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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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  1. Content type: Research Article

    The general opinion in society is that everyone has the right to live in their own home as long as possible. Provision of community home health care services is therefore increasingly common. Healthcare person...

    Authors: Dara Rasoal, Annica Kihlgren and Kirsti Skovdahl

    Citation: BMC Geriatrics 2018 18:312

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  2. Content type: Research article

    Informal caregivers are invaluable partners of the health care system. However, their caring responsibilities often affect their psychological wellbeing and ability to continue in their role. It is of paramoun...

    Authors: Raquel S. D. Betini, John P. Hirdes, Nancy Curtin-Telegdi, Lisa Gammage, Jennifer Vansickle, Jeff Poss and George Heckman

    Citation: BMC Geriatrics 2018 18:310

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  3. Content type: Research article

    Polypharmacy is a geriatric syndrome defined variously as the use of potentially inappropriate drugs and/or the concurrent use of multiple medications including prescription and over-the-counter drugs. An asso...

    Authors: Nahathai Wongpakaran, Tinakon Wongpakaran, Thanitha Sirirak, Rewadee Jenraumjit, Surin Jiraniramai and Peerasak Lerttrakarnnon

    Citation: BMC Geriatrics 2018 18:309

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  4. Content type: Research article

    In 2016, one in three older people in the UK were living alone. These patients often have complex health needs and require additional clinical and non-clinical support. This study aimed to analyse the associat...

    Authors: Kathryn Dreyer, Adam Steventon, Rebecca Fisher and Sarah R. Deeny

    Citation: BMC Geriatrics 2018 18:269

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  5. Content type: Research article

    To evaluate a Geriatric Emergency Department Intervention (GEDI) model of service delivery for adults aged 70 years and older.

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

    Citation: BMC Geriatrics 2018 18:297

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  6. Content type: Debate

    The area of “deprescribing” has rapidly expanded in recent years as a positive intervention to reduce inappropriate polypharmacy and improve health outcomes for (older) people with multimorbidity. While our un...

    Authors: Adam Todd, Jesse Jansen, Jim Colvin and Andrew J. McLachlan

    Citation: BMC Geriatrics 2018 18:295

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  7. Content type: Research article

    Despite 32 years of research and 13 reviews published in the field, no intervention can be considered a gold standard for maintaining eating performance among residents with dementia. The study aim was to high...

    Authors: Alvisa Palese, Valentina Bressan, Tea Kasa, Marin Meri, Mark Hayter and Roger Watson

    Citation: BMC Geriatrics 2018 18:292

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  8. Content type: Research article

    Frail seniors often receive ineffective care, which does not meet their needs. It is still unclear how healthcare systems should be redesigned to be more sensitive to the needs and values of frail seniors and ...

    Authors: Anik M. C. Giguere, Elina Farmanova, Jayna M. Holroyd-Leduc, Sharon E. Straus, Robin Urquhart, Valerie Carnovale, Erik Breton, Selynne Guo, Nandini Maharaj, Pierre J. Durand, France Légaré, Alexis F. Turgeon and Michèle Aubin

    Citation: BMC Geriatrics 2018 18:290

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  9. Content type: Research article

    To improve continuity and coordination of care in geriatric rehabilitation, an integrated care pathway was developed and implemented in The Netherlands. The purpose of this study was to assess the effects of t...

    Authors: Irma H. J. Everink, Jolanda C. M. van Haastregt, Frans E. S. Tan, Jos M. G. A. Schols and Gertrudis I. J. M. Kempen

    Citation: BMC Geriatrics 2018 18:285

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  10. Content type: Research article

    Mealtimes are important to quality of life for residents in long-term care (LTC). CHOICE (which stands for Connecting, Honouring dignity, Offering support, supporting Identity, Creating opportunities, and Enjo...

    Authors: Sarah Wu, Jill M. Morrison, Hilary Dunn-Ridgeway, Vanessa Vucea, Sabrina Iuglio and Heather Keller

    Citation: BMC Geriatrics 2018 18:277

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  11. Content type: Study protocol

    According to the principles of Reablement, home care services are meant to be goal-oriented, holistic and person-centred taking into account the capabilities and opportunities of older adults. However, home ca...

    Authors: Silke F. Metzelthin, Teuni H. Rooijackers, Gertrud A. R. Zijlstra, Erik van Rossum, Marja Y. Veenstra, Annemarie Koster, Silvia M. A. A. Evers, Gerard J. P. van Breukelen and Gertrudis I. J. M. Kempen

    Citation: BMC Geriatrics 2018 18:276

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  12. Content type: Research article

    The objective of this study was to explore the issues surrounding access to health and social care services for frail older adults with Polish stakeholders, including healthy and frail/pre-frail older adults, ...

    Authors: Donata Kurpas, Holly Gwyther, Katarzyna Szwamel, Rachel L. Shaw, Barbara D’Avanzo, Carol A. Holland and Maria Magdalena Bujnowska-Fedak

    Citation: BMC Geriatrics 2018 18:273

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  13. Content type: Research article

    There is growing reliance on unpaid caregivers to provide support to people with care needs. Integrated care approaches that aim to coordinate primary care with community care known as community based primary ...

    Authors: Kerry Kuluski, Allie Peckham, Ashlinder Gill, Jasleen Arneja, Frances Morton-Chang, John Parsons, Cecilia Wong-Cornall, Ann McKillop, Ross E. G. Upshur and Nicolette Sheridan

    Citation: BMC Geriatrics 2018 18:275

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  14. Content type: Research article

    Senior high cost health care users (HCU) are a priority for many governments. Little research has addressed regional variation of HCU incidence and outcomes, especially among incident HCU. This study describes...

    Authors: Sergei Muratov, Justin Lee, Anne Holbrook, Andrew Costa, J. Michael Paterson, Jason R. Guertin, Lawrence Mbuagbaw, Tara Gomes, Wayne Khuu and Jean-Eric Tarride

    Citation: BMC Geriatrics 2018 18:262

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  15. Content type: Research article

    There has been a steady increase in the aging population and an increase in the need for long-term care beds in institutions and hospitals (LTCHs) in Korea. The aim of this study was to investigate prognosis a...

    Authors: Su Hwan Lee, Soo Jung Kim, Yoon Hee Choi, Jin Hwa Lee, Jung Hyun Chang and Yon Ju Ryu

    Citation: BMC Geriatrics 2018 18:259

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  16. Content type: Study protocol

    Caring for people with dementia imposes heavy burdens on caregivers, especially spouses. This can lead to depression, anxiety, and physical symptoms in the caregiver, with early institutionalization for the pa...

    Authors: Elizabeth G. Birkenhäger-Gillesse, Boudewijn J. Kollen, Sytse U. Zuidema and Wilco P. Achterberg

    Citation: BMC Geriatrics 2018 18:252

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  17. Content type: Research Article

    According to some studies, interventions can prevent or delay frailty, but their effect in preventing adverse outcomes in frail community-dwelling older people is unclear. The aim is to investigate the effect ...

    Authors: Michael Van der Elst, Birgitte Schoenmakers, Daan Duppen, Deborah Lambotte, Bram Fret, Bert Vaes and Jan De Lepeleire

    Citation: BMC Geriatrics 2018 18:249

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  18. 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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  19. 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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  20. 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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  21. 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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  22. 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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  23. 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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  24. 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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  25. 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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  26. 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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  27. 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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  28. 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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  29. 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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  30. 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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  31. 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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  32. 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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  33. 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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  34. 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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  35. 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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  36. 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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  37. 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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  38. 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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  39. 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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  40. 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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  41. 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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  42. 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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