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Community Services for the Elderly

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101. Health Service Use Among Chinese American Older Adults: Is There a Somatization Effect? (PubMed)

came from the Population Study of Chinese Elderly in Chicago that surveyed 3159 Chinese community-dwelling older adults in the greater Chicago area. The average age was 76.3 years (standard deviation = 8.4); 57.95% were female). Negative binominal models were used to identify the effects of depression and pain on each type of health service use, controlling for sociodemographics and health-related factors (eg, chronic illness).Depressive symptoms were assessed using the Patient Health Questionnaire (...) Health Service Use Among Chinese American Older Adults: Is There a Somatization Effect? Somatization of depressive symptoms among Chinese American older adults remains understudied. This study aimed to identify whether the relationship between depressive symptoms and use of health services (ie, doctor visits, hospital, and emergency department) could be due to pain and whether acculturation played a role in the relations among depressive symptoms, pain, and health service use.Secondary data

2019 Journal of the American Geriatrics Society

102. Factors affecting dental service utilisation among older Singaporeans eligible for subsidized dental care - a qualitative study. (PubMed)

perceptions and beliefs of older people residing in the community which may affect their dental service utilization. This further highlights the importance of understanding the concerns of this group when implementing healthcare policies for elderly in Singapore. The findings of our study will serve as a baseline for future studies in Singapore and inform studies in other countries that implement targeted schemes for older adults. (...) through the government-funded Community Health Assistance Scheme (CHAS) in 2012 and Pioneer Generation (PG) scheme in 2015. Little is known about the attitude to dental service utilization among older adults in Singapore since then.We conducted semi-structured individual interviews with 25 participants above 65 years of age who were eligible for subsidized dental care plans. Participants were recruited from a public teaching hospital and a public primary care clinic in Singapore. The duration of each

2019 BMC Public Health

103. A novel approach to integrated care using mobile technology within home services. The ADMR pilot study. (PubMed)

A novel approach to integrated care using mobile technology within home services. The ADMR pilot study. The care model for supporting elderly people living independently at home relies on the informal and formal assistance of caregivers. Information and communication technology (ICT) offers new approaches for informal care services for this group.A longitudinal observational pilot study was carried out in home services in France. Employees of the ADMR home services followed 130 elderly people (...) living at home and who were no more than moderately impaired. A single visual analogue scale (VAS) was used on a smartphone to assess global health every time a person was visited. An alert system was devised to inform the elderly person and/or a responsible person of any deterioration in health status. All medical and social events were recorded throughout the 9-month study.138 people were enrolled and 106 were evaluated. 37 alerts were observed. 21 were confirmed and 16 were false positives. Only

2019 Maturitas

104. Employees' perceptions of patient safety culture in Norwegian nursing homes and home care services. (PubMed)

Employees' perceptions of patient safety culture in Norwegian nursing homes and home care services. Most health care services are provided in the primary health care sector, and an increasing number of elderly is in need of these services. Nonetheless, the research on patient safety culture in home care services and nursing homes remains scarce. This study describes staff perceptions of patient safety culture in Norwegian home care services and nursing homes, and assesses how various patient (...) somewhat higher on handover (eta squared = .027). In home care, total explained variance of overall perceptions of patient safety was 45%, with teamwork, staffing, and handoffs as significant predictors. The explained variance in nursing homes was 42.7%, with staffing and communication openness as significant predictors.There are differences in perceptions of patient safety culture between nursing homes and home care services. Staffing is important for patient safety perceptions in both health care

2019 BMC health services research

105. Support for e-Health Services Among Elderly Primary Care Patients (PubMed)

half (47%) of e-health supporters would request appointments online. Among the more important factors associated with support of e-health services were urban residence, higher education, and normal cognitive function, as well as having a computer, Internet access, or a mobile phone.The majority of elderly patients in this Polish community are not overly enthusiastic about using information and communications technology tools in their healthcare. Nevertheless, a substantial percentage (41%) among (...) Support for e-Health Services Among Elderly Primary Care Patients E-health has a substantial potential to improve access to as well as support efficient and effective care for the elderly. Questions remain and must be addressed, however, regarding the challenges faced by the elderly in the use of this technology. The aim of the study was to assess the attitude (needs) and preferences of the elderly in a selected region of Poland regarding selected e-health services and the factors associated

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2014 Telemedicine Journal and e-Health

106. Feasibility and impact of a post-discharge geriatric evaluation and management service for patients from residential care: the Residential Care Intervention Program in the Elderly (RECIPE). (PubMed)

Feasibility and impact of a post-discharge geriatric evaluation and management service for patients from residential care: the Residential Care Intervention Program in the Elderly (RECIPE). 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 older adults living in permanent residential care. This study was undertaken to evaluate (1 (...) ) the feasibility and consumer satisfaction with a geriatrician-led supported discharge service for older adults living in residential care facilities (RCF) and (2) its impact on the uptake of Advanced Care Planning (ACP) and acute health care service utilisation.In 2002-4 a randomised controlled trial was conducted in Melbourne, Australia comparing the geriatrician-led outreach service to usual care for RCF residents. Patients were recruited during their acute hospital stay and followed up at the RCF for six

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2014 BMC geriatrics Controlled trial quality: uncertain

107. Supporting elderly people with cognitive impairment during and after hospital stays with intersectoral care management: study protocol for a randomized controlled trial. (PubMed)

Supporting elderly people with cognitive impairment during and after hospital stays with intersectoral care management: study protocol for a randomized controlled trial. The sectorization of health-care systems leads to inefficient treatment, especially for elderly people with cognitive impairment. The transition from hospital care to primary care is insufficiently coordinated, and communication between health-care providers is often lacking. Consequences include a further deterioration (...) ) activities of daily living, (2) readmission to the hospital, and (3) institutionalization. Secondary outcomes include (a) frailty, (b) delirium, (c) quality of life, (d) cognitive status, (e) behavioral and psychological symptoms of dementia, (f) utilization of services, and (g) informal caregiver burden.In the event of proving efficacy, this trial will deliver a proof of concept for implementation into routine care. The cost-effectiveness analyses as well as an independent process evaluation

2019 Trials Controlled trial quality: uncertain

108. Concepts Series 13 - Towards asset-based health and care services

, providing care and the treatment of presenting problems 60 . Individuals are frequently labelled by their condition (‘diabetic’, ‘disabled’), their behaviour (‘smoker’, ‘drug-user’), or their personal circumstances or characteristics (‘unemployed’, ‘elderly’). Communities are described in terms of their collective problems and needs. It follows that the role of public services is then seen as being to fix these problems for individuals and communities. In doing so, they tend to make people passive (...) and community level assets. • Assets in Action: Illustrating asset based approaches for health improvement 6 which presents an investigation of asset-based working at the community level. • • • • •services are to be fit for the future and what asset-based working may add to the way services are delivered. The first part of the paper discusses the current Scottish health and care policy landscape and how asset-based approaches fit within this. The second part considers alternative examples of service

2014 Glasgow Centre for Population Health

109. Effect on Falls Reduction of a Multimodal Intervention in Frail and Pre-frail Elderly Community-dwelling People

Effect on Falls Reduction of a Multimodal Intervention in Frail and Pre-frail Elderly Community-dwelling People Effect on Falls Reduction of a Multimodal Intervention in Frail and Pre-frail Elderly Community-dwelling People - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved (...) studies (100). Please remove one or more studies before adding more. Effect on Falls Reduction of a Multimodal Intervention in Frail and Pre-frail Elderly Community-dwelling People (FAREMAVA) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02631330 Recruitment Status : Unknown Verified December 2015

2015 Clinical Trials

110. Pharmacist intervention in the prevention of heart failure for high-risk elderly patients in the community. (PubMed)

Pharmacist intervention in the prevention of heart failure for high-risk elderly patients in the community. Heart failure has become one of the major causes of hospitalization worldwide. Hypertension, diabetes mellitus and hyperlipidemia are the major causes of heart failure. In order to effectively prevent heart failure, blood pressure, blood glucose and cholesterol levels shall be closely monitored and controlled as well as medication adherence. This study aimed to investigate the role (...) of pharmacist intervention in prevention of heart failure in high risk elderly patients in the community of Hong Kong.This study aimed to investigate the role of pharmacist intervention in prevention of heart failure in highrisk elderly patients in the community of Hong Kong.This prospective uncontrolled study was conducted between July 2012 and April 2013 with two revisits every 3 to 4 months to review elderly patients' medication profiles as well as assess their blood pressure (BP), random capillary blood

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2015 BMC Cardiovascular Disorders

111. Multimorbidity, health care utilization and costs in an elderly community-dwelling population: a claims data based observational study. (PubMed)

Multimorbidity, health care utilization and costs in an elderly community-dwelling population: a claims data based observational study. Chronic conditions and multimorbidity have become one of the main challenges in health care worldwide. However, data on the burden of multimorbidity are still scarce. The purpose of this study is to examine the association between multimorbidity and the health care utilization and costs in the Swiss community-dwelling population, taking into account several (...) likely to be hospitalised. Furthermore, results revealed a significant age-gender interaction and a socioeconomic gradient.Multimorbidity is associated with substantial higher health care utilization and costs in Switzerland. Quantified data on the current burden of multimorbidity are fundamental for the management of patients in health service delivery systems and for health care policy debates about resource allocation. Strategies for a better coordination of multimorbid patients are urgently

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2015 BMC Health Services Research

112. A Study on Effects of Acupressure Among the Frail Elderly in the Community Dwellings

A Study on Effects of Acupressure Among the Frail Elderly in the Community Dwellings A Study on Effects of Acupressure Among the Frail Elderly in the Community Dwellings - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. A Study on Effects of Acupressure Among the Frail Elderly in the Community Dwellings The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02369094 Recruitment Status : Completed First Posted : February 23, 2015 Last Update Posted : July 14, 2016 Sponsor: The University of Hong Kong

2015 Clinical Trials

113. A randomized controlled trial of the effect of an intensive 1-year care management program on measures of health status in independent, community-living old elderly: the Eldercare project. (PubMed)

A randomized controlled trial of the effect of an intensive 1-year care management program on measures of health status in independent, community-living old elderly: the Eldercare project. Primary care practitioners are familiar with the frail elderly and commonly have to deal with their multi-morbidity and their functional decline, both physically and mentally. However, there are well elderly with high quality of life and very few co-morbidities who seldom seek medical care.To determine (...) if a nurse-based program of home-delivered care, linked directly with the primary care practitioner or primary care team, would improve quality of life, symptoms, satisfaction with care and utilization of community and medical services, in independent community living old elderly.Randomized controlled trial.St. John's, Newfoundland, Canada.Two hundred and thirty-six independent, community-dwelling, cognitively functioning, people aged 80 years and older.A nurse-based program of care, carried out

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2015 Family Practice Controlled trial quality: uncertain

114. The healthy aged: Descriptive analysis by sex of cognitively functioning elderly patients 80 years and older living independently in the community. (PubMed)

The healthy aged: Descriptive analysis by sex of cognitively functioning elderly patients 80 years and older living independently in the community. To describe a population of cognitively functioning seniors aged 80 years and older who are livingin dependently in the community.Descriptive cross-sectional study based on the enrolment cohort of a randomized controlled trial.St John's, Nfld.A total of 236 cognitively functioning seniors aged 80 years and older living independently (...) in the community.Demographic characteristics including age, sex, marital status, and education; health status and quality of life measured by the Short Form-36 and the CASP-19 (control, autonomy, self-realization,and pleasure); use of formal and informal community services;satisfaction with family physician care as measured by the Patient Satisfaction Questionnaire-18; and use of health care resources (family physician visits, emergency department visits,hospitalizations, and laboratory and diagnostic imaging tests

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2015 Canadian family physician Médecin de famille canadien Controlled trial quality: uncertain

115. Design, methodology and baseline characteristics of Tai Chi and its protective effect against ischaemic stroke risk in an elderly community population with risk factors for ischaemic stroke: a randomised controlled trial. (PubMed)

Design, methodology and baseline characteristics of Tai Chi and its protective effect against ischaemic stroke risk in an elderly community population with risk factors for ischaemic stroke: a randomised controlled trial. Controlling risk factors with regular exercise is effective and cost-effective for the primary prevention of ischaemic stroke. As a traditional Chinese form of exercise, Tai Chi might be beneficial in decreasing ischaemic stroke, but the evidence remains insufficient. We (...) hypothesise that elderly community adults with risk factors for ischaemic stroke will decrease their ischaemic stroke risk by improving cerebral haemodynamic parameters, cardiopulmonary function, motor function, plasma risk indices, physical parameters or psychological outcomes after receiving 12 weeks of regular Tai Chi training compared with those who maintained their original physical activities. Therefore, we designed a randomised controlled trial that will systematically evaluate the protective

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2015 BMJ open Controlled trial quality: uncertain

116. Community services for the elderly. (PubMed)

Community services for the elderly. 5762638 1969 02 28 2008 11 20 0007-1447 1 5639 1969 Feb 01 British medical journal Br Med J Community services for the elderly. 268 eng Journal Article England Br Med J 0372673 0007-1447 AIM IM Aged Community Health Services England Humans Interprofessional Relations Social Work 1969 2 1 1969 2 1 0 1 1969 2 1 0 0 ppublish 5762638 PMC1982190

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1969 British medical journal

117. Healthcare-associated infections: prevention and control in primary and community care

by everyone involved in delivering NHS care and treatment. Who is it for? Commissioners and providers Healthcare professionals working in primary and community care settings, including ambulance services, schools and prisons Children, young people and adults receiving healthcare for which standard infection-control precautions apply in primary and community care, and their families and carers Healthcare-associated infections: prevention and control in primary and community care (CG139) © NICE 2018. All (...) , but people providing healthcare in other settings, such as private settings, may also find the guidance relevant. Healthcare-associated infections: prevention and control in primary and community care (CG139) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 6 of 33This guideline applies to all healthcare workers employed in primary and community care settings, including ambulance services, and should ensure safe practice

2012 National Institute for Health and Clinical Excellence - Clinical Guidelines

118. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Diabetes in the elderly

with diabetes with telemedicine and pedometer use: Results from the IDEATel study. Age Ageing 2011;40:98–105. Izquierdo R, Meyer S, Starren J, et al. Detection and remediation of medically urgent situations using telemedicine case management for older patients with diabetes mellitus. Ther Clin Risk Manag 2007;3:485–9. Lim S, Kang SM, Shin H, et al. Improved glycemic control without hypoglycemia in elderly diabetic patients using the ubiquitous healthcare service, a new medical information system. Diabetes (...) Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Diabetes in the elderly My Site - Chapter 37: Diabetes in Older People Diabetes Canada | Clinical Practice Guidelines The Canadian Diabetes Association has become Diabetes Canada* Search: Guidelines Key Messages For Health-Care Providers For People with Diabetes Other Languages Links Diabetes in Older People Diabetes Canada Clinical Practice Guidelines Expert Committee

2013 CPG Infobase

119. Analysis on associated factors of uncontrolled hypertension among elderly hypertensive patients in Southern China: a community-based, cross-sectional survey. (PubMed)

Analysis on associated factors of uncontrolled hypertension among elderly hypertensive patients in Southern China: a community-based, cross-sectional survey. The prevalence of hypertension in China has risen dramatically in recent decades, but it is not well understood if hypertension is adequately controlled in the elderly population in Southern China. A provincial survey was performed in order to estimate the prevalence of hypertension control and the associated factors in the elderly (...) population.A cross-sectional survey was conducted in 6 community health service centers across 12 counties in Southern China from October 2010 to April 2011. Recruitment included a total of 10644 hypertensive subjects aged 60 or older. Basic lab tests and physical examinations were administrated on each subject. In addition, each subject completed a standardized questionnaire.The 10644 participants (mean age of 70.3 years) included 5527 women (51.9%), 5117 men (48.1%), 3148 overweight subjects (29.57

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2014 BMC Public Health

120. Relationship of perceived environmental barriers and disability in community-dwelling elderly in Taiwan - a population-based study. (PubMed)

Relationship of perceived environmental barriers and disability in community-dwelling elderly in Taiwan - a population-based study. To identify the relationship between perceived environmental barriers and disability in community-dwelling elderly.Cross-sectional study in two community service centers in Tainan. We enrolled 200 community-dwelling residents, aged above 65 years, who had resided in the same community for at least 12 months. Basic activity of daily living (BADL) and instrumental (...) barriers are related to disability in community-dwelling elderly.

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2014 BMC Geriatrics

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