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Health services for the elderly

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https://www.readbyqxmd.com/read/29683033/needs-in-service-provision-for-oral-health-care-in-older-people-a-comparison-between-greater-manchester-united-kingdom-and-utrecht-the-netherlands
#1
Babette Everaars, Katarina Jerković-Ćosić, Gert-Jan van der Putten, Ian A Pretty, Paul Brocklehurst
Retaining natural teeth for longer, together with increasing care dependency in the elderly, has the potential to hamper adequate oral self-care and service provision. The aim of this qualitative study was to compare and contrast views from a multi-stakeholder perspective on the future priorities for oral health care services of older people in the United Kingdom and the Netherlands. A participatory setting partnership was undertaken with 4 key stakeholder groups in the United Kingdom and the Netherlands. A final consensus group considered collective responses...
January 1, 2018: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/29680815/patient-trajectories-and-their-impact-on-mobility-social-participation-and-quality-of-life-in-patients-with-vertigo-dizziness-balance-disorders-and-osteoarthritis-mobile-tra-study-protocol-of-an-observational-practice-based-cohort-study
#2
Rebecca Kisch, Antje Bergmann, Daniela Koller, Reiner Leidl, Ulrich Mansmann, Martin Mueller, Linda Sanftenberg, Joerg Schelling, Leonie Sundmacher, Karen Voigt, Eva Grill
INTRODUCTION: Mobility limitations have a multitude of different negative consequences on elderly patients including decreasing opportunities for social participation, increasing the risk for morbidity and mortality. However, current healthcare has several shortcomings regarding mobility sustainment of older adults, namely a narrow focus on the underlying pathology, fragmentation of care across services and health professions and deficiencies in personalising care based on patients' needs and experiences...
April 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29678164/unmet-healthcare-needs-of-elderly-people-in-korea
#3
Yoon-Sook Kim, Jongmin Lee, Yeonsil Moon, Kyoung Jin Kim, Kunsei Lee, Jaekyung Choi, Seol-Heui Han
BACKGROUND: 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, complications, and mortality. Despite this, research on the unmet healthcare needs of elderly people is limited in Korea. This study analysed the effect of functional deterioration related to aging on unmet healthcare needs based on the Korea Health Panel Study. METHODS: This cross-sectional study used data from the 2011-2013 survey of 8666 baseline participants aged 65 years and older...
April 20, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29677930/a-predictive-model-for-acute-admission-in-aged-population
#4
Marjan Mansourvar, Karen Andersen-Ranberg, Christian Nøhr, Uffe Kock Wiil
Acute hospital admission among the elderly population is very common and have a high impact on the health services and the community, as well as on the individuals. Several studies have focused on the possible risk factors, however, predicting who is at risk for acute hospitalization associated with disease and symptoms is still an open research question. In this study, we investigate the use of machine learning algorithms for predicting acute admission in older people based on admission data from individual citizens 70 years and older who were hospitalized in the acute medical unit of Svendborg Hospital in Denmark...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29673234/active-and-assisted-living-ecosystem-for-the-elderly
#5
Isabel Marcelino, Rosalía Laza, Patrício Domingues, Silvana Gómez-Meire, Florentino Fdez-Riverola, António Pereira
A novel ecosystem to promote the physical, emotional and psychic health and well-being of the elderly is presented. Our proposal was designed to add several services developed to meet the needs of the senior population, namely services to improve social inclusion and increase contribution to society. Moreover, the solution monitors the vital signs of elderly individuals, as well as environmental parameters and behavior patterns, in order to seek eminent danger situations and predict potential hazardous issues, acting in accordance with the various alert levels specified for each individual...
April 17, 2018: Sensors
https://www.readbyqxmd.com/read/29664922/patterns-of-emergency-department-utilization-by-patients-on-chronic-dialysis-a-population-based-study
#6
Paul Komenda, Navdeep Tangri, Evan Klajncar, Amanda Eng, Michelle Di Nella, Brett Hiebert, Trevor Strome, Ricardo Lobato de Faria, James M Zacharias, Mauro Verrelli, Manish M Sood, Claudio Rigatto
IMPORTANCE: Patients on dialysis are often elderly and frail, with multiple comorbid conditions, and are heavy users of Emergency Department (ED) services. However, objective data on the frequency and pattern of ED utilization by dialysis patients are sparse. Such data could identify periods of highest risk for ED visits and inform health systems interventions to mitigate these risks and improve outcomes. OBJECTIVE: To describe the pattern and frequency of presentation to ER by dialysis patients...
2018: PloS One
https://www.readbyqxmd.com/read/29660935/effect-of-cilostazol-on-incident-dementia-in-elderly-men-and-women-with-ischemic-heart-disease
#7
Mi-Young Kim, Yoojin Noh, Sang Joon Son, Sooyoung Shin, Hee-Young Paik, Sukhyang Lee, Yi-Sook Jung
BACKGROUND: Ischemic heart disease (IHD) is associated with cognitive decline and may contribute to an increased risk of dementia. OBJECTIVE: The goal of the present study was to investigate whether cilostazol use is associated with a lower risk of incident dementia in Asian patients with IHD, and whether these effects differed based on sex. METHODS: This retrospective cohort study was performed using the Korean National Insurance Claim Data of the Health Insurance Review and Assessment Service; the duration of the study was from January 1, 2007 to December 31, 2015...
April 11, 2018: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/29656624/health-care-burden-of-spinal-diseases-in-the-republic-of-korea-analysis-of-a-nationwide-database-from-2012-through-2016
#8
Chang-Hyun Lee, Chun Kee Chung, Chi Heon Kim, Ji-Woong Kwon
OBJECTIVE: This study aimed to determine the incidence and analyze trends related to spinal diseases based on a national database in the Republic of Korea (ROK) and to elucidate the healthcare burden that will serve as a useful resource for researchers, clinicians, and patients. METHODS: This study was a retrospective analysis of data obtained from Healthcare Bigdata Hub, the Korean Statistical Information Service, and Open Data Portal from 2012 through 2016. The main disease codes for spinal diseases (M40-M54) were used for identification of these conditions...
March 2018: Neurospine
https://www.readbyqxmd.com/read/29651816/theoretical-and-hands-on-guidance-from-dental-hygienists-promotes-good-oral-health-in-elderly-people-living-in-nursing-homes-a-pilot-study
#9
B Seleskog, L Lindqvist, I Wårdh, A Engström, I von Bültzingslöwen
OBJECTIVES: Oral health in nursing homes for elderly is often unsatisfactory, and oral health education to nursing staff has not shown sufficient results why there is need for novel approaches. The aim of the study was to trial a new oral healthcare educational programme and to evaluate the effects on residents' oral health. In addition, attitudes among the nursing staff in the intervention nursing home were explored. METHODS: In a controlled clinical trial, two comparable nursing homes were randomly assigned for intervention or control...
April 12, 2018: International Journal of Dental Hygiene
https://www.readbyqxmd.com/read/29643004/association-between-mediterranean-diet-and-hand-grip-strength-in-older-adult-women
#10
Luigi Barrea, Giovanna Muscogiuri, Carolina Di Somma, Giovanni Tramontano, Vincenzo De Luca, Maddalena Illario, Annamaria Colao, Silvia Savastano
BACKGROUND & AIMS: Mediterranean Diet (MD) is an eating pattern associated with multiple healthy benefits, including the conservation of skeletal muscle. Frailty is a major geriatric syndrome characterized by low muscle strength. The Hand Grip Strength (HGS) is the most frequently used indicator of muscle functional capacity for clinical purposes. The association between the adherence to the MD and HGS in elderly has not yet fully investigated. The goal of this study was to examine the association between the adherence to the MD and HGS in a not hospitalized elderly who participated in the project PERsonalised ict Supported Services for Independent Living and Active Ageing (PERSSILAA)...
April 3, 2018: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/29627819/elements-of-integrated-care-approaches-for-older-people-a-review-of-reviews
#11
Andrew M Briggs, Pim P Valentijn, Jotheeswaran A Thiyagarajan, Islene Araujo de Carvalho
OBJECTIVE: The World Health Organization (WHO) recently proposed an Integrated Care for Older People approach to guide health systems and services in better supporting functional ability of older people. A knowledge gap remains in the key elements of integrated care approaches used in health and social care delivery systems for older populations. The objective of this review was to identify and describe the key elements of integrated care models for elderly people reported in the literature...
April 7, 2018: BMJ Open
https://www.readbyqxmd.com/read/29624362/reorganization-and-clinical-management-for-hypertension-control-at-primary-healthcare
#12
Paula Ramírez-Palacios, Katia Gallegos-Carrillo, Marcela Galicia-Naranjo, Daniela Antúnez-Albarrán, Jorge Montes-Alvarado, Luis Durán-Arenas
Background: In Mexico, 40% of hypertensive patients see their blood pressure under control. The evidence to keep hypertension (HT) under control is scarce, particularly in older adults who have the highest prevalence and require more health services. The objective was to determine the impact of a double intervention to increase the percentage of hypertensive patients with blood pressure levels under control and estimate differences among adults and older adults. Methods: Quasi-experimental design including reorganization and training to physicians using clinical guidelines in four primary healthcare units at the Instituto Mexicano del Seguro Social (IMSS)...
2018: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29621686/examination-of-sustainability-indicators-for-fall-prevention-strategies-in-three-states
#13
Matthew Lee Smith, Nicholas K Durrett, Ellen C Schneider, Imani N Byers, Tiffany E Shubert, Ashley D Wilson, Samuel D Towne, Marcia G Ory
With 1-in-4 older adults suffering a fall each year, fall prevention efforts have emerged as a public health priority. Multi-level, evidence-based fall prevention programs have been promoted by the CDC and other government agencies. To ensure participants and communities receive programs' intended benefits, organizations must repeatedly deliver the programs over time and plan for program sustainability as part of 'scaling up' the initiative. The State Falls Prevention Project (SFPP) began in 2011 when the CDC provided 5 years of funding to State Departments of Health in Colorado, New York, and Oregon to simultaneously implement four fall prevention strategies: 1) Tai Chi: Moving for Better Balance; 2) Stepping On; 3) Otago Exercise Program; and 4) STEADI (STopping Elderly Accidents, Deaths, and Injuries) toolkit...
February 13, 2018: Evaluation and Program Planning
https://www.readbyqxmd.com/read/29615013/factors-influencing-government-insurance-scheme-beneficiary-acceptance-of-the-gatekeeper-policy-a-cross-sectional-study-in-wuhan-china
#14
Wenzhen Li, Dongming Wang, Yong Gan, Yanfeng Zhou, Yawen Chen, Jing Li, Naomiem Kkandawire, Sai Hu, Yan Qiao, Zuxun Lu
BACKGROUND: Gatekeeper policy, requiring a patient to visit a primary care provider first, and the patient needs to get his or her primary care provider's referral before seeing a specialist or going to a hospital, has been implemented in China for about ten years, and it is necessary to assess the patients' acceptance of gatekeeper policy and to explore the factors influencing patients' acceptance. METHODS: A cross-sectional study with 1162 respondents was conducted between July and September 2015 at four community health centers (CHCs) in Wuhan, China...
April 4, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29609649/ethnomycological-study-in-the-kilum-ijim-mountain-forest-northwest-region-cameroon
#15
N A Teke, T R Kinge, E Bechem, T M Nji, L M Ndam, A M Mih
BACKGROUND: Majority of the people in rural areas depend on traditional fungi-based medicines to combat different illnesses. This ethnomycological survey was undertaken to document the traditional knowledge of mushrooms among the communities in the Kilum-Ijim mountain forest reserve. Although macrofungi are exploited for food and medicine, their ethnomycological knowledge has not been documented in this ecosystem. METHODS: A field study was carried out between 2014 and 2015; 14 mushrooms used by the local communities were collected and identified using the polymorphism of the ribosomal ITS1, 5...
April 2, 2018: Journal of Ethnobiology and Ethnomedicine
https://www.readbyqxmd.com/read/29607051/comprehensive-home-based-care-coordination-for-vulnerable-elders-with-dementia-maximizing-independence-at-home-plus-study-protocol
#16
Quincy M Samus, Karen Davis, Amber Willink, Betty S Black, Melissa Reuland, Jeannie Leoutsakos, David L Roth, Jennifer Wolff, Laura N Gitlin, Constantine G Lyketsos, Deirdre Johnston
Introduction: Despite availability of effective care strategies for dementia, most health care systems are not yet organized or equipped to provide comprehensive family-centered dementia care management. Maximizing Independence at Home-Plus is a promising new model of dementia care coordination being tested in the U.S. through a Health Care Innovation Award funded by the Centers for Medicare and Medicaid Services that may serve as a model to address these delivery gaps, improve outcomes, and lower costs...
December 2017: International Journal of Care Coordination
https://www.readbyqxmd.com/read/29605057/first-nations-people-s-perspectives-on-barriers-and-supports-for-enhancing-hpv-vaccination-foundations-for-sustainable-community-driven-strategies
#17
R I Henderson, M Shea-Budgell, C Healy, A Letendre, L Bill, B Healy, R A Bednarczyk, K Mrklas, C Barnabe, J Guichon, N Bedingfield, S MacDonald, A Colquhoun, S Glaze, T Nash, C Bell, J Kellner, R Richardson, T Dixon, J Starlight, G Runner, G Nelson
OBJECTIVE: In Canada, Indigenous people have higher human papillomavirus (HPV) infection rates, lower screening rates for cervical cancer, and higher rates of invasive cancer, leading to worse cervical cancer-related outcomes than observed in non-Indigenous Canadian women. Lingering harms from European colonization drive these health inequities and create public health challenges. Policy guidance is needed to optimize HPV vaccination rates and, thereby, decrease the burden of HPV-related illness, including high-morbidity surgical procedures and chemo-radiotherapy...
April 2018: Gynecologic Oncology
https://www.readbyqxmd.com/read/29602745/implementation-of-a-pharmacist-led-pharmacogenomics-service-for-the-program-of-all-inclusive-care-for-the-elderly-pharm-genome-pace
#18
Kevin T Bain, Emily J Schwartz, Orsula V Knowlton, Calvin H Knowlton, Jacques Turgeon
OBJECTIVES: To determine the feasibility of implementing a pharmacist-led pharmacogenomics (PGx) service for the Program of All-Inclusive Care for the Elderly (PACE). SETTING: A national centralized pharmacy providing PGx services to community-based PACE centers. PRACTICE DESCRIPTION: Individuals 55 years of age and older enrolled in PACE who underwent PGx testing as part of their medical care (n = 296). PRACTICE INNOVATION: Pharmacist-led PGx testing, interpreting, and consulting...
March 27, 2018: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/29602630/medicare-costs-associated-with-arteriovenous-fistulas-among-us-hemodialysis-patients
#19
Mae Thamer, Timmy C Lee, Haimanot Wasse, Marc H Glickman, Joyce Qian, Daniel Gottlieb, Scott Toner, Timothy A Pflederer
BACKGROUND: An arteriovenous fistula (AVF) is the recommended vascular access for hemodialysis (HD). Previous studies have not examined the resources and costs associated with creating and maintaining AVFs. STUDY DESIGN: Retrospective observational study. SETTING & PARTICIPANTS: Elderly US Medicare patients initiating hemodialysis therapy during 2010 to 2011. PREDICTOR: AVF primary and secondary patency and nonuse in the first year following AVF creation...
March 28, 2018: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/29601915/effect-of-the-economic-crisis-on-the-use-of-health-and-home-care-services-among-elderly-spanish-diabetes-patients
#20
Ana Lopez-de-Andres, Javier de Miguel-Diez, Valentin Hernandez-Barrera, Isabel Jiménez-Trujillo, Maria-Angeles Martinez-Huedo, José Luis Del Barrio, Rodrigo Jimenez-Garcia
AIMS: To describe the utilization of health and home care services among older people (≥65 years) with diabetes during the economic crisis; to identify the factors associated with changes in the utilization of these services; and to study the time trends (2009-2014). METHODS: We used the European Health Interview Surveys for Spain (EEHSS) for 2009/10 and 2014. The dependent variables included self-reported hospitalizations; general practitioner (GP) visits; 'other healthcare services' (OHS) used; and home care services (HCS) used...
March 27, 2018: Diabetes Research and Clinical Practice
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