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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. 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

    Content type: Study protocol

    Published on:

  2. 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

    Content type: Research Article

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  3. 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

    Content type: Study protocol

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  4. 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

    Content type: Research article

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  5. 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

    Content type: Research article

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  6. 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

    Content type: Research article

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  7. 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

    Content type: Research Article

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  8. Nursing home (NH) residents are frequent users of emergency departments (ED) and while prior research suggests that repeat visits are common, there is little data describing this phenomenon. Our objectives wer...

    Authors: Andrea Gruneir, Candemir Cigsar, Xuesong Wang, Alice Newman, Susan E. Bronskill, Geoff M. Anderson and Paula A. Rochon

    Citation: BMC Geriatrics 2018 18:157

    Content type: Research article

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  9. Interdisciplinary geriatric consultation teams (IGCT) are regularly requested to provide comprehensive geriatric assessments in older inpatients. Our primary aim was to evaluate whether medication reviews incr...

    Authors: Lorenz Van der Linden, Julie Hias, Lisa Dreessen, Koen Milisen, Johan Flamaing, Isabel Spriet and Jos Tournoy

    Citation: BMC Geriatrics 2018 18:155

    Content type: Research Article

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  10. In 2015, the Japan Geriatric Society (JGS) updated “the Guidelines for Medical Treatment and its Safety in the elderly,” accompanied with the Screening Tool for Older Persons’ Appropriate Prescriptions for Jap...

    Authors: Kaori Nomura, Taro Kojima, Shinya Ishii, Takuto Yonekawa, Masahiro Akishita and Manabu Akazawa

    Citation: BMC Geriatrics 2018 18:154

    Content type: Research article

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  11. The aim was to assess the morbidity and in-hospital mortality that occur in surgical patients with pre-existing dementia compared with those outcomes in non-dementia patients following emergent and nonemergent...

    Authors: Woubet Tefera Kassahun

    Citation: BMC Geriatrics 2018 18:153

    Content type: Research article

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  12. In the past decade, the number of long-term care (LTC) services for older adults in China has grown annually by an average of 10%. Older adults, their family members, and policymakers in China are concerned ab...

    Authors: Yuebin Xu, Nan Jiang, Yean Wang, Qiang Zhang, Lin Chen and Shuang Ma

    Citation: BMC Geriatrics 2018 18:152

    Content type: Research article

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  13. Our study explored client experience of Australian Consumer Directed Care. This evolving funding model enables consumer autonomy and choice, allowing older people to remain in their community as they age and n...

    Authors: Liz Gill, Sandra L. Bradley, Ian D. Cameron and Julie Ratcliffe

    Citation: BMC Geriatrics 2018 18:148

    Content type: Research Article

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  14. Geriatric syndromes, multimorbidity, and disability are prevalent among ageing population. However, no study empirically examined their additive or synergistic effect on healthcare use. The present study aims ...

    Authors: Johnny T. K. Cheung, Ruby Yu, Zimu Wu, Samuel Y.S. Wong and Jean Woo

    Citation: BMC Geriatrics 2018 18:147

    Content type: Research article

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  15. The Quality of Life in Alzheimer’s disease scale (QoL-AD) is a widely used Health Related Quality of Life (HRQoL) instrument. However, studies investigating the instrument’s inter-rater reliability (IRR) are m...

    Authors: Martin Nikolaus Dichter, Eva-Maria Wolschon, Christian G. G. Schwab, Gabriele Meyer and Sascha Köpke

    Citation: BMC Geriatrics 2018 18:145

    Content type: Research Article

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  16. Adherence to recommendations and medication is deemed to be important for effectiveness of case management interventions. Thus, reasons for non-adherence and effects on health-related quality of life (HRQoL) s...

    Authors: Gundula Krack, Rolf Holle, Inge Kirchberger, Bernhard Kuch, Ute Amann and Hildegard Seidl

    Citation: BMC Geriatrics 2018 18:136

    Content type: Research article

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  17. Elderly patients are vulnerable to adverse drug reactions (ADRs). Drug-related readmissions (DRRs) can be a major consequence of ADR. Therefore, this study aimed to investigate the effects of a ward-based, com...

    Authors: R. Lenssen, K. Schmitz, C. Griesel, A. Heidenreich, J. B. Schulz, C. Trautwein, N. Marx, C. Fitzner, U. Jaehde and A. Eisert

    Citation: BMC Geriatrics 2018 18:135

    Content type: Research Article

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  18. People with dementia and informal carers often access formal care late in the process of dementia. The barriers and facilitators to service use from the perspectives of different stakeholders involved are not ...

    Authors: Astrid Stephan, Anja Bieber, Louise Hopper, Rachael Joyce, Kate Irving, Orazio Zanetti, Elisa Portolani, Liselot Kerpershoek, Frans Verhey, Marjolein de Vugt, Claire Wolfs, Siren Eriksen, Janne Røsvik, Maria J. Marques, Manuel Gonçalves-Pereira, Britt-Marie Sjölund…

    Citation: BMC Geriatrics 2018 18:131

    Content type: Research article

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  19. The protective, custodial, task-oriented care provided in residential aged care facilitates decreases health and wellbeing of residents. The aim of the study was to conduct a feasibility study of LifeFul – a 1...

    Authors: Lee-Fay Low, Shruti Venkatesh, Lindy Clemson, Dafna Merom, Anne-Nicole Casey and Henry Brodaty

    Citation: BMC Geriatrics 2018 18:129

    Content type: Research article

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  20. Older people who present to the Emergency Department (ED) experience high rates of prevalent and incident delirium. This study aimed to determine whether an assistant workforce in the ED could effectively cond...

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

    Citation: BMC Geriatrics 2018 18:126

    Content type: Research Article

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  21. Depression and hypertension are common, costly, and destructive conditions among the rapidly aging population of China. The two disorders commonly coexist and are poorly recognized and inadequately treated, es...

    Authors: Shulin Chen, Yeates Conwell, Jiang Xue, Lydia W. Li, Wan Tang, Hillary R. Bogner and Hengjin Dong

    Citation: BMC Geriatrics 2018 18:124

    Content type: Study protocol

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  22. Heart failure (HF) is associated with a high rate of readmissions within 30 days post-discharge and in the following year, especially in frail elderly patients. Biomarker data are scarce in this high-risk popu...

    Authors: Cristina Pacho, Mar Domingo, Raquel Núñez, Josep Lupón, Julio Núñez, Jaume Barallat, Pedro Moliner, Marta de Antonio, Javier Santesmases, Germán Cediel, Santiago Roura, M. Cruz Pastor, Jordi Tor and Antoni Bayes-Genis

    Citation: BMC Geriatrics 2018 18:109

    Content type: Research article

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  23. Approximately 20% of community-dwelling older adults discharged from the emergency department (ED) return to an ED within 30 days, an occurrence partially resulting from poor care transitions. Prior published ...

    Authors: Ranran Mi, Matthew M. Hollander, Courtney M. C. Jones, Eva H. DuGoff, Thomas V. Caprio, Jeremy T. Cushman, Amy J. H. Kind, Michael Lohmeier and Manish N. Shah

    Citation: BMC Geriatrics 2018 18:104

    Content type: Study protocol

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  24. Elderly people often have more complicated healthcare needs than younger adults due to additional functional decline, physical illness, and psychosocial needs. Unmet healthcare needs increase illness severity,...

    Authors: Yoon-Sook Kim, Jongmin Lee, Yeonsil Moon, Kyoung Jin Kim, Kunsei Lee, Jaekyung Choi and Seol-Heui Han

    Citation: BMC Geriatrics 2018 18:98

    Content type: Research Article

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  25. Few studies have evaluated the characteristics of elderly patients with polypharmacy refusing deprescribing. The aim of this study was to evaluate the prevalence of potentially inappropriate medication (PIM) u...

    Authors: Junpei Komagamine, Kenichi Sugawara and Kazuhiko Hagane

    Citation: BMC Geriatrics 2018 18:96

    Content type: Research article

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  26. Supporting older adults’ health and wellbeing in the community is an important policy goal that can be supported by health promotion. Despite widespread acceptance of the biopsychosocial model of health and it...

    Authors: Gina Agarwal and Madison Brydges

    Citation: BMC Geriatrics 2018 18:95

    Content type: Research article

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  27. 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

    Content type: Research article

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  28. 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

    Content type: Research Article

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  29. 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

    Content type: Research article

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  30. 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

    Content type: Research article

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  31. 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

    Content type: Study protocol

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  32. 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

    Content type: Research Article

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  33. 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

    Content type: Research Article

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  34. 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

    Content type: Research Article

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  35. 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

    Content type: Research Article

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  36. 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

    Content type: Research Article

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  37. 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

    Content type: Research Article

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  38. 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

    Content type: Research article

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  39. 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

    Content type: Research Article

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  40. 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

    Content type: Research Article

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  41. 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

    Content type: Research article

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  42. 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

    Content type: Research article

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  43. 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

    Content type: Debate

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  44. 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

    Content type: Research Article

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  45. 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

    Content type: Research Article

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  46. 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

    Content type: Research article

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  47. 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

    Content type: Research article

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