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Community Services for the Elderly

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1. Public health service provision by community pharmacies: a systematic map of evidence

Public health service provision by community pharmacies: a systematic map of evidence Gillian Stokes, ebecca ees, Meena Khatwa, Claire Stans?eld Helen Burchett, Kelly Dickson, Ginny Brunton, James Thomas June 2019 Public helth service provision by community phrmcies : a systematic map of evidence Department of Health Reviews Facility To support national policy development and implementation The Department of Health Reviews Facility is a collaboration between the following centres of excellence (...) : This report should be cited as: Stokes G, Rees R, Khatwa M, Stansfield C, Burchett H, Dickson, K, Brunton G, Thomas J (2019) Public health service provision by community pharmacies: a systematic map of evidence. London: EPPI-Centre, Social Science Research Unit, Institute of Education, University College London. Funding This report is independent research commissioned by the National Institute for Health Research (NIHR) Policy Research Programme (PRP) for the Department of Health and Social Care (DHSC

2019 EPPI Centre

2. Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost-Effectiveness, and Guidelines

technology assessment, seven systematic reviews and meta-analyses, 15 randomized control trials, and four economic evaluations were identified regarding case management for frail elderly in the community setting. Additionally, two evidence-based guidelines were identified regarding case management for frail elderly in the community setting. Tags geriatrics, aged, 80 and over, case management, community health nursing, dementia, frail elderly, home care services, home nursing, homemaker services, case (...) Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost-Effectiveness, and Guidelines Case Management for Frail Elderly in the Community Setting: Clinical Effectiveness, Cost

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review

3. Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners

Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners MODELS OF COMMUNITY CARE FOR THE ELDERLY INVOLVING COLLABORATION BETWEEN SPECIALIZED GERIATRIC SERVICES AND PRIMARY CARE PRACTITIONERS For: The Regional Geriatric Program of Eastern Ontario; c/o Fara Amnizadeh From: Knowledge To Action, Ottawa Hospital Research Institute; Managing coordinator: Kristin Konnyu Submitted: September 14 th , 2011. TABLE OF CONTENTS 1 (...) were encouraged to continue to see their own physician. PCPs collaborate in delivering evidence-based management protocols. In addition to their usual fee-for-service payments, the program offered Entry: Participants were recruited from community organization. Exit: Following 22-months Barriers/facilitators: Poor incentives for PCP engagement in the care of the frail elderly limited their involvement and the SIPA teams’ ability to mobilize timely community medical intervention. [from RefID130

2011 OHRI Knowledge to Action

4. Effect on falls among elderly persons after training elderly care staff

Effect on falls among elderly persons after training elderly care staff Effect on falls among elderly persons after training elderly care staff We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Effect on falls among elderly persons after training elderly care staff Share: Reading time approx. 4 minutes In general, every person aged 65 years or older (...) ”. Rimland et al 2016 [4] Staff training (4 RCTs not pooled) in care facilities and hospitals. Persons aged 60 years or more in the community, care facilities and hospitals. Falls comprising fall rate and number of fallers. Authors' conclusion: “Social environment modifications (staff training and service model changes) did not influence falls in care facilities and hospitals. Knowledge or educational interventions were ineffective”. Table 2. Randomized controlled studies Population Intervention

2019 Swedish Council on Technology Assessement

5. An analysis of structural relationship among achievement motive on social participation, purpose in life, and role expectations among community dwelling elderly attending day services (Full text)

An analysis of structural relationship among achievement motive on social participation, purpose in life, and role expectations among community dwelling elderly attending day services Background. Achievement motive is defined as the intention to achieve one's goals. Achievement motive is assumed to promote clients to choices and actions toward their valuable goal, so it is an important consideration in rehabilitation. Purpose. The purpose of this study is to demonstrate the structural (...) relationship among achievement motive on purpose in life, social participation, and role expectation of community-dwelling elderly people. Methods. Participants were community-dwelling elderly people in day-service centers. A total of 281 participants (male: 127, female: 154) answered the self-administered questionnaire in cross-sectional research. The questionnaire was comprised of demographic data and scales that evaluated achievement motive, social participation, purpose in life, and role expectation

2016 PeerJ PubMed

6. Community Services for the Elderly

Community Services for the Elderly Community Services for the Elderly Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Community (...) Services for the Elderly Community Services for the Elderly Aka: Community Services for the Elderly , Caregiver Reources From Related Chapters II. Prevention: Services Senior Centers Meal preparation (Meals on wheels, Congregate dining) Adult day care or day hospital (includes medical care) Housekeeping and home repair services Telephone contact services Emergency medical call button worn by patient Scheduled daily phone call to check on status Transportation services Case management Caregiver services

2018 FP Notebook

7. The Value of a Gardening Service for the Frail Elderly and People With a Disability Living in the Community (Full text)

The Value of a Gardening Service for the Frail Elderly and People With a Disability Living in the Community Little is known about the significance of gardening services for frail elderly people. This study explored the value of a gardening service for frail older people and people with a disability living in the community. Using qualitative and quantitative data collected from pre-gardening (n = 38) and post-gardening service delivery interviews (n = 35) and the Housing Enabler, the value (...) of a gardening service was examined. Findings suggest that the service had a positive impact on the independence and emotional well-being of frail aged people and younger people with a functional disability, with little impact on physical health. Results indicate that gardening services should be fundamental to planning for these populations to remain or return to living in the community.

2016 Home health care management & practice PubMed

8. Geographical Accessibility of Community Health Assist Scheme General Practitioners for the Elderly Population in Singapore: A Case Study on the Elderly Living in Housing Development Board Flats (Full text)

Geographical Accessibility of Community Health Assist Scheme General Practitioners for the Elderly Population in Singapore: A Case Study on the Elderly Living in Housing Development Board Flats Accessible primary healthcare is important to national healthcare in general and for older persons in particular, in societies where the population is ageing rapidly, as in Singapore. However, although much policy and research efforts have been put into this area, we hardly find any spatial perspective (...) to assess the accessibility of these primary healthcare services. This paper analyzes the geographical accessibility of one major healthcare service in Singapore, namely, General Practitioners (GPs) services under the Community Health Assist Scheme (CHAS) for older persons. A Python script was developed to filter the website data of the Housing Development Board (HDB) of Singapore. The data derived was comprehensively analyzed by an Enhanced 2-Step Floating Catchment Area (E2SFCA) method based

2018 International journal of environmental research and public health PubMed

9. Biopsychosocial experiences and coping strategies of elderly ESRD patients: a qualitative study to inform the development of more holistic and person-centred health services in Singapore. (PubMed)

Biopsychosocial experiences and coping strategies of elderly ESRD patients: a qualitative study to inform the development of more holistic and person-centred health services in Singapore. As the incidence and prevalence rates of end stage renal disease (ESRD) rise globally, a disproportionate increase has been observed in the elderly population. Singapore has the fifth highest incidence of treated ESRD worldwide, with the upward trend of ESRD being most apparent among those aged 70 years (...) ) avoidance (cognitive avoidance and distraction techniques); and (d) acceptance (positive thinking and problem solving).This study has provided insights into the biopsychosocial impact of ESRD and dialysis, as well as cultural and religious factors that shape the experiences and coping mechanisms of elderly ESRD patients and caregivers in Singapore, which can be used to further the development and implementation of more holistic and person-centred services to help each patient achieve a better quality

2019 BMC Public Health

10. Evaluation of an emergency medical services-based social services referral program for elderly patients. (PubMed)

Evaluation of an emergency medical services-based social services referral program for elderly patients. To describe the preliminary experience of an emergency medical services (EMS)-based follow-up program providing elderly patients access to community-based social services.This was a retrospective, case series report. Inclusion criteria were adults aged 60 years and older requesting EMS for fall or lift assist; against medical advice (AMA) refusal of transport for a medical complaint; any (...) by paramedics and those who were referred by EMS physicians (93% vs. 90%, p = 0.72). Paramedic referral was associated with a significantly higher rate of acceptance (94% vs. 28%, p < 0.001).EMS provides an invaluable opportunity to connect the elderly with social services at the time of contact. In this study, paramedics appeared to refer more social service-related complaints compared with other categories such as fall assistance. This highlights a difference in perception of social service needs among

2017 Prehospital emergency care

11. Information and Communication Technologies in the Care of the Elderly: Systematic Review of Applications Aimed at Patients With Dementia and Caregivers. (Full text)

Information and Communication Technologies in the Care of the Elderly: Systematic Review of Applications Aimed at Patients With Dementia and Caregivers. The interest in applying information and communications technology (ICT) in older adult health care is frequently promoted by the increasing and unsustainable costs of health care services. In turn, the unprecedented growth of the elderly population around the globe has urged institutions, companies, industries, and governments to respond (...) to older adults' medical needs.The aim of this review is to systematically identify the opportunities that ICT offers to health services, specifically for patients with dementia and their families.A systematic review of the literature about ICT applications that have been developed to assist patients with Alzheimer's disease (AD) and their primary caregivers was conducted. The bibliographic search included works published between January 2005 and July 2015 in the databases Springer Link, Scopus

2017 JMIR rehabilitation and assistive technologies PubMed

12. Evaluation of a collaborative care approach between general practitioners and clinical pharmacists in primary care community settings in elderly patients on polypharmacy in Slovenia: a cohort retrospective study reveals positive evidence for implementatio (Full text)

Evaluation of a collaborative care approach between general practitioners and clinical pharmacists in primary care community settings in elderly patients on polypharmacy in Slovenia: a cohort retrospective study reveals positive evidence for implementatio The population of developed countries is aging, leading to an increase in the use of medication in daily practice, which can lead to serious treatment costs and irrational polypharmacy. A collaborative care approach, such as providing (...) medication review service provided by a clinical pharmacist (CP), is a possible way to reduce drug-related problems and irrational polypharmacy. The aim of this study was to determinate whether a CP's medication review service can improve the quality of drug prescribing in elderly patients treated with polypharmacy in primary care.In a retrospective observational medical chart review study, patients aged 65 years or more in the period 2012-2014 who received 10 or more medications concomitantly and who

2019 BMC health services research PubMed

13. Factors associated with healthcare utilization among community-dwelling elderly in Shanghai, China. (Full text)

, experiencing difficulty with activities of daily living and outdoor activities, or having a chronic disease.The results showed the impact of economic status, health status, demographic and social characteristics, and other factors on the health service utilization of elderly people living in the community in Shanghai. Need variables were the strongest predictors of health service use, although contextual factors also contributed. (...) Factors associated with healthcare utilization among community-dwelling elderly in Shanghai, China. The objective of this study was to evaluate the factors associated with the health status of older Chinese people living in the community, in order to inform strategies to expand access to healthcare.Two-phase stratified cluster sampling was applied; 2000 older people participated in this study. Face-to-face interviews were conducted in Shanghai between June and August, 2011. Descriptive analysis

2018 PLoS ONE PubMed

14. Prevalence and correlates of chronic diseases in an elderly population: A community-based survey in Haikou. (Full text)

Prevalence and correlates of chronic diseases in an elderly population: A community-based survey in Haikou. The escalating problem of multiple chronic conditions among older adults in China draws public health attention due to increasing proportion of the elderly population. This study sought to assess the prevalence of and factors associated with four chronic diseases in older adults in Haikou, the capital city of Hainan Province, China.In this cross-sectional study, 9432 community-dwelling (...) ), and 1.9% (175/9382), respectively. Common correlates of the four major chronic diseases were older age, being engaged in intellectual work, currently being a smoker and obesity. Gender, locality of residence, and alcohol consumptions were also found to be associated to some of the chronic conditions.This finding indicates that multiple chronic conditions among elderly people in Haikou are prevalent and warrant special attention to reduce diseases burden and align health care services to cater

2018 PLoS ONE PubMed

15. Association between health behaviors and mood disorders among the elderly: a community-based cohort study. (Full text)

Association between health behaviors and mood disorders among the elderly: a community-based cohort study. According to a WHO report, nearly 15% of adults aged 60 and over suffer from a mental disorder, constituting 6.6% of the total disability for this age group. Taipei City faces rapid transformation towards an aging society, with the proportion of elderly in the total population rising from 12% in 2008 to 16% in 2016. The aim of this study is to identify the prevalence of mental disorders (...) among the elderly in Taipei City and to elucidate risk factors contributing to mental disorders.The elderly health examination database was obtained from the Department of Health, Taipei City government, from 2005 to 2012. A total of 86,061 people underwent publicly funded health examinations, with 348,067 visits. Each year, there are around 43,000 elderly persons in Taipei City using this service. We used a mental health questionnaire including five questions to estimated relative risks among

2019 BMC Geriatrics PubMed

16. Inpatient rehabilitation services for the frail elderly

Inpatient rehabilitation services for the frail elderly Inpatient rehabilitation services for the frail elderly • Vale of York CCG and City of York Council are looking to work with York Hospitals NHS Foundation Trust to improve inpatient rehabilitation care for the frail elderly. • There is a reasonable body of evidence to suggest that specialist inpatient rehabilitation services have the potential to improve patient outcomes compared to general care in a hospital setting. • A number of key (...) characteristics of inpatient rehabilitation services for the frail elderly can be identified. These include the use of specially designated geriatric units, involvement of multidisciplinary teams and a system of comprehensive geriatric assessment to inform treatment and discharge. • Very limited data are reported for costs making it difficult to make informed judgments on the potential benefits of specialist inpatient rehabilitation services. As direct hospital costs appear broadly similar for specialist

2013 Evidence briefings

17. Health and health service use of very elderly Newfoundlanders (Full text)

Health and health service use of very elderly Newfoundlanders To develop a better understanding of the current health status and health care use of the population of very elderly Newfoundlanders to inform policy makers, decision makers, and health care providers about aspects of the health care system that might be in higher demand in the near future.Descriptive analysis using data from the Newfoundland and Labrador component of the Canadian Primary Care Sentinel Surveillance Network database (...) with those aged 90 and older, those aged 80 to 89 made more visits to their family doctors (P = .001) and were prescribed more medications (P = .001). Predictably, those aged 90 and older died more frequently than their younger counterparts did (P = .001). Compared with those in rural communities, urban dwellers were prescribed more medications (P = .031), were hospitalized more often (P = .001), were more likely to visit the ED (P = .002), were more likely to have laboratory tests ordered (P = .001

2018 Canadian Family Physician PubMed

18. The epidemiology of elderly falls attended by emergency medical services in Victoria, Australia. (PubMed)

The epidemiology of elderly falls attended by emergency medical services in Victoria, Australia. With an increase in the proportion of older people in the community comes an increase in the demand on emergency medical services (EMS) by elderly patients who have fallen.To describe the epidemiology of elderly falls patients attended by EMS in Victoria, Australia and identify predictors of transport and repeat falls.A retrospective review included all elderly (age ≥ 65 years) falls patients (...) to hospital. Furthermore, a large number of falls incidents recorded during the study period were repeat falls. Access to alternative pathways of care like GP referral, allied and community health services may benefit this patient group. Development and enrolment into such programs may improve patient outcomes by minimising falls risk and decrease demand on EMS and hospital resources.Copyright © 2018 Elsevier Ltd. All rights reserved.

2018 Injury

19. Medication-related risk factors associated with health-related quality of life among community-dwelling elderly in China (Full text)

factors associated with HRQoL among community-dwelling elderly with chronic diseases in mainland China, especially the medication-related risk factors regarding MRQ.The study was conducted in a community health service center through surveys to eligible patients. The main outcomes of HRQoL were assessed by the EuroQol-5D (EQ-5D) scale and EQ-visual analog scale (EQ-VAS). Medication-related risk factors according to MRQ associated with HRQoL were identified using a multiple linear regression.A total (...) Medication-related risk factors associated with health-related quality of life among community-dwelling elderly in China Previous studies have demonstrated that medication adherence has an impact on health-related quality of life (HRQoL). However, other medication-related factors that may influence HRQoL have not been extensively studied, especially factors based on the Medication-Risk Questionnaire (MRQ), and such studies are mostly done in Western countries. Our objective was to explore risk

2018 Patient preference and adherence PubMed

20. Social health insurance, healthcare utilization, and costs in middle-aged and elderly community-dwelling adults in China (Full text)

Social health insurance, healthcare utilization, and costs in middle-aged and elderly community-dwelling adults in China Although many studies have analyzed health insurance worldwide, most focus on whole populations rather than specific vulnerable groups. There is a lack of studies that compare different schemes. This paper evaluates the impact of different types of social health insurance and other associated factors on healthcare utilization and costs among middle-aged and elderly Chinese (...) services and control cost increases among middle-aged and elderly adults.

2018 International journal for equity in health PubMed

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