Introduction Research into interventions to improve health and wellbeing for older people living in care homes is increasingly common. Health-Related Quality of Life (HRQoL) is frequently used as an outcome measure but collecting both self-reported... Read More about Measuring health related quality of life of care home residents, comparison of self-report with staff proxy responses for EQ-5D-5L and HowRu: protocol for assessing proxy reliability in care home outcome testing.
All Outputs (86)
Anticholinergic drug burden tools/scales and adverse outcomes in different clinical settings: a systematic review of reviews (2018)
Journal Article
Background: Cumulative anticholinergic exposure (anticholinergic burden) has been linked to a number of adverse outcomes. To conduct research in this area, an agreed approach to describing anticholinergic burden is needed. Objective: This review set... Read More about Anticholinergic drug burden tools/scales and adverse outcomes in different clinical settings: a systematic review of reviews.
Understanding mortality in care facilities—the role of good data (2018)
Journal Article
Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes (2018)
Journal Article
Introduction: care home residents have high healthcare needs not fully met by prevailing healthcare models. This study explored how healthcare configuration influences resource use. Methods: a realist evaluation using qualitative and quantitative... Read More about Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes.
Indentifying published studies of care home research: an international survey of researchers (2017)
Journal Article
Collating the published research around institutional, long term care is confounded by the differing terminologies used to describe this health-care setting. We aimed to collate the descriptors used by researchers to inform the future development of... Read More about Indentifying published studies of care home research: an international survey of researchers.
Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings (2017)
Journal Article
Background: Care homes are the institutional providers of long-term care for older people. The OPTIMAL study argued that it is probable that there are key activities within different models of health-care provision that are important for residents’ h... Read More about Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings.
Introduction Care home residents are relatively high users of healthcare resources and may have complex needs. Comprehensive geriatric assessment (CGA) may benefit care home residents and improve efficiency of care delivery. This is an approach t... Read More about Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study.
New horizons in geriatric medicine education and training: The need for pan-European education and training standards (2017)
Journal Article
The ageing population ought to be celebrated as evidence for the efficacy of modern medicine, but the challenge that this demographic shift presents for 21st century healthcare systems, with increasing numbers of people living with multi-morbidity an... Read More about New horizons in geriatric medicine education and training: The need for pan-European education and training standards.
The physician’s role in perioperative management of older patients undergoing surgery (2017)
Journal Article
Life-sustaining and life-improving surgical interventions are increasingly available to older, frailer patients, many of whom have multimorbidity. Physicians can help support perioperative multidisciplinary teams with assessment and preoperative opti... Read More about The physician’s role in perioperative management of older patients undergoing surgery.
Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review (2017)
Journal Article
Background: Studies have sought to identify the possible determinants of medical students’ and doctors’ attitudes towards older patients by examining relationships with a variety of demographic, educational/training, and job factors. This review coll... Read More about Factors related to medical students’ and doctors’ attitudes towards older patients: a systematic review.
Benchmarking the prevalence of care problems in UK care homes using the LPZ-i: a feasibility study (2017)
Journal Article
Background: UK care homes have no mechanism for counting, collating or analyzing prevalence of care problems to benchmark quality of care. This study investigated the feasibility of the International Prevalence Measurement of Quality of... Read More about Benchmarking the prevalence of care problems in UK care homes using the LPZ-i: a feasibility study.
Being the ‘med reg’: an exploration of junior doctors’ perceptions of the medical registrar role (2017)
Journal Article
The role of the medical registrar is a challenging one and is acknowledged as being a disincentive to a career in medicine for some junior doctors. We set out to build a broader understanding of the role through exploration of Foundation Doctors’ and... Read More about Being the ‘med reg’: an exploration of junior doctors’ perceptions of the medical registrar role.
Why geriatric medicine? A survey of UK specialist trainees in geriatric medicine (2017)
Journal Article
Background: There is global concern that there are insufficient numbers of geriatricians to meet the needs of the ageing population. A 2005 survey described factors that influenced why UK geriatricians had chosen to specialise in the field - in the d... Read More about Why geriatric medicine? A survey of UK specialist trainees in geriatric medicine.
Frailsafe: from conception to national breakthrough collaborative (2016)
Journal Article
The number of people aged over 60 years worldwide is projected to rise from 605 million in 2000 to almost 2 billion by 2050, while those over 80 years will quadruple to 395 million. Two-thirds of UK acute hospital admissions are over 65, the highest... Read More about Frailsafe: from conception to national breakthrough collaborative.
New horizons: the management of hypertension in people with dementia (2016)
Journal Article
The optimal management of hypertension in people with dementia is uncertain. This review explores if people with dementia experience greater adverse effects from antihypertensive medications, if cognitive function is protected or worsened by controll... Read More about New horizons: the management of hypertension in people with dementia.
The development of a geriatric postgraduate education assessment instrument using a modified Delphi procedure (2016)
Journal Article
There is currently wide variation in the structure and content of higher medical training in geriatric medicine across Europe and no common framework within which existing efforts can be compared. We set out to develop an audit tool to compare traini... Read More about The development of a geriatric postgraduate education assessment instrument using a modified Delphi procedure.
Effective health care for older people living and dying in care homes: a realist review (2016)
Journal Article
Background: Care home residents in England have variable access to health care services. There is currently no coherent policy or consensus about the best arrangements to meet these needs. The purpose of this review was to explore the evidence for ho... Read More about Effective health care for older people living and dying in care homes: a realist review.
The development and evaluation of mini-GEMs: a short, focused, online e-learning videos in geriatric medicine (2016)
Journal Article
Mini Geriatric E-Learning Modules (Mini-GEMs) are short, focused, e-learning videos on geriatric medicine topics, hosted on YouTube, which are targeted at junior doctors working with older people. This study aimed to explore how these resources are a... Read More about The development and evaluation of mini-GEMs: a short, focused, online e-learning videos in geriatric medicine.
New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the “know-do” gap (2016)
Journal Article
In this paper we outline the relationship between the need to put existing applied health research knowledge into practice (the “know-do gap”) and the need to improve the evidence base (the “know gap”) with respect to the health care process used for... Read More about New horizons in the implementation and research of comprehensive geriatric assessment: knowing, doing and the “know-do” gap.
Provision of NHS generalist and specialist services to care homes in England: review of surveys (2015)
Journal Article
Background: The number of beds in care homes (with and without nurses) in the United Kingdom is three times greater than the number of beds in National Health Service (NHS) hospitals. Care homes are predominantly owned by a range of commercial, not-f... Read More about Provision of NHS generalist and specialist services to care homes in England: review of surveys.