medication ...

    Authors: Shakti Shrestha, Ramesh Sharma Poudel, Saroj Pradhan, Aashutosh Adhikari, Arjun Giri and Arjun Poudel

    Citation: BMC Geriatrics 2019 19:55

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  44. Content type: Study protocol

    Reduced mobility is the first sign of functional decline and can lead to dependency in elderly people. Screening for the risk of mobility limitation in this population is an important public health issue to pr...

    Authors: Sofia Perrotin, Thomas Gilbert, Marine Dupuis, Laurent Villeneuve, Sylvie Bin-Dorel, Amna Klich, Laurent Letrilliart and Marc Bonnefoy

    Citation: BMC Geriatrics 2019 19:48

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  45. Content type: Research article

    Frailty and sarcopenia are common amongst hospitalised older people and associated with poor healthcare outcomes. Widely recognised tools for their identification are the Fried Frailty Phenotype, its self-repo...

    Authors: Kinda Ibrahim, Fiona F. A. Howson, David J. Culliford, Avan A. Sayer and Helen C. Roberts

    Citation: BMC Geriatrics 2019 19:42

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  46. Content type: Research article

    Detecting patients with undiagnosed dementia is an important clinical challenge. Changes in medication adherence might represent an early sign of cognitive impairment. We sought to examine antihypertensive and...

    Authors: Zachary A. Marcum, Rod L. Walker, Bobby L. Jones, Arvind Ramaprasan, Shelly L. Gray, Sascha Dublin, Paul K. Crane and Eric B. Larson

    Citation: BMC Geriatrics 2019 19:41

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  47. Content type: Research article

    The benefit of medication reviews for long-term care (LTC) residents has been generally recognized throughout health care systems. Whereas many studies showed the impact of comprehensive medication reviews per...

    Authors: Kerstin Bitter, Christina Pehe, Manfred Krüger, Gabriela Heuer, Regine Quinke and Ulrich Jaehde

    Citation: BMC Geriatrics 2019 19:39

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  48. Content type: Research article

    Psychosocial person-centred interventions are considered best practice for addressing complex behaviours and care needs such as agitation and anxiety, and for improving the quality of life of people with demen...

    Authors: Alys W. Griffiths, Rachael Kelley, Lucy Garrod, Devon Perfect, Olivia Robinson, Emily Shoesmith, Joanne McDermid, Natasha Burnley and Claire A. Surr

    Citation: BMC Geriatrics 2019 19:37

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  49. Content type: Study protocol

    There is a growing interest in developing tailored non-pharmacological strategies to face patients’ needs in dementia. Occupational therapy (OT) may contribute to promote self-empowerment of both patients and ...

    Authors: Clément Pimouguet, Rémi Sitta, Jérôme Wittwer, Nathalie Hayes, Aurélie Petit-Monéger, Jean-François Dartigues and Catherine Helmer

    Citation: BMC Geriatrics 2019 19:35

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  50. Content type: Study protocol

    Due to the gradual loss of function, it is crucial for persons with dementia to discuss advance care planning in due course. However, nursing home staff, residents and their families feel uncomfortable to star...

    Authors: Bart Goossens, Aline Sevenants, Anja Declercq and Chantal Van Audenhove

    Citation: BMC Geriatrics 2019 19:33

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