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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

    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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  2. 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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  3. 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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  4. 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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  5. 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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  6. 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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  7. 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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  8. 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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  9. 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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  10. 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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  11. 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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  12. 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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  13. 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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  14. 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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  15. 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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  16. 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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  17. 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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  18. 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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  19. 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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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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

  39. 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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  40. 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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  41. 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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  42. 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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  43. 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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  44. 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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  45. 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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