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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

    Evaluating different approaches to identifying frail home care clients at heightened risk for adverse health outcomes is an important but understudied area. Our objectives were to determine the prevalence and ...

    Authors: Michael A. Campitelli, Susan E. Bronskill, David B. Hogan, Christina Diong, Joseph E. Amuah, Sudeep Gill, Dallas Seitz, Kednapa Thavorn, Walter P. Wodchis and Colleen J. Maxwell

    Citation: BMC Geriatrics 2016 16:133

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  2. Content type: Research article

    In Sweden the national fundamental values for care of older people state that care should ensure that they can live in dignity and with a sense of well-being. Our hypothesis was that a caregiver intervention t...

    Authors: Charlotte Roos, Marit Silén, Bernice Skytt and Maria Engström

    Citation: BMC Geriatrics 2016 16:130

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  3. Content type: Research Article

    Older patients undergoing surgery tend to have a higher frequency of delirium. Delirium is strongly associated with poor surgical outcomes. This study evaluated the association between pre-operative medication...

    Authors: Young Mi Jeong, Eunsook Lee, Kwang-Il Kim, Jee Eun Chung, Hae In Park, Byung Koo Lee and Hye Sun Gwak

    Citation: BMC Geriatrics 2016 16:134

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  4. Content type: Research article

    The QUALIDEM is a dementia-specific Quality of life (Qol) instrument that is recommended for longitudinal studies and advanced stages of dementia. Our study aimed to develop a user guide for the German version...

    Authors: Martin Nikolaus Dichter, Christian G. G. Schwab, Gabriele Meyer, Sabine Bartholomeyczik and Margareta Halek

    Citation: BMC Geriatrics 2016 16:126

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  5. Content type: Research article

    Communication skills are known to decrease with advancing cognitive impairment. Analgesic treatment in long-term care may be deficient due to the residents’ impaired ability to communicate their pain and needs...

    Authors: Ulrike Bauer, Stefan Pitzer, Maria Magdalena Schreier, Jürgen Osterbrink, Reinhard Alzner and Bernhard Iglseder

    Citation: BMC Geriatrics 2016 16:124

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  6. Content type: Research article

    Admission to an acute hospital can be distressing and disorientating for a person with dementia, and is associated with decline in cognitive and functional ability. The objective of this audit was to assess th...

    Authors: Suzanne Timmons, Emma O’Shea, Desmond O’Neill, Paul Gallagher, Anna de Siún, Denise McArdle, Patricia Gibbons and Sean Kennelly

    Citation: BMC Geriatrics 2016 16:113

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  7. Content type: Research article

    Multiple factors influence the end-of-life (EoL) care and experience of poor quality services by culturally- and spiritually-diverse groups. Access to EoL services e.g. health and social supports at home or in...

    Authors: Mei Lan Fang, Judith Sixsmith, Shane Sinclair and Glen Horst

    Citation: BMC Geriatrics 2016 16:107

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  8. Content type: Research article

    Older people living in Residential Aged Care Facilities (RACF) are a vulnerable, frail and complex population. They are more likely than people who reside in the community to become acutely unwell, present to ...

    Authors: Carolyn Hullick, Jane Conway, Isabel Higgins, Jacqueline Hewitt, Sophie Dilworth, Elizabeth Holliday and John Attia

    Citation: BMC Geriatrics 2016 16:102

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  9. Content type: Research article

    Frailty can be defined as a progressive loss of reserve and adaptive capacity associated with an overall deterioration in health that can result in disability, loss of independence, hospitalisation, extensive ...

    Authors: Ana Diez-Ruiz, Antonio Bueno-Errandonea, Jazmina Nuñez-Barrio, Inmaculada Sanchez-Martín, Kalliopi Vrotsou and Itziar Vergara

    Citation: BMC Geriatrics 2016 16:91

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  10. Content type: Research article

    Admission to hospital can lead to persistent deterioration in physical functioning, particularly for the more vulnerable older population. As a result of this physical deterioration, older people who have been...

    Authors: I. Farag, K. Howard, S. O’Rourke, M. L. Ferreira, S. R. Lord, J. C. T. Close, C. Vogler, C. M. Dean, R. G. Cumming and C. Sherrington

    Citation: BMC Geriatrics 2016 16:82

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  11. Content type: Research article

    Antibiotics are highly utilized in nursing homes. The aim of the study was to test the effectiveness of a decision-making aid for urinary tract infection management on reducing antibiotic prescriptions for sus...

    Authors: Darcy K. McMaughan, Obioma Nwaiwu, Hongwei Zhao, Elizabeth Frentzel, David Mehr, Sara Imanpour, Steven Garfinkel and Charles D. Phillips

    Citation: BMC Geriatrics 2016 16:81

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  12. Content type: Research article

    Frameworks exist to evaluate the appropriateness of medication regimens for older patients with multiple medical conditions (MCCs). Less is known about how to translate the concepts of the frameworks into spec...

    Authors: Terri R. Fried, Kristina Niehoff, Jennifer Tjia, Nancy Redeker and Mary K. Goldstein

    Citation: BMC Geriatrics 2016 16:67

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    The Erratum to this article has been published in BMC Geriatrics 2016 16:123

  13. Content type: Research article

    In the Netherlands, various organisational models of dementia case management exist. In this study the following four models are distinguished, based on differences in the availability of the service and in th...

    Authors: José M. Peeters, Anne Margriet Pot, Jacomine de Lange, Peter M. Spreeuwenberg and Anneke L. Francke

    Citation: BMC Geriatrics 2016 16:65

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  14. Content type: Research article

    In nursing home residents, it is not possible to distinguish pneumonia and aspiration pneumonia clinically. International literature reveals no consensus on which and how many characteristics and risk indicato...

    Authors: Vanessa Hollaar, Claar van der Maarel-Wierink, Gert-Jan van der Putten, Wil van der Sanden, Bert de Swart and Cees de Baat

    Citation: BMC Geriatrics 2016 16:60

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  15. Content type: Research article

    Person-centredness is promoted as a central feature of the long-term care of older adults. Measures are needed to assist researchers, service planners and regulators in assessing this feature of quality. Howev...

    Authors: Mark Wilberforce, David Challis, Linda Davies, Michael P. Kelly, Chris Roberts and Nik Loynes

    Citation: BMC Geriatrics 2016 16:63

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  16. Content type: Study protocol

    In France, for patients aged 75 or older, it has been estimated that the hospital readmission rate within 30 days is 14 %, a quarter being avoidable. Some evidence suggests that interventions “bridging” the tr...

    Authors: Pauline Occelli, Sandrine Touzet, Muriel Rabilloud, Christell Ganne, Stéphanie Poupon Bourdy, Béatrice Galamand, Matthieu Debray, André Dartiguepeyrou, Michel Chuzeville, Brigitte Comte, Basile Turkie, Magali Tardy, Jean-Stéphane Luiggi, Thierry Jacquet-Francillon, Thomas Gilbert and Marc Bonnefoy

    Citation: BMC Geriatrics 2016 16:57

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  17. Content type: Research article

    This study explored the effectiveness of a pro-active, integrated care model for community-dwelling frail older people compared to care as usual by evaluating the effects on a comprehensive set of outcomes: he...

    Authors: Wilhelmina Mijntje Looman, Isabelle Natalina Fabbricotti, Ruben de Kuyper and Robbert Huijsman

    Citation: BMC Geriatrics 2016 16:43

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  18. Content type: Research article

    The involvement of users is recommended in the development of health related technologies, in order to address their needs and preferences and to improve the daily usage of these technologies.

    Authors: Friederike JS Thilo, Barbara Hürlimann, Sabine Hahn, Selina Bilger, Jos MGA Schols and Ruud JG Halfens

    Citation: BMC Geriatrics 2016 16:42

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  19. Content type: Research article

    Residential aged care is an increasingly important health setting due to population ageing and the increase in age-related conditions, such as dementia. However, medical education has limited engagement with t...

    Authors: Michael J. Annear, Emma Lea, Amanda Lo, Laura Tierney and Andrew Robinson

    Citation: BMC Geriatrics 2016 16:38

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  20. Content type: Research article

    In European countries, knowledge about availability and utilization of support for informal caregivers caring for older persons (≥65 years) with dementia (PwD) is lacking. To be able to evaluate and develop th...

    Authors: Connie Lethin, Helena Leino-Kilpi, Brenda Roe, Maria Martin Soto, Kai Saks, Astrid Stephan, Sandra Zwakhalen, Adelaida Zabalegui and Staffan Karlsson

    Citation: BMC Geriatrics 2016 16:32

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  21. Content type: Research article

    Nursing home (NH) patients have complex health problems, disabilities and needs for Advance Care Planning (ACP). The implementation of ACP in NHs is a neglected research topic, yet it may optimize the interven...

    Authors: E. Flo, B. S. Husebo, P. Bruusgaard, E. Gjerberg, L. Thoresen, L. Lillemoen and R. Pedersen

    Citation: BMC Geriatrics 2016 16:24

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  22. Content type: Research article

    One of the primary reasons for hospitalisation among elderly individuals with heart failure (HF) is poor self-care. Self-awareness of having HF may be a key-element in successful self-care. The prevalence of s...

    Authors: Suzana Selan, Arkadiusz Siennicki-Lantz, Johan Berglund and Cecilia Fagerström

    Citation: BMC Geriatrics 2016 16:23

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  23. Content type: Study protocol

    Because the demand for government-subsidized nursing homes in Hong Kong outstrips the supply, the number of for-profit private nursing homes has been increasing rapidly. However, the standard of care in such h...

    Authors: Enid Wai-yung Kwong, Paul Hong Lee and Kwan-mo Yeung

    Citation: BMC Geriatrics 2016 16:20

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  24. Content type: Research article

    Worldwide, there is a growing population of older people who develop dementia in a country other than that of their origin. When their dementia has reached an advanced stage, residential care is most often nee...

    Authors: Sirpa Pietilä Rosendahl, Mirkka Söderman and Monir Mazaheri

    Citation: BMC Geriatrics 2016 16:18

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  25. Content type: Research article

    The co-administration of multiple drugs (polypharmacy) is the single most common cause of adverse drug events in the older population, and residents of long-term care facilities (LTCFs) are at particularly hig...

    Authors: Anna Palagyi, Lisa Keay, Jessica Harper, Jan Potter and Richard I. Lindley

    Citation: BMC Geriatrics 2016 16:15

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  26. Content type: Research article

    Wrist fractures are the most common arm fractures in older adults. The impact of wrist fractures on daily functionality has been less studied than that of other types and so, less is known about the complexity...

    Authors: Itziar Vergara, Kalliopi Vrotsou, Miren Orive, Susana Garcia-Gutierrez, Nerea Gonzalez, Carlota Las Hayas and Jose M. Quintana

    Citation: BMC Geriatrics 2016 16:11

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  27. Content type: Research article

    Although rehabilitation for older patients has the potential to improve function and prevent admission to nursing homes, returning home after discharge is not possible for all patients. Better understanding of...

    Authors: Irma H. J. Everink, Jolanda C. M. van Haastregt, Sofie J. M. van Hoof, Jos M. G. A. Schols and Gertrudis I. J. M. Kempen

    Citation: BMC Geriatrics 2016 16:5

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  28. Content type: Research article

    Evaluating the quality of care provided to older individuals is a key step to ensure that needs are being met and to target interventions to improve care. To this aim, interRAI’s second-generation home care qu...

    Authors: Andrea D. Foebel, Hein P. van Hout, Henriëtte G. van der Roest, Eva Topinkova, Vjenka Garms-Homolova, Dinnus Frijters, Harriet Finne-Soveri, Pálmi V. Jónsson, John P. Hirdes, Roberto Bernabei and Graziano Onder

    Citation: BMC Geriatrics 2015 15:148

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  29. Content type: Study protocol

    In nursing home care, new care environments directed towards small-scale and homelike environments are developing. The green care farm, which provides 24-h nursing home care for people with dementia, is one su...

    Authors: B. de Boer, J.P.H. Hamers, H.C. Beerens, S.M.G. Zwakhalen, F.E.S. Tan and H. Verbeek

    Citation: BMC Geriatrics 2015 15:144

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  30. Content type: Research article

    Hip fracture injuries are identified as one of the most serious healthcare problems affecting older people. Many studies have explored the associations among patient characteristics, treatment processes, time ...

    Authors: Paola Colais, Mirko Di Martino, Danilo Fusco, Carlo Alberto Perucci and Marina Davoli

    Citation: BMC Geriatrics 2015 15:141

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  31. Content type: Research article

    This paper synthesises research evidence about the effectiveness of services intended to support and sustain people with dementia to live at home, including supporting carers. The review was commissioned to su...

    Authors: Alison Dawson, Alison Bowes, Fiona Kelly, Kari Velzke and Richard Ward

    Citation: BMC Geriatrics 2015 15:59

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  32. Content type: Research article

    Older persons are often poorly served by existing models of community-based primary health care (CBPHC). We sought input from clients, informal caregivers, and health care providers on recommendations for syst...

    Authors: Claire Lafortune, Kelsey Huson, Selena Santi and Paul Stolee

    Citation: BMC Geriatrics 2015 15:57

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  33. Content type: Research article

    Hospitalised older patients are complex. Comorbidity and polypharmacy complicate frailty. Significant numbers have dementia and/or cognitive impairment. Pain is highly prevalent. The evidence base for pain man...

    Authors: Kirsty TM Rodger, Corinne Greasley-Adams, Zoe Hodge and Emma Reynish

    Citation: BMC Geriatrics 2015 15:56

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  34. Content type: Research article

    Patients aged 75 years and older represent 12% of the overall emergency department (ED) population, and this proportion will increase over the next decades. Many of the discharged patients suffer an unplanned ...

    Authors: Mieke Deschodt, Els Devriendt, Marc Sabbe, Daniel Knockaert, Peter Deboutte, Steven Boonen, Johan Flamaing and Koen Milisen

    Citation: BMC Geriatrics 2015 15:54

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  35. Content type: Research article

    Back pain, the most common type of pain reported by older adults, is often undertreated for reasons that are poorly understood, especially in minority populations. The objective of this study was to understand...

    Authors: Una E Makris, Robin T Higashi, Emily G Marks, Liana Fraenkel, Joanna E M Sale, Thomas M Gill and M Carrington Reid

    Citation: BMC Geriatrics 2015 15:39

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  36. Content type: Research article

    Prescription medication use, which is common among long-term care facility (LTCF) residents, is routinely used to describe quality of care and predict health outcomes. Data sources that capture medication info...

    Authors: Lisa M Lix, Lin Yan, David Blackburn, Nianping Hu, Verena Schneider-Lindner, Yvonne Shevchuk and Gary F Teare

    Citation: BMC Geriatrics 2015 15:24

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  37. Content type: Research article

    Shared-housing arrangements (SHA) are a German type of small-scale living arrangements for people with dementia (PwD). The involvement of family members is one core domain of SHA. But it has not been investiga...

    Authors: Johannes Gräske, Saskia Meyer, Andreas Worch and Karin Wolf-Ostermann

    Citation: BMC Geriatrics 2015 15:14

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  38. Content type: Study protocol

    The Care Programme for the Last Days of Life has been developed to improve the quality of end-of-life care in acute geriatric hospital wards. The programme is based on existing end-of-life care programmes but ...

    Authors: Rebecca Verhofstede, Tinne Smets, Joachim Cohen, Massimo Costantini, Nele Van Den Noortgate and Luc Deliens

    Citation: BMC Geriatrics 2015 15:13

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  39. Content type: Research article

    Escalating numbers of people are experiencing dementia in many countries. With increasing consumer needs, there is anticipated growth in the numbers of people providing diagnostic evaluations, treatments, and ...

    Authors: Michael J Annear, Christine Toye, Frances McInerney, Claire Eccleston, Bruce Tranter, Kate-Ellen Elliott and Andrew Robinson

    Citation: BMC Geriatrics 2015 15:5

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  40. Content type: Research article

    Individual Cognitive Stimulation Therapy (iCST) is a one to one, carer led psychosocial intervention for people with dementia, adapted from group Cognitive Stimulation Therapy (CST). It is increasingly recogni...

    Authors: Lauren A Yates, Martin Orrell, Aimee Spector and Vasiliki Orgeta

    Citation: BMC Geriatrics 2015 15:4

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  41. Content type: Research article

    There is emerging evidence that the physical environment is important for health, quality of life and care, but there is a lack of valid instruments to assess health care environments. The Sheffield Care Envir...

    Authors: Susanna Nordin, Marie Elf, Kevin McKee and Helle Wijk

    Citation: BMC Geriatrics 2015 15:3

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  42. Content type: Research article

    Globally, the population is ageing and lives with several chronic diseases for decades. A high symptom burden is associated with a high use of healthcare, admissions to nursing homes, and reduced quality of li...

    Authors: Jeanette Eckerblad, Kersti Theander, Anne Ekdahl, Mitra Unosson, Ann-Britt Wirehn, Anna Milberg, Barbro Krevers and Tiny Jaarsma

    Citation: BMC Geriatrics 2015 15:1

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  43. Content type: Research article

    There is evidence of under-detection and poor management of pain in patients with dementia, in both long-term and acute care. Accurate assessment of pain in people with dementia is challenging and pain assessm...

    Authors: Valentina Lichtner, Dawn Dowding, Philip Esterhuizen, S José Closs, Andrew F Long, Anne Corbett and Michelle Briggs

    Citation: BMC Geriatrics 2014 14:138

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  44. Content type: Research article

    Insight into factors that influence antibiotic prescribing is crucial when developing interventions aimed at a more rational use of antibiotics. We examined factors that influence antibiotic prescribing in lon...

    Authors: Laura W van Buul, Jenny T van der Steen, Sarah MMM Doncker, Wilco P Achterberg, François G Schellevis, Ruth B Veenhuizen and Cees MPM Hertogh

    Citation: BMC Geriatrics 2014 14:136

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  45. Content type: Study protocol

    Nursing homes are important locations for palliative care. Through comprehensive geriatric assessments (CGAs), evaluations can be made of palliative care needs of nursing home residents. The interRAI Palliativ...

    Authors: Kirsten Hermans, Nele Spruytte, Joachim Cohen, Chantal Van Audenhove and Anja Declercq

    Citation: BMC Geriatrics 2014 14:132

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  46. Content type: Research article

    Comprehensive Geriatric Assessment (CGA) provides detailed information on clinical, functional and cognitive aspects of older patients and is especially useful for assessing frail individuals. Although a large...

    Authors: Thiago J Avelino-Silva, Jose M Farfel, Jose AE Curiati, Jose RG Amaral, Flavia Campora and Wilson Jacob-Filho

    Citation: BMC Geriatrics 2014 14:129

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  47. Content type: Research article

    Since more people are reaching older and older ages, healthcare systems are becoming in need of more and more knowledgeable nurses to meet the specific health care needs of older persons. Several instruments e...

    Authors: Elisa Van der Elst, Mieke Deschodt, Melanie Welsch, Koen Milisen and Bernadette Dierckx de Casterlé

    Citation: BMC Geriatrics 2014 14:128

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  48. Content type: Research article

    A restriction in functional capacity occurs in all hip fractures and a variety of factors have been shown to influence patient functional outcome. This study sought to provide new and comprehensive insights in...

    Authors: Itziar Vergara, Kalliopi Vrotsou, Miren Orive, Nerea Gonzalez, Susana Garcia and Jose M Quintana

    Citation: BMC Geriatrics 2014 14:124

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  49. Content type: Research article

    Fall-related injuries in older people are a leading cause of morbidity and mortality. Self-reported fall events in the last year is often used to estimate fall risk in older people. However, it remains to be i...

    Authors: Petra Pohl, Ellinor Nordin, Anders Lundquist, Ulrica Bergström and Lillemor Lundin-Olsson

    Citation: BMC Geriatrics 2014 14:120

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