Skip to content

Advertisement

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 2 of 6

  1. Content type: Research article

    The risk of community-acquired pneumonia (CAP) increases with age and significantly impacts morbidity and mortality in the elderly population. The burden of illness and cost of preventing CAP has not been comp...

    Authors: Joshua D. Brown, James Harnett, Richard Chambers and Reiko Sato

    Citation: BMC Geriatrics 2018 18:92

    Published on:

  2. Content type: Research Article

    Recent transitions in long-term care in the Netherlands have major consequences for community-dwelling older adults. A new paradigm expects them to manage and arrange their own care and support as much as poss...

    Authors: Sarah Willard, Ger Cremers, Yan Ping Man, Erik van Rossum, Marieke Spreeuwenberg and Luc de Witte

    Citation: BMC Geriatrics 2018 18:87

    Published on:

  3. Content type: Research article

    A fundamental issue in elderly care is targeting those older people at risk and in need of care interventions. Frailty is widely used to capture variations in health risks but there is no general consensus on ...

    Authors: W. M. Looman, I. N. Fabbricotti, J. W. Blom, A. P. D. Jansen, J. E. Lutomski, S. F. Metzelthin and R. Huijsman

    Citation: BMC Geriatrics 2018 18:84

    Published on:

  4. Content type: Research article

    Low grip strength in older inpatients is associated with poor healthcare outcomes including longer length of stay and mortality. Measuring grip strength is simple and inexpensive. However, it is not routinely ...

    Authors: Kinda Ibrahim, Carl R. May, Harnish P. Patel, Mark Baxter, Avan A. Sayer and Helen C. Roberts

    Citation: BMC Geriatrics 2018 18:79

    Published on:

  5. Content type: Study protocol

    The magnitude of safety risks related to medications of the older adults has been evidenced by numerous studies, but less is known of how to manage and prevent these risks in different health care settings. Th...

    Authors: Terhi Toivo, Maarit Dimitrow, Juha Puustinen, Eeva Savela, Katariina Pelkonen, Valtteri Kiuru, Tuula Suominen, Sirkka Kinnunen, Mira Uunimäki, Sirkka-Liisa Kivelä, Saija Leikola and Marja Airaksinen

    Citation: BMC Geriatrics 2018 18:74

    Published on:

  6. Content type: Research Article

    This systematic review aims to review the literature on trial-based economic evaluations of non-pharmacological interventions directly targeted at persons with dementia as well as persons with mild cognitive i...

    Authors: Franziska Nickel, Janina Barth and Peter L. Kolominsky-Rabas

    Citation: BMC Geriatrics 2018 18:69

    Published on:

  7. Content type: Research Article

    Older people in care may be lonely with insufficient contact if families are unable to visit. Face-to-face contact through video-calls may help reduce loneliness, but little is known about the processes of eng...

    Authors: Sonam Zamir, Catherine Hagan Hennessy, Adrian H Taylor and Ray B Jones

    Citation: BMC Geriatrics 2018 18:62

    Published on:

  8. Content type: Research Article

    Given the high costs associated with the care of those with Alzheimer’s disease (AD) dementia, we examined the likely impact of a reduction in the rate of cognitive decline upon cost outcomes associated with t...

    Authors: Alan Lenox-Smith, Catherine Reed, Jeremie Lebrec, Mark Belger and Roy W. Jones

    Citation: BMC Geriatrics 2018 18:57

    Published on:

  9. Content type: Research Article

    This study introduces the conceptual basis and operational measure, of BioPyschoSocial (BPS) health and related risk to better understand how well older people are managing and to screen for risk status. The BPS ...

    Authors: Zoe J.-L. Hildon, Chuen Seng Tan, Farah Shiraz, Wai Chong Ng, Xiaodong Deng, Gerald Choon Huat Koh, Kelvin Bryan Tan, Ian Philp, Dick Wiggins, Su Aw, Treena Wu and Hubertus J. M. Vrijhoef

    Citation: BMC Geriatrics 2018 18:49

    Published on:

  10. Content type: Research Article

    Advance care planning (ACP) has been identified as particularly relevant for nursing home residents, but it remains unclear how or under what circumstances ACP works and can best be implemented in such setting...

    Authors: J. Gilissen, L. Pivodic, C. Gastmans, R. Vander Stichele, L. Deliens, E. Breuer and L. Van den Block

    Citation: BMC Geriatrics 2018 18:47

    Published on:

  11. Content type: Research Article

    Delirium is common in older hospitalized patients, and is associated with negative consequences for the patients, next of kin, healthcare professionals and healthcare costs. It is important to understand its c...

    Authors: Yvonne A. Johansson, Ingrid Bergh, Iréne Ericsson and Elisabeth Kenne Sarenmalm

    Citation: BMC Geriatrics 2018 18:43

    Published on:

  12. Content type: Research article

    Evidence on the differences in symptom patterns between older palliative cancer and non-cancer patients is lacking. The purpose of the study was to determine the differences in symptoms between older hospitali...

    Authors: Aurélie Van Lancker, Ann Van Hecke, Sofie Verhaeghe, Matthias Mattheeuws and Dimitri Beeckman

    Citation: BMC Geriatrics 2018 18:40

    Published on:

  13. Content type: Research Article

    The International Consortium for Health Outcomes Measurement (ICHOM) was founded in 2012 to propose consensus-based measurement tools and documentation for different conditions and populations.This article des...

    Authors: Asangaedem Akpan, Charlotte Roberts, Karen Bandeen-Roche, Barbara Batty, Claudia Bausewein, Diane Bell, David Bramley, Julie Bynum, Ian D. Cameron, Liang-Kung Chen, Anne Ekdahl, Arnold Fertig, Tom Gentry, Marleen Harkes, Donna Haslehurst, Jonathon Hope…

    Citation: BMC Geriatrics 2018 18:36

    Published on:

  14. Content type: Research Article

    Nursing home residents are frail, have multiple medical comorbidities, and are at high risk for delirium. Most of the existing evidence base on delirium is derived from studies in the acute in-patient populati...

    Authors: Evelyn Ning Man Cheung, Sophiya Benjamin, George Heckman, Joanne Man-Wai Ho, Linda Lee, Samir K. Sinha and Andrew P. Costa

    Citation: BMC Geriatrics 2018 18:39

    Published on:

  15. Content type: Research article

    Despite evidence for effective fall prevention interventions, measurable reductions in older adult (≥ 65 years) fall rates remain unrealized. This study aimed to describe the perceived barriers to and effectiv...

    Authors: Catherine S. Dykeman, Maureen F. Markle-Reid, Lorna J. Boratto, Chris Bowes, Hélène Gagné, Jennifer L. McGugan and Sarah Orr-Shaw

    Citation: BMC Geriatrics 2018 18:34

    Published on:

  16. Content type: Research article

    Older people with multi-morbidity are increasingly challenging for today’s healthcare, and novel, cost-effective healthcare solutions are needed. The aim of this study was to assess the cost-effectiveness of c...

    Authors: Martina Lundqvist, Jenny Alwin, Martin Henriksson, Magnus Husberg, Per Carlsson and Anne W. Ekdahl

    Citation: BMC Geriatrics 2018 18:32

    Published on:

  17. Content type: Research Article

    Providing high quality acute hospital care for patients with dementia is an increasing challenge as the prevalence of the disease rises. Informal carers of people with dementia are a critical resource for impr...

    Authors: Sarah Beardon, Kiran Patel, Bethan Davies and Helen Ward

    Citation: BMC Geriatrics 2018 18:23

    Published on:

  18. Content type: Debate

    In health care for older adults, patients with multimorbidity usually receive the same interventions as those patients without multimorbidity. However, standard curative or life-sustaining treatment options ha...

    Authors: Jeroen F. A. M. Janssens, Susanne J. de Kort, Wilco P. Achterberg, Susan Kurrle, Ngaire Kerse, Ian D. Cameron and Dorothea P. Touwen

    Citation: BMC Geriatrics 2018 18:25

    Published on:

  19. Content type: Research Article

    Nurse-led models of comprehensive geriatric assessment and care coordination can improve health management as well as reduce hospitalisations for high risk community dwelling older people. This study investiga...

    Authors: A. I. I. King, M. L. Boyd, D. L. Raphael and A. Jull

    Citation: BMC Geriatrics 2018 18:22

    Published on:

  20. Content type: Research article

    Education of healthcare workers is a core element of multicomponent delirium strategies to improve delirium care and, consequently, patient outcomes. However, traditional educational strategies are notoriously...

    Authors: Elke Detroyer, Fabienne Dobbels, Andrew Teodorczuk, Mieke Deschodt, Yves Depaifve, Etienne Joosten and Koen Milisen

    Citation: BMC Geriatrics 2018 18:19

    Published on:

  21. Content type: Research article

    Recovery outlooks of physical functioning and quality of life after hip fracture have not changed significantly over the past 25 years. Previous research has mainly dealt with causalities and acute treatment, ...

    Authors: Vigdis Bruun-Olsen, Astrid Bergland and Kristi Elisabeth Heiberg

    Citation: BMC Geriatrics 2018 18:18

    Published on:

  22. Content type: Research Article

    The potential harms of some medications may outweigh their potential benefits (inappropriate medication use). Despite recommendations to avoid the use of potentially inappropriate medications (PIMs) in older a...

    Authors: S. L. Harrison, L. Kouladjian O’Donnell, R. Milte, S. M. Dyer, E. S. Gnanamanickam, C. Bradley, E. Liu, S. N. Hilmer and M. Crotty

    Citation: BMC Geriatrics 2018 18:9

    Published on:

  23. Content type: Research Article

    Polypharmacy is frequently observed in hip fracture patients. Although it is associated with an increased risk of hip fracture, polypharmacy often continues after hip fracture recovery. This study aimed to eva...

    Authors: Junpei Komagamine and Kazuhiko Hagane

    Citation: BMC Geriatrics 2017 17:288

    Published on:

  24. Content type: Research Article

    Individualized, outreach and structured multicomponent interventions are a promising intervention approach to relieve the burden of informal caregivers of people with dementia. In this study, we adapted and ev...

    Authors: Martin Berwig, Stephanie Heinrich, Jenny Spahlholz, Nina Hallensleben, Elmar Brähler and Hermann-Josef Gertz

    Citation: BMC Geriatrics 2017 17:286

    Published on:

  25. Content type: Research Article

    Active attitude toward treatment and health (ATH) leads to improved cooperation and better health outcomes in patients. Supporting it in the population of older adults is a growing need in primary care. Recogn...

    Authors: Joanna Chylińska, Magdalena Łazarewicz, Marta Rzadkiewicz, Mirosława Adamus, Mariusz Jaworski, Gørill Haugan, Monica Lillefjel, Geir A. Espnes and Dorota Włodarczyk

    Citation: BMC Geriatrics 2017 17:284

    Published on:

  26. Content type: Research Article

    Respite services provide a break in the caregiving relationship for people with dementia and their carers, however they are often under-used and service acceptability can be low. This study aims to understand ...

    Authors: Emma O’ Shea, Suzanne Timmons, Eamon O’ Shea, Siobhan Fox and Kate Irving

    Citation: BMC Geriatrics 2017 17:282

    Published on:

  27. Content type: Research Article

    It remains unclear into which level the systolic blood pressure (SBP) should be lowered in order to provide the best cardiovascular protection among older people. Hypertension guidelines recommendation on atta...

    Authors: Aline A. I. Moraes, Cristina P. Baena, Taulant Muka, Arjola Bano, Adriana Buitrago-Lopez, Ana Zazula, Bruna O. Erbano, Nicolle A. Schio, Murilo H. Guedes, Wichor M. Bramer, Oscar H. Franco and José Rocha Faria-Neto

    Citation: BMC Geriatrics 2017 17:279

    Published on:

  28. Content type: Research Article

    Achieving choice is proposed as a quality marker. But little is known about what influences preferences especially among older adults. We aimed to determine and compare, across three countries, factors associa...

    Authors: Irene J. Higginson, Barbara A. Daveson, R. Sean Morrison, Deokhee Yi, Diane Meier, Melinda Smith, Karen Ryan, Regina McQuillan, Bridget M. Johnston and Charles Normand

    Citation: BMC Geriatrics 2017 17:271

    Published on:

  29. Content type: Research Article

    To assess the scope, volume and quality of research on the acceptability, utilisation and effectiveness of telephone- and computer-delivered interventions for caregivers of people living with dementia.

    Authors: Amy Waller, Sophie Dilworth, Elise Mansfield and Rob Sanson-Fisher

    Citation: BMC Geriatrics 2017 17:265

    Published on:

  30. Content type: Research Article

    Sleep disturbances are widespread among nursing home (NH) patients and associated with numerous negative consequences. Identifying and treating them should therefore be of high clinical priority. No prior stud...

    Authors: Kjersti Marie Blytt, Bjørn Bjorvatn, Bettina Husebo and Elisabeth Flo

    Citation: BMC Geriatrics 2017 17:253

    Published on:

  31. Content type: Research article

    The prevalence of dementia is expected to increase rapidly, and institutionalization is a common consequence of the disease. Dependence in activities of daily living (ADL) is a predictor for institutionalizati...

    Authors: Marinda Henskens, Ilse M. Nauta, Erik J. A. Scherder, Frits G. J. Oosterveld and Susan Vrijkotte

    Citation: BMC Geriatrics 2017 17:243

    Published on:

  32. Content type: Research Article

    Antipsychotic medications are not recommended for the management of symptoms of dementia, particularly among persons with no behavioral or psychological symptoms. We examine patterns of antipsychotic medicatio...

    Authors: Sebastian Rios, Christopher M. Perlman, Andrew Costa, George Heckman, John P. Hirdes and Lori Mitchell

    Citation: BMC Geriatrics 2017 17:244

    Published on:

    The Correction to this article has been published in BMC Geriatrics 2018 18:128

  33. Content type: Research Article

    Low back pain is a debilitating condition for older adults, who may seek healthcare from multiple providers. Few studies have evaluated impacts of different healthcare delivery models on back pain outcomes in ...

    Authors: Christine M. Goertz, Stacie A. Salsbury, Cynthia R. Long, Robert D. Vining, Andrew A. Andresen, Maria A. Hondras, Kevin J. Lyons, Lisa Z. Killinger, Fredric D. Wolinsky and Robert B. Wallace

    Citation: BMC Geriatrics 2017 17:235

    Published on:

  34. Content type: Research Article

    Multimorbidity and the associated use of multiple medicines (polypharmacy), is common in the older population. Despite this, there is no consensus definition for polypharmacy. A systematic review was conducted...

    Authors: Nashwa Masnoon, Sepehr Shakib, Lisa Kalisch-Ellett and Gillian E. Caughey

    Citation: BMC Geriatrics 2017 17:230

    Published on:

  35. Content type: Research Article

    Comfort is frequently ranked important for a good death. Although rising numbers of people are dying in very old age, many with dementia, little is known about symptom control for “older old” people or whether...

    Authors: Jane Fleming, Rowan Calloway, Anouk Perrels, Morag Farquhar, Stephen Barclay and Carol Brayne

    Citation: BMC Geriatrics 2017 17:222

    Published on:

  36. Content type: Study protocol

    In Germany, the guardianship system provides adults who are no longer able to handle their own affairs a court-appointed legal representative, for support without restriction of legal capacity. Although these ...

    Authors: Julia Lühnen, Burkhard Haastert, Ingrid Mühlhauser and Tanja Richter

    Citation: BMC Geriatrics 2017 17:217

    Published on:

  37. Content type: Research Article

    The majority of persons with dementia are home-dwelling. To enable these persons to stay in their own homes as long as possible, a holistic, individual and flexible care is recommended. Despite a requirement f...

    Authors: Anette Hansen, Solveig Hauge and Ådel Bergland

    Citation: BMC Geriatrics 2017 17:211

    Published on:

  38. Content type: Research Article

    To examine the impact of frailty on medical and social care utilisation among the Irish community-dwelling older population to inform strategies of integrated care for older people with complex needs.

    Authors: Lorna Roe, Charles Normand, Maev-Ann Wren, John Browne and Aisling M. O’Halloran

    Citation: BMC Geriatrics 2017 17:203

    Published on:

  39. Content type: Research Article

    Improved knowledge based on clinical features of chronic pain in older adults would be valuable in terms of patient-orientated approaches and would provide support for health care systems in optimizing health ...

    Authors: Britt Larsson, Björn Gerdle, Lars Bernfort, Lars-Åke Levin and Elena Dragioti

    Citation: BMC Geriatrics 2017 17:200

    Published on:

  40. Content type: Research Article

    Falls among older adults can cause serious morbidity and pose economic burdens on society. Older age is a known risk factor for falls and age has been shown to influence the effectiveness of fall prevention pr...

    Authors: Wanrudee Isaranuwatchai, Johnna Perdrizet, Maureen Markle-Reid and Jeffrey S. Hoch

    Citation: BMC Geriatrics 2017 17:199

    Published on:

  41. Content type: Study protocol

    Pharmacotherapy is necessary for the management of many diseases which number increased with aging. However, potentially inappropriate prescriptions and polymedication increases iatrogenic risks and can lead t...

    Authors: Virginie Dauphinot, Elodie Jean-Bart, Pierre Krolak-Salmon and Christelle Mouchoux

    Citation: BMC Geriatrics 2017 17:195

    Published on:

  42. Content type: Research article

    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...

    Authors: Hongmin Zhang, Xiaoting Wang, Qing Zhang, Ying Xia and Dawei Liu

    Citation: BMC Geriatrics 2017 17:173

    Published on:

  43. Content type: Research Article

    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...

    Authors: Neeltje P. C. A. Vermunt, Mirjam Harmsen, Gert P. Westert, Marcel G. M. Olde Rikkert and Marjan J. Faber

    Citation: BMC Geriatrics 2017 17:167

    Published on:

  44. Content type: Research Article

    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...

    Authors: Michael J. Annear, Chris Toye, Kate-Ellen J. Elliott, Frances McInerney, Claire Eccleston and Andrew Robinson

    Citation: BMC Geriatrics 2017 17:168

    Published on:

  45. Content type: Research Article

    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...

    Authors: Mohsen Bazargan, James Smith, Hamed Yazdanshenas, Masoud Movassaghi, David Martins and Gail Orum

    Citation: BMC Geriatrics 2017 17:163

    Published on:

  46. Content type: Research Article

    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...

    Authors: Isabella Locatelli, Stéfanie Monod, Jacques Cornuz, Christophe J. Büla and Nicolas Senn

    Citation: BMC Geriatrics 2017 17:153

    Published on: