Top

BMC Geriatrics

Published in:

Open Access 01-12-2022 | Care | Research

Therapy-based allied health delivery in residential aged care, trends, factors, and outcomes: a systematic review

Authors: Isabelle Meulenbroeks, Magdalena Z. Raban, Karla Seaman, Johanna Westbrook

Published in: BMC Geriatrics | Issue 1/2022

Abstract

Background

Allied health professionals in residential aged care facilities (RACFs) make important contributions to the physical and mental wellbeing of residents. Yet to date, health services research in RACFs has focused almost exclusively on nursing disciplines. This review aims to synthesise the current evidence on allied health services in RACF; specifically, how therapy-based allied health is delivered, what factors impact the quantity delivered, and the impact of services on resident outcomes and care quality.

Methods

Empirical peer-reviewed and grey literature focusing on allied health service delivery in RACFs from the past decade was identified through systematic searches of four databases and over 200 targeted website searches. Information on how allied health delivered, factors impacting service delivery, and impact on resident outcomes were extracted. The quality of included studies was appraised using the Mixed Methods Appraisal Tool (MMAT) and the AACODS (Authority, Accuracy, Coverage, Objectivity, Date, Significance) checklist.

Results

Twenty-eight unique studies were included in this review; 26 peer-reviewed and two grey literature studies. Sixteen studies discussed occupational therapy and 15 discussed physiotherapy, less commonly studied professional groups included dieticians (n = 9), allied health assistants (n = 9), and social workers (n = 6). Thirteen studies were assigned a 100% quality rating. Levels of allied health service provision were generally low and varied. Five studies examined the association between system level factors and allied health service provision, and seven studies examined facility level factors and service provision. Higher levels of allied health provision or access to allied health services, specifically physiotherapy, occupational therapy, and nutrition, were associated with reduced falls with injury, improved care quality, activities of daily living scores, nutritional status, and meal satisfaction in five studies.

Conclusion

Evidence on how allied health is delivered in RACFs, and its impact on resident health outcomes, is lacking globally. While there are some indications of positive associations between allied health staffing and resident outcomes and experiences, health systems and researchers will need commitment to consistent allied health data collection and health services research funding in the future to accurately determine how allied health is delivered in RACFs and its impact on resident wellbeing.

Available only for authorised users

Konetzka RT, Stearns SC, Park J. The staffing-outcomes relationship in nursing homes. Health Serv Res. 2008;43:1025–42. https://doi.org/10.1111/j.1475-6773.2007.00803.x.CrossRefPubMedPubMedCentral

Bostick JE, Rantz MJ, Flesner MK, Riggs CJ. Systematic review of studies of staffing and quality in nursing homes. J Am Med Dir Assoc. 2006;7:366–76. https://doi.org/10.1016/j.jamda.2006.01.024.CrossRefPubMed

Maas ML, Specht JP, Buckwalter KC, Gittler J, Bechen K. Nursing home staffing and training recommendations for promoting older a adults’ quality of care and life: Part 1. Deficits in the quality of care due to understaffing and undertraining. Res Gerontol Nurs. 2008;1:123–33. https://doi.org/10.3928/19404921-20080401-03.

Estabrooks C, Straus S, Flood C, Keefe J, Armstrong P, Donner G, et al. Restoring trust: COVID-19 and the future of long-term care. Ottawa, Canada: Royal Society of Canada, 2020. https://rsc-src.ca/sites/default/files/LTC%20PB%20%2B%20ES_EN_0.pdf. Accessed 23 Dec 2021.

Cookson D. Mandated nursing staff to resident ratios in aged care: Summary of evidence. Wellington, New Zealand: New Zealand Nurses Organisation, 2017. https://www.nzno.org.nz/Portals/0/publications/Mandated%20nursing%20staff%20to%20resident%20ratios%20in%20aged%20care%20-%20Summary%20of%20evidence%202017.pdf?ver=sEo-tUwZBZgaa2G9irhrHg%3d%3d. Accessed 23 Dec 2021.

Harrington C, Choiniere J, Goldmann M, Jacobsen FF, Lloyd L, McGregor M, et al. Nursing home staffing standards and staffing levels in six countries. J Nurs Scholarsh. 2012;44:88–98. https://doi.org/10.1111/j.1547-5069.2011.01430.CrossRefPubMed

Dyer SM VM, Arora N, Ross T, Winsall M, Tilden D, Crotty M. Review of international systems for long-term care of older people. Adelaide, Australia: Flinders University, 2019. https://agedcare.royalcommission.gov.au/sites/default/files/2020-09/Research%20Paper%202%20-%20Review%20of%20international%20systems%20for%20long-term%20care%20of.pdf. Accessed 23 Dec 2021.

Harrington C, Schnelle JF, McGregor M, Simmons SF. The need for higher minimum staffing standards in U.S. nursing homes. Health Serv Insights. 2016;9:13–9. https://doi.org/10.4137/HSI.S38994.

Hodgkinson B, Haesler EJ, Nay R, O'Donnell MH, McAuliffe LP. Effectiveness of staffing models in residential, subacute, extended aged care settings on patient and staff outcomes. Cochrane Database Syst Rev. 2011:Cd006563 https://doi.org/10.1002/14651858.CD006563.pub2

10.

Frändin K, Grönstedt H, Helbostad JL, Bergland A, Andresen M, Puggaard L, et al. Long-term effects of individually tailored physical training and activity on physical function, well-being and cognition in scandinavian nursing home residents: A randomized controlled trial. Gerontology. 2016;62:571–80. https://doi.org/10.1159/000443611.CrossRefPubMed

11.

Speech Pathology Australia. Inquiry into caring for older Australians. Melbourne, Australia: Speech Pathology Association of Australia, 2011. https://www.pc.gov.au/inquiries/completed/aged-care/submissions/subdr752.pdf. Accessed 23 Dec 2021.

12.

Dietiticans Association of Australia. Submission from the Dietitians association of Australia to the productivity commission: caring for Older Australians Deakin, Australia2010. https://www.pc.gov.au/inquiries/completed/aged-care/submissions/sub371.pdf. Accessed 23 Dec 2021.

13.

Savvas S, Gibson S. Pain management in residential aged care facilities. Aust J Gen Pract. 2015;44:198–203.

14.

Buchan J, Law D. A review of allied health workforce models and structures. Melboroune, Australia: department of health & human services, Victorian State Government, 2016. https://content.health.vic.gov.au/sites/default/files/migrated/files/collections/research-and-reports/r/review-of-allied-health-models-and-structures.pdf. Accessed 23 Dec 2021.

15.

Turnbull C, Grimmer-Somers K, Kumar S, May E, Law D, Ashworth E. Allied, scientific and complementary health professionals: A new model for Australian allied health. Aust Health Rev. 2009;33:27. https://doi.org/10.1071/ah090027.CrossRefPubMed

16.

Nancarrow SA, Young G, O’Callaghan K, Jenkins M, Philip K, Barlow K. Shape of allied health: an environmental scan of 27 allied health professions in Victoria. Aust Health Rev. 2017;41:327–35. https://doi.org/10.1071/AH16026.

17.

Naccarella L. Strengthening the allied health workforce: Policy, practice and research issues and opportunities. Aust Health Rev. 2015;39:241–3. https://doi.org/10.1071/AH14071.CrossRefPubMed

18.

Solomon D, Graves N, Catherwood J. Allied health growth: What we do not measure we cannot manage. Hum Resour Health. 2015;13:32. https://doi.org/10.1186/s12960-015-0027-1.CrossRefPubMedPubMedCentral

19.

Dorning H, Bardsley M. Focus on: Allied health professionals. London, UK: The Health Foundation Nuffield Trust, 2014. https://www.nuffieldtrust.org.uk/files/2018-10/1540246918_qualitywatch-focus-on-allied-health-professionals.pdf. Accessed 23 Dec 2021.

20.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Syst Rev. 2021;10:89. https://doi.org/10.1186/s13643-021-01626-4.CrossRefPubMedPubMedCentral

21.

Joanna Briggs Institute. JBI manual for evidence synthesis. Adelaide, Australia: JBI, 2020. https://synthesismanual.jbi.global. Accessed 23 Dec

22.

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5:210. https://doi.org/10.1186/s13643-016-0384-4.CrossRefPubMedPubMedCentral

23.

McHugh ML. Interrater reliability: The kappa statistic. Biochem Med. 2012;22:276–82. https://doi.org/10.11613/BM.2012.031.CrossRef

24.

Hong QN PP, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, Gagnon, M-P GF, Nicolau B, O’Cathain A, Rousseau M-C, Vedel I. Mixed Methods Appraisal Tool (MMAT), version 2018: McGill, 2018. http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/127916259/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf. Accessed 23 Dec 2021.

25.

Hong QN PP, Fàbregues S, Bartlett G, Boardman F, Cargo M, Dagenais P, Gagnon, M-P GF, Nicolau B, O’Cathain A, Rousseau M-C, Vedel I. Reporting the results of the MMAT (version 2018). 2020. http://mixedmethodsappraisaltoolpublic.pbworks.com/w/file/fetch/140056890/Reporting%20the%20results%20of%20the%20MMAT.pdf. Accessed 23 Dec 2021.

26.

Tyndall J. The AACODS checklist is designed to enable evaluation and critical appraisal of grey literature. Adelaide, Australia: Flinders University, 2010. https://dspace.flinders.edu.au/xmlui/bitstream/handle/2328/3326/AACODS_Checklist.pdf. Accessed 23 Dec 2021.

27.

Bennett M, Cartwright J, Young J. Is the speech-language pathology profession prepared for an ageing population? An Australian survey. Int J Speech Lang Pathol. 2019;21:153–62. https://doi.org/10.1080/17549507.2017.1413135.CrossRefPubMed

28.

Bern-Klug M, Kramer KW. Core functions of nursing home social services departments in the United States. J Am Med Dir Assoc. 2013;14(75):e1-7. https://doi.org/10.1016/j.jamda.2012.09.004.CrossRef

29.

Bhuyan SS, Chandak A, Gupta N, Wyant DK, Kim J, Bhatt J, et al. Provision of rehabilitation services in residential care facilities: Evidence from a national survey. Arch Phys Med Rehabil. 2017;98:1203–9. https://doi.org/10.1016/j.apmr.2016.11.021.CrossRefPubMed

30.

Bonaccorsi G, Collini F, Castagnoli M, Di Bari M, Cavallini MC, Zaffarana N, et al. A cross-sectional survey to investigate the quality of care in Tuscan (Italy) nursing homes: the structural, process and outcome indicators of nutritional care. BMC Health Serv Res. 2015;15:223. https://doi.org/10.1186/s12913-015-0881-5.CrossRefPubMedPubMedCentral

31.

Buddingh S, Liang J, Allen J, Koziak A, Buckingham J, Beaupre LA. Rehabilitation for long-term care residents following hip fracture: A survey of reported rehabilitation practices and perceived barriers to delivery of care. J Geriatr Phys Ther. 2013;36:39–46. https://doi.org/10.1519/JPT.0b013e3182569b4f.CrossRefPubMed

32.

Burger C, Kiesswetter E, Gietl A, Pfannes U, Arens-Azevedo U, Sieber CC, et al. Size matters! Differences in nutritional care between small, medium and large nursing homes in Germany. J Nutr Health Aging. 2017;21:464–72. https://doi.org/10.1007/s12603-016-0767-1.CrossRefPubMed

33.

Enam N, Grampurohit N, Farber RS. Sleep management within skilled nursing facilities: A practice survey. Occup Ther Health Care. 2020:1–17 https://doi.org/10.1080/07380577.2020.1846234

34.

Engh MCN, Speyer R. Management of dysphagia in nursing homes: a national survey. Dysphagia. 2021 https://doi.org/10.1007/s00455-021-10275-7

35.

Giesbrecht EM, Mortenson WB, Miller WC. Prevalence and facility level correlates of need for wheelchair seating assessment among long-term care residents. Gerontology. 2012;58:378–84. https://doi.org/10.1159/000334819.CrossRefPubMed

36.

Hirdes JP, Mitchell L, Maxwell CJ, White N. Beyond the “iron lungs of gerontology”: using evidence to shape the future of nursing homes in Canada. Can J Aging. 2011;30:371–90. https://doi.org/10.1017/S0714980811000304.

37.

Hsu AT, Berta W, Coyte PC, Laporte A. Staffing in Ontario’s long-term care homes: differences by profit status and chain ownership. Can J Aging. 2016;35:175–89. https://doi.org/10.1017/S0714980816000192.CrossRefPubMed

38.

Hurley L, O’Donnell M, O’Caoimh R, Dinneen SF. Investigating the management of diabetes in nursing homes using a mixed methods approach. Diabetes Res Clin Pract. 2017;127:156–62. https://doi.org/10.1016/j.diabres.2017.03.010.

39.

Kinley J, Hockley J, Stone L, Dewey M, Hansford P, Stewart R, et al. The provision of care for residents dying in U.K. nursing care homes. Age Ageing. 2014;43:375–9. https://doi.org/10.1093/ageing/aft158.CrossRefPubMed

40.

Koenig TL, Lee JH, Fields NL, Macmillan KR. The role of the gerontological social worker in assisted living. J Gerontol Soc Work. 2011;54:494–510. https://doi.org/10.1080/01634372.2011.576424.CrossRefPubMed

41.

Lee JY, Kim EY, Cho E. Factors impacting the physical function of older adults in Korean long-term care hospitals. J Korean Acad Nurs. 2011;41:780–7. https://doi.org/10.4040/jkan.2011.41.6.780.CrossRefPubMed

42.

Liu X, Burns DS, Hilliard RE, Stump TE, Unroe KT. Music therapy clinical practice in hospice: differences between home and nursing home delivery. J Music Ther. 2015;52:376–93. https://doi.org/10.1093/jmt/thv012.CrossRefPubMed

43.

Livingstone I, Hefele J, Leland N. Characteristics of nursing home providers with distinct patterns of physical and occupational therapy staffing. J Appl Gerontol. 2021;40:443–51. https://doi.org/10.1177/0733464820903902.CrossRefPubMed

44.

Livingstone I, Hefele J, Leland N. Physical and occupational therapy staffing patterns in nursing homes and their association with long-stay resident outcomes and quality of care. J Aging Soc Policy. 2020:1–19 https://doi.org/10.1080/08959420.2020.1824544

45.

Livingstone I, Hefele J, Nadash P, Barch D, Leland N. The relationship between quality of care, physical therapy, and occupational therapy staffing levels in nursing homes in 4 Years’ follow-up. J Am Med Dir Assoc. 2019;20:462–9. https://doi.org/10.1016/j.jamda.2019.02.002.

46.

McArthur C, Hirdes J, Berg K, Giangregorio L. Who receives rehabilitation in canadian long-term care facilities? A cross-sectional study. Physiother Can. 2015;67:113–21. https://doi.org/10.3138/ptc.2014-27.CrossRefPubMedPubMedCentral

47.

McArthur C, Hirdes J, Chaurasia A, Berg K, Giangregorio L. Quality changes after implementation of an episode of care model with strict criteria for physical therapy in Ontario’s long-term care homes. Health Serv Res. 2018;53:4863–85. https://doi.org/10.1111/1475-6773.13020.

48.

Roberts AR, Bowblis JR. How does rurality influence the staffing of social service departments in nursing homes? Gerontologist. 2018;58:540–5. https://doi.org/10.1093/geront/gnw208.CrossRefPubMed

49.

Roberts AR, Bowblis JR. Who hires social workers? Structural and contextual determinants of social service staffing in nursing homes. Health Soc Work. 2017;42:15–23. https://doi.org/10.1093/hsw/hlw058.CrossRefPubMed

50.

SkinnarsJosefsson M, Nydahl M, Persson I, Mattsson SY. Quality indicators of nutritional care practice in elderly care. J Nutr Health Aging. 2017;21:1057–64. https://doi.org/10.1007/s12603-017-0970-8.CrossRef

51.

Stargatt J, Bhar SS, Davison TE, Pachana NA, Mitchell L, Koder D, et al. The availability of psychological services for aged care residents in Australia: a survey of facility staff. Aust Psychol. 2017;52:406–13. https://doi.org/10.1111/ap.12244.CrossRef

52.

Sterke S, Nascimento da Cunha AP, Oomen H, Voogt L, Goumans M. Physiotherapy in nursing homes. A qualitative study of physiotherapists' views and experiences. BMC Geriatr. 2021;21:150 https://doi.org/10.1186/s12877-021-02080-6

53.

Temkin-Greener H, Lee T, Caprio T, Cai S. Rehabilitation therapy for nursing home residents at the end-of-life. J Am Med Dir Assoc. 2019;20:476-80 e1. https://doi.org/10.1016/j.jamda.2018.07.024.CrossRefPubMed

54.

Tyler DA, Feng Z, Leland NE, Gozalo P, Intrator O, Mor V. Trends in postacute care and staffing in US nursing homes, 2001–2010. J Am Med Dir Assoc. 2013;14:817–20. https://doi.org/10.1016/j.jamda.2013.05.013.CrossRefPubMed

55.

van Nie-Visser NC, Meijers JM, Schols JM, Lohrmann C, Bartholomeyczik S, Halfens RJ. Comparing quality of nutritional care in Dutch and German nursing homes. J Clin Nurs. 2011;20:2501–8. https://doi.org/10.1111/j.1365-2702.2011.03761.x.CrossRefPubMed

56.

StewartBrown. 2020 Allied health deep dive survey. Sydney, Australia: StewartBrown, 2020. https://www.stewartbrown.com.au/images/documents/StewartBrown_Allied_Health_Deep_Dive_Survey__Feb_2021.pdf. Accessed 23 Dec 2021.

57.

StewartBrown. Aged care financial performance survey: Residential care report - June 2017. Sydney, Australia: StewartBrown, 2017. https://www.stewartbrown.com.au/images/documents/StewartBrown_-_ACFPS_Residential_Care_Report_June-2017.pdf. Accessed 23 Dec 2021.

58.

StewartBrown. Aged care financial performance survey: Residential care report - December 2017. Sydney, Australia: StewartBrown, 2017. https://www.stewartbrown.com.au/images/documents/StewartBrown---ACFPS-Residential-Care-Report-December-2017.pdf. Accessed 23 Dec 2021.

59.

StewartBrown. Aged care financial performance survey: Residential care report - September 2017. Sydney, Australia: StewartBrown, 2017. https://www.stewartbrown.com.au/images/documents/StewartBrown---ACFPS-Residential-Care-Report-Sept-2017.pdf. Accessed 23 Dec 2021.

60.

StewartBrown. Aged care financial performance survey: Residential care repot - March 2018. Sydney, Australia: StewartBrown, 2018. https://www.stewartbrown.com.au/images/documents/StewartBrown---ACFPS-Residential-Care-Report-March-2018.pdf. Accessed 23 Dec 2021.

61.

StewartBrown. Aged Care Financial Performance Survey: Sector report (2018 financial year). Sydney, Australia: StewartBrown, 2018. https://www.stewartbrown.com.au/images/documents/StewartBrown---ACFPS-Sector-Report-June-2018.pdf. Accessed 23 Dec 2021.

62.

StewartBrown. Aged Care Financial Performance Survey: Sector report (six months ended December 2018). Sydney, Australia: StewartBrown, 2018. https://www.stewartbrown.com.au/images/documents/StewartBrown---ACFPS-Sector-Financial-Performance-Report-December-2018.pdf. Accessed 23 Dec 2021.

63.

StewartBrown. Aged care financial performance survey: Sector report (nine months ended March 2019). Sydney, Australia: StewartBrown, 2019. https://www.stewartbrown.com.au/images/documents/StewartBrown---ACFPS-Sector-Financial-Performance-Report-March-2019.pdf. Accessed 23 Dec 2021.

64.

StewartBrown. Aged care financial performance survey: Aged care sector report. Sydney, Australia: StewartBrown, 2019. https://www.stewartbrown.com.au/images/documents/StewartBrown---FY19-Aged-Care-Financial-Performance-Survey-Report.pdf. Accessed 23 Dec 2021.

65.

StewartBrown. Aged care financial performance survey: Aged care sector report (for six months end 31 December 2019). Sydney, Australia: StewartBrown, 2019. https://www.stewartbrown.com.au/images/documents/StewartBrown---Aged-Care-Financial-Performance-Survey-Sector-Report-December-2019.pdf. Accessed 23 Dec 2021.

66.

StewartBrown. Aged care Financial performance survey: Sector report (nine months ended 31 March 2020). Sydney, Australia: StewartBrown, 2020. https://www.stewartbrown.com.au/images/documents/StewartBrown_-_Aged_Care_Financial_Performance_Survey_Sector_March_2020.pdf. Accessed 23 Dec 2021.

67.

StewartBrown. Aged care financial performance survey: Aged care sector report (for the year ended 30 June 2020). Sydney, Australia: StewartBrown, 2020. https://www.stewartbrown.com.au/images/documents/StewartBrown_-_Aged_Care_Financial_Performance_Survey_Sector_Report_June_2020.pdf. Accessed 23 Dec 2021.

68.

StewartBrown. Aged care financial performance survey: Aged care sector report (three month ended 30 September 2020). Sydney, Australia: StewartBrown, 2020. https://www.stewartbrown.com.au/images/documents/StewartBrown_-_ACFPS_Sector_Financial_Performance_Report_September_2020.pdf. Accessed 23 Dec 2021.

69.

StewartBrown. Aged care sector report: For the six months ended 31 December 2020. Sydney, Australia: StewartBrown, 2020. https://www.stewartbrown.com.au/images/documents/StewartBrown_-_ACFPS_Financial_Performance_Sector_Report_December_2020.pdf. Accessed 23 Dec 2021.

70.

Mavromaras K, Knight G, Isherwood L, Crettenden A, Flavel J, Karmel T, et al. The aged care workforce. Canberra, Australia: Department of Health, Australian Government, 2017. https://gen-agedcaredata.gov.au/www_aihwgen/media/Workforce/The-Aged-Care-Workforce-2016.pdf. Accessed 23 Dec 2021.

71.

King D, Mavromaras K, Wei Z, He B, Healy J, Macaitis K, et al. The aged care workforce 2012: Department of Health, Australian Government, 2013. http://www.agedcarecrisis.com/images/pdf/The_Aged_Care_Workforce_Report.pdf. Accessed 23 Dec 2021.

72.

Department of Health. 2020 Aged care workforce census report. Canberra, Australia: Australian Government, 2020. https://www.health.gov.au/sites/default/files/documents/2021/10/2020-aged-care-workforce-census.pdf. Accessed 23 Dec 2021.

73.

Eagar K, Westera A, Snoek M, Kobel C, Loggie C, Gordon R. How Australian residential aged care staffing levels compare with international and national benchmarks. Wollongong, Australia: Centre for Health Service Development, Australian Health Services Research Institute, 2019. https://agedcare.royalcommission.gov.au/sites/default/files/2019-12/research-paper-1.pdf. Accessed 23 Dec 2021.

74.

de Souto Barreto P, Morley J, Chodzko-Zajko W, H. Pitkala K, Weening-Djiksterhuis E, Rodriguez-Mañas L, et al. Recommendations on physical activity and exercise for older adults living in long-term care facilities: A taskforce report. J Am Med Dir Assoc. 2016;17:381–92 https://doi.org/10.1016/j.jamda.2016.01.021

75.

Ontario Ministry of Health. A better place to live, a better place to work: Ontario Ministry of Health, 2020. https://files.ontario.ca/mltc-ontario-long-term-care-staffing-plan-2021-2025-en-2020-12-17.pdf. Accessed 23 Dec 2021.

76.

Nancarrow S. Why is it so difficult to understand and plan the allied health workforce in Australia – and what is the solution? Australia: AHP Workforce, 2021. https://ahpworkforce.com/challenges-understanding-and-planning-the-allied-health-workforce-in-australia/. Accessed 23 Dec 2021.

Title: Therapy-based allied health delivery in residential aged care, trends, factors, and outcomes: a systematic review
Authors: Isabelle Meulenbroeks
Magdalena Z. Raban
Karla Seaman
Johanna Westbrook
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Care
Published in: BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-022-03386-9

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2022

Transient versus stable nature of fear of falling over 24 months in community-older persons with falls– data of the EU SCOPE project on Kidney function

Implementation and costs of housing adaptations among older adults with different functional limitations in Japan

Elicitation of quantitative, choice-based preferences for Person-Centered Care among People living with Dementia in comparison to physicians’ judgements in Germany: study protocol for the mixed-methods PreDemCare-study

Violence against caregivers of older adults with chronic diseases is associated with caregiver burden and depression: a cross-sectional study

Evolutionary game model of health care and social care collaborative services for the elderly population in China

Multimorbidity resilience and COVID-19 pandemic self-reported impact and worry among older adults: a study based on the Canadian Longitudinal Study on Aging (CLSA)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

At a glance: The STEP trials