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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: Study protocol

    Inappropriate drug use has been identified as one of the most important problems affecting the quality of care in older people. Inappropriate drug use may increase the risk of the occurrence of ‘geriatric gian...

    Authors: Floor Willeboordse, Jacqueline G Hugtenburg, Liset van Dijk, Judith E Bosmans, Oscar J de Vries, François G Schellevis and Petra J M Elders

    Citation: BMC Geriatrics 2014 14:116

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  2. Content type: Research article

    Intergenerational playgroups in aged care are limited and little is known about the perceptions of individuals who have participated in such programs. Most research is focused on intergenerational programs tha...

    Authors: C Margaret Skropeta, Alf Colvin and Shannon Sladen

    Citation: BMC Geriatrics 2014 14:109

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  3. Content type: Research article

    Frailty increases the risk of adverse outcomes in older people. The impact of psychosocial factors on frailty and adverse clinical outcomes associated with frailty has not yet been examined in the hospital set...

    Authors: Elsa Dent and Emiel O Hoogendijk

    Citation: BMC Geriatrics 2014 14:108

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  4. Content type: Research article

    Although dementia at the end of life is increasingly being studied, we lack prospective observational data on dying patients. In this study symptoms were observed in patients with dementia in the last days of ...

    Authors: Maartje S Klapwijk, Monique AA Caljouw, Mirjam C van Soest-Poortvliet, Jenny T van der Steen and Wilco P Achterberg

    Citation: BMC Geriatrics 2014 14:99

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  5. Content type: Research article

    To determine if risk stratification followed by rapid geriatric screening in an emergency department (ED) reduced functional decline, ED reattendance and hospitalisation.

    Authors: Chik Loon Foo, Vivan Wing Yin Siu, Hou Ang, Madeline Wei Ling Phuah and Chee Kheong Ooi

    Citation: BMC Geriatrics 2014 14:98

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  6. Content type: Research article

    Older people resident in care homes have a limited life expectancy and approximately two-thirds have limited mental capacity. Despite initiatives to reduce unplanned hospital admissions for this population, li...

    Authors: Sarah Amador, Claire Goodman, Derek King, Ina Machen, Natasha Elmore, Elspeth Mathie and Steve Iliffe

    Citation: BMC Geriatrics 2014 14:95

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  7. Content type: Research article

    The aim of this process evaluation was to provide insight into facilitators and barriers to the delivery of community-based personalized dementia care of two different case management models, i.e. the linkage ...

    Authors: Lisa D Van Mierlo, Franka JM Meiland, Hein PJ Van Hout and Rose-Marie Dröes

    Citation: BMC Geriatrics 2014 14:84

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  8. Content type: Research article

    Within the context of an exploratory case study, the authors assessed the perceptions of family caregivers about the decision-making process regarding relocating their relative and about the applicability of a...

    Authors: France Légaré, Dawn Stacey, Nathalie Brière, Hubert Robitaille, Marie-Claude Lord, Sophie Desroches and Renée Drolet

    Citation: BMC Geriatrics 2014 14:83

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  9. Content type: Research article

    Across Ontario, home care professionals collect standardized information on each client using the Resident Assessment for Home Care (RAI-HC). However, this information is not consistently shared with those pro...

    Authors: Dawn M Guthrie, Robyn Pitman, Paula C Fletcher, John P Hirdes, Paul Stolee, Jeffrey W Poss, Alexandra Papaioannou, Katherine Berg and Helen Janzen Ezekiel

    Citation: BMC Geriatrics 2014 14:81

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  10. Content type: Research article

    Residents of long-term care facilities have a high risk of acute care admission. Estimates of the frequency of inappropriate transfers vary substantially throughout the studies and various assessment tools hav...

    Authors: Anna Renom-Guiteras, Lisbeth Uhrenfeldt, Gabriele Meyer and Eva Mann

    Citation: BMC Geriatrics 2014 14:80

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  11. Content type: Research article

    This study examined medical resource utilisation patterns in the United Kingdom (UK) prior to and following Alzheimer’s disease (AD) diagnosis.

    Authors: Lei Chen, Catherine Reed, Michael Happich, Allen Nyhuis and Alan Lenox-Smith

    Citation: BMC Geriatrics 2014 14:76

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  12. Content type: Research article

    The coexistence of several chronic diseases in one same individual, known as multimorbidity, is an important challenge facing health care systems in developed countries. Recent studies have revealed the existe...

    Authors: José María Abad-Díez, Amaia Calderón-Larrañaga, Antonio Poncel-Falcó, Beatriz Poblador-Plou, José Manuel Calderón-Meza, Antoni Sicras-Mainar, Mercedes Clerencia-Sierra and Alexandra Prados-Torres

    Citation: BMC Geriatrics 2014 14:75

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  13. Content type: Research article

    Older people living with dementia prefer to stay at home to receive support. But they are at high risk of death and/or hospital admissions. This study primarily aimed to determine risk factors for time to deat...

    Authors: Emily (Chuanmei) You, David Robert Dunt, Vanessa White, Stephen Vander Hoorn and Colleen Doyle

    Citation: BMC Geriatrics 2014 14:71

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  14. Content type: Research article

    Not only single, but also multiple, chronic conditions are becoming the normal situation rather than the exception in the older generation. While many studies show a correlation between multimorbidity and vari...

    Authors: Daniela Koller, Gerhard Schön, Ingmar Schäfer, Gerd Glaeske, Hendrik van den Bussche and Heike Hansen

    Citation: BMC Geriatrics 2014 14:70

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  15. Content type: Research article

    Delirium occurs frequently in older hospitalised patients and is associated with several adverse outcomes. Ignorance among healthcare professionals and a failure to recognise patients suffering from delirium h...

    Authors: Lotte van de Steeg, Roelie IJkema, Maaike Langelaan and Cordula Wagner

    Citation: BMC Geriatrics 2014 14:69

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  16. Content type: Research article

    Insight in the natural course of care dependency of vulnerable older persons in long-term care facilities (LTCF) is essential to organize and optimize individual tailored care. We examined changes in care depe...

    Authors: Monique AA Caljouw, Herman JM Cools and Jacobijn Gussekloo

    Citation: BMC Geriatrics 2014 14:67

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  17. Content type: Research article

    Advancing age is associated with increased vulnerability to chronic health problems. Identifying factors that predict oldest-old status is vital for developing effective clinical interventions and public healt...

    Authors: Nicolás Martínez-Velilla, Koldo Cambra-Contin and Berta Ibáñez-Beroiz

    Citation: BMC Geriatrics 2014 14:64

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  18. Content type: Research article

    Depressive symptoms in older home care clients are common but poorly recognized and treated, resulting in adverse health outcomes, premature institutionalization, and costly use of health services. The objecti...

    Authors: Maureen Markle-Reid, Carrie McAiney, Dorothy Forbes, Lehana Thabane, Maggie Gibson, Gina Browne, Jeffrey S Hoch, Thomas Peirce and Barbara Busing

    Citation: BMC Geriatrics 2014 14:62

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  19. Content type: Research article

    Little is known about the type of care older people of different ages receive at the end of life. The goal of treatment is an important parameter of the quality of end-of-life care. This study aims to provide ...

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

    Citation: BMC Geriatrics 2014 14:61

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  20. Content type: Research article

    This study explored the effects of an integrated care model aimed at the frail elderly on the perceived health, objective burden, subjective burden and quality of life of informal caregivers.

    Authors: Benjamin Janse, Robbert Huijsman, Ruben Dennis Maurice de Kuyper and Isabelle Natalina Fabbricotti

    Citation: BMC Geriatrics 2014 14:58

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  21. Content type: Research article

    A significant proportion of patients in an acute hospital is made up of older people, many of whom have cognitive impairment or dementia. Rightly or wrongly, if a degree of confusion is apparent, it is often q...

    Authors: Marie Poole, John Bond, Charlotte Emmett, Helen Greener, Stephen J Louw, Louise Robinson and Julian C Hughes

    Citation: BMC Geriatrics 2014 14:56

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  22. Content type: Research article

    The current paper presents a pilot study of interactive assessment using information and communication technology (ICT) to evaluate the knowledge, skills and abilities of staff with no formal education who are...

    Authors: Annika Nilsson, Marianne Andrén and Maria Engström

    Citation: BMC Geriatrics 2014 14:52

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  23. Content type: Research article

    The Older Persons and Informal Caregivers Survey Minimal Dataset’s (TOPICS-MDS) questionnaire which measures relevant outcomes for elderly people was successfully incorporated into over 60 research projects of t...

    Authors: Cynthia S Hofman, Peter Makai, Han Boter, Bianca M Buurman, Anton JM de Craen, Marcel GM Olde Rikkert, Rogier ART Donders and René JF Melis

    Citation: BMC Geriatrics 2014 14:51

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  24. Content type: Research article

    Geriatric evaluation and management has become standard care for community dwelling older adults following an acute admission to hospital. It is unclear whether this approach is beneficial for the frailest old...

    Authors: Penelope Harvey, Meg Storer, David John Berlowitz, Bruce Jackson, Anastasia Hutchinson and Wen Kwang Lim

    Citation: BMC Geriatrics 2014 14:48

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  25. Content type: Research article

    Frail older people with mental health problems including delirium, dementia and depression are often admitted to general hospitals. However, hospital admission may cause distress, and can be associated with co...

    Authors: Alex Glover, Lucy E Bradshaw, Nicola Watson, Emily Laithwaite, Sarah E Goldberg, Kathy H Whittamore and Rowan H Harwood

    Citation: BMC Geriatrics 2014 14:43

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  26. Content type: Research article

    The use of physical restraints by family caregivers with home-dwelling elders has not been extensively studied but it might be widespread. Furthermore, it is also not clear how home care providers who support ...

    Authors: Sadami Kurata and Toshiyuki Ojima

    Citation: BMC Geriatrics 2014 14:39

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  27. Content type: Research article

    There are several risk factors for the colonisation, infection and spreading of antibiotic resistant bacteria among elderly residents of nursing homes. An updated estimate of the native prevalence of antimicro...

    Authors: Pär-Daniel Sundvall, Marie Elm, Ronny Gunnarsson, Sigvard Mölstad, Nils Rodhe, Lars Jonsson and Peter Ulleryd

    Citation: BMC Geriatrics 2014 14:30

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  28. Content type: Research article

    Home visiting nurses (HVNs) have long been part of home and community-based care interventions designed to meet the needs of functionally declining older adults. However, only one of the studies including HVNs...

    Authors: Bruce Friedman, Yanen Li, Dianne V Liebel and Bethel A Powers

    Citation: BMC Geriatrics 2014 14:24

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  29. Content type: Research article

    The evidence of undertreatment of pain in patients with dementia is inconsistent. This may largely be due to methodological differences and shortcomings of studies. In a large cohort of patients with incident ...

    Authors: Falk Hoffmann, Hendrik van den Bussche, Birgitt Wiese, Gerd Glaeske and Hanna Kaduszkiewicz

    Citation: BMC Geriatrics 2014 14:20

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  30. Content type: Research article

    In Japan, there is no decision-making guide regarding long-term tube feeding that specifically targets individuals making decisions on behalf of cognitively impaired older persons (substitute decision makers)....

    Authors: Yumiko Kuraoka and Kazuhiro Nakayama

    Citation: BMC Geriatrics 2014 14:16

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  31. Content type: Research article

    Despite the growing demand for home care and preliminary evidence suggesting that the use of restraint is common practice in home care, research about restraint use in this setting is scarce.

    Authors: Kristien Scheepmans, Bernadette Dierckx de Casterlé, Louis Paquay, Hendrik Van Gansbeke, Steven Boonen and Koen Milisen

    Citation: BMC Geriatrics 2014 14:17

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  32. Content type: Research article

    Multimorbidity is common in advanced age, and is usually associated with negative – yet to some extent preventable – health outcomes. Detecting comorbid conditions is especially difficult in individuals with d...

    Authors: Kathrin Bauer, Larissa Schwarzkopf, Elmar Graessel and Rolf Holle

    Citation: BMC Geriatrics 2014 14:10

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  33. Content type: Research article

    Maintenance of communication is important for people with dementia living in long-term care. The purpose of this study was to assess the feasibility of using “Giraff”, a telepresence robot to enhance engagemen...

    Authors: Wendy Moyle, Cindy Jones, Marie Cooke, Siobhan O’Dwyer, Billy Sung and Suzie Drummond

    Citation: BMC Geriatrics 2014 14:7

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  34. Content type: Research article

    Both Australia and China have a large proportion of people with dementia and the prevalence will triple in Australia and increase five times in China by 2050. The majority of people with dementia are reliant o...

    Authors: Lily Dongxia Xiao, Jing Wang, Guo-Ping He, Anita De Bellis, Jenny Verbeeck and Helena Kyriazopoulos

    Citation: BMC Geriatrics 2014 14:6

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  35. Content type: Correspondence

    The Memory Services National Accreditation Programme states that memory services should provide “timely access to assessment and diagnosis” of dementia. We undertook a quality improvement project using Plan-Do...

    Authors: Jennifer Perry, Francesca Bell, Therese Shaw, Barbara Fitzpatrick and Elizabeth L Sampson

    Citation: BMC Geriatrics 2014 14:4

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  36. Content type: Research article

    It is known that interprofessional collaboration is crucial for integrated care delivery, yet we are still unclear about the underlying mechanisms explaining effectiveness of integrated care delivery to older ...

    Authors: Jacqueline M Hartgerink, Jane M Cramm, Annemarie JBM de Vos, Ton JEM Bakker, Ewout W Steyerberg, Johan P Mackenbach and Anna P Nieboer

    Citation: BMC Geriatrics 2014 14:3

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  37. Content type: Research article

    Primary care physicians routinely provide dementia care, but may lack the clinical skills and awareness of available resources to provide optimal care. We conducted a community-based pilot dementia training in...

    Authors: Christine R Lathren, Philip D Sloane, Joseph D Hoyle, Sheryl Zimmerman and Daniel I Kaufer

    Citation: BMC Geriatrics 2013 13:134

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  38. Content type: Research article

    This paper describe the development of interRAI’s second-generation home care quality indicators (HC-QIs). They are derived from two of interRAI’s widely used community assessments: the Community Health Assess...

    Authors: John N Morris, Brant E Fries, Dinnus Frijters, John P Hirdes and R Knight Steel

    Citation: BMC Geriatrics 2013 13:127

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  39. Content type: Study protocol

    In Germany, the number of people with dementia living in nursing homes is rapidly increasing. Providing adequate care for their special needs is a challenge for institutions and their staff members. Because of...

    Authors: Rebecca Palm, Kerstin Köhler, Christian GG Schwab, Sabine Bartholomeyczik and Bernhard Holle

    Citation: BMC Geriatrics 2013 13:123

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  40. Content type: Study protocol

    As the population ages, the relative and absolute number of age-associated diseases such as dementia will increase. Evaluation of the suitability and intake of medication and pharmacological treatment is an im...

    Authors: Thomas Fiß, Jochen René Thyrian, Diana Wucherer, Grit Aßmann, Ingo Kilimann, Stefan J Teipel and Wolfgang Hoffmann

    Citation: BMC Geriatrics 2013 13:121

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  41. Content type: Research article

    Transition from hospital to home is a critical period for older persons with acute myocardial infarction (AMI). Home-based secondary prevention programs led by nurses have been proposed to facilitate the patie...

    Authors: Christa Meisinger, Björn Stollenwerk, Inge Kirchberger, Hildegard Seidl, Rupert Wende, Bernhard Kuch and Rolf Holle

    Citation: BMC Geriatrics 2013 13:115

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  42. Content type: Research article

    Almost 90 percent of nursing home residents have some type of mobility limitation. Many spend most of their waking hours lying in bed or sitting. Such inactivity can negatively affect residents’ health and gen...

    Authors: Susan E Slaughter and Carole A Estabrooks

    Citation: BMC Geriatrics 2013 13:110

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  43. Content type: Research article

    The majority of frail elderly who live in long-term care (LTC) are not treated for osteoporosis despite their high risk for fragility fractures. Clinical Practice Guidelines for the diagnosis and management of...

    Authors: Michelle Wall, Lynne Lohfeld, Lora Giangregorio, George Ioannidis, Courtney C Kennedy, Andrea Moser, Alexandra Papaioannou and Suzanne N Morin

    Citation: BMC Geriatrics 2013 13:109

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  44. Content type: Research article

    Positive attitudes of healthcare staff towards people with dementia promote higher quality care, although little is known about important factors that underlie positive attitudes. Key aims of this project were...

    Authors: Catherine M Travers, Elizabeth Beattie, Melinda Martin-Khan and Elaine Fielding

    Citation: BMC Geriatrics 2013 13:101

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  45. Content type: Research article

    The interRAI Acute Care instrument is a multidimensional geriatric assessment system intended to determine a hospitalized older persons’ medical, psychosocial and functional capacity and needs. Its objective i...

    Authors: Els Devriendt, Nathalie I H Wellens, Johan Flamaing, Anja Declercq, Philip Moons, Steven Boonen and Koen Milisen

    Citation: BMC Geriatrics 2013 13:90

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  46. Content type: Research article

    Fecal incontinence is highly prevalent among nursing home residents. Previous nursing home studies have identified co-morbidity associated with fecal incontinence, but as this population is increasingly old an...

    Authors: Susan Saga, Anne Guttormsen Vinsnes, Siv Mørkved, Christine Norton and Arnfinn Seim

    Citation: BMC Geriatrics 2013 13:87

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  47. Content type: Study protocol

    Dual sensory loss (DSL) has a negative impact on health and wellbeing and its prevalence is expected to increase due to demographic aging. However, specialized care or rehabilitation programs for DSL are scarc...

    Authors: Hilde L Vreeken, Ger HMB van Rens, Sophia E Kramer, Dirk L Knol, Joost M Festen and Ruth MA van Nispen

    Citation: BMC Geriatrics 2013 13:84

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  48. Content type: Research article

    Worldwide the proportion of elderly people in the population is increasing. Currently in Pakistan 7.3 million people (5.6% of total population) are more than 60 years old. This age shift has emerged as an impo...

    Authors: Jabeen Fayyaz, Munawar Khursheed, Mohammed Umer Mir and UzmaRahim Khan

    Citation: BMC Geriatrics 2013 13:83

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