Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
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.
ADVANCED SEARCH
Log in
Top
Health Research Policy and Systems
Published in: Health Research Policy and Systems 1/2011

Open Access 01-12-2011 | Research

Activating the knowledge-to-action cycle for geriatric care in India

Authors: Jenna M Evans, Pretesh R Kiran, Onil K Bhattacharyya

Published in: Health Research Policy and Systems | Issue 1/2011

Login to get access

Abstract

Despite a rapidly aging population, geriatrics - the branch of medicine that focuses on healthcare of the elderly - is relatively new in India, with many practicing physicians having little knowledge of the clinical and functional implications of aging. Negative attitudes and limited awareness, knowledge or acceptance of geriatrics as a legitimate discipline contribute to inaccessible and poor quality care for India's old. The aim of this paper is to argue that knowledge translation is a potentially effective tool for engaging Indian healthcare providers in the delivery of high quality geriatric care. The paper describes India's context, including demographics, challenges and current policies, summarizes evidence on provider behaviour change, and integrates the two in order to propose an action plan for promoting improvements in geriatric care.
Appendix
Available only for authorised users
Literature
1.
2.
James K: India's demographic change: opportunities and challenges. Science. 2011, 333 (6042): 576-580.CrossRefPubMed
3.
Patel V, Chatterji S, Chisholm D, Ebrahim S, Gopalakrishna G, Mathers C, Mohan V, Prabhakaran D, Ravindran R, Reddy K: India: towards universal health coverage 3, chronic diseases and injuries in India. The Lancet. 2011, 377 (9763): 413-428.CrossRef
4.
Joshi R, Cardona M, Iyengar S, Sukumar A, Raju C, Raju K, Raju K, Reddy K, Lopez A, Neal B: Chronic diseases now a leading cause of death in rural India - mortality data from the Andhra Pradesh Rural Health Initiative. International Journal of Epidemiology. 2006, 35: 1522-1529.CrossRefPubMed
5.
6.
Gangadharan K: Geriatric hospitals in India, today and in the future. Journal of Aging and Social Policy. 2003, 15 (2/3): 143-158.CrossRefPubMed
7.
Krishnaswamy B, Sein U, Munodawafa D, Varghese C, Venkataraman K, Anand K: Ageing in India. Ageing International. 2008, 32 (4): 258-268.CrossRef
8.
9.
Kumar P, Shinge N, Parameshwar S: Bed blockers: a study on the elderly patients in a teaching hospital in India. Online Journal of Health and Allied Science. 2010, 9 (1):
10.
Mandavi , Tiwari P, Kapur V: Inappropriate drug prescribing identified among Indian elderly hospitalized patients. The International Journal of Risk and Safety in Medicine. 2007, 19 (3): 111-116.
11.
Mandavi , D'Cruz S, Sachdev A, Tiwari P: Prevalence and risk factors for inappropriate drug use among older people: results from an Indian public outpatient setting. Journal of Pharmaceutical Health Services Research. 2011, 2 (1): 29-34.CrossRef
12.
Harugeri A, Parthasarathi G, Ramesh M, Guido S, Basavanagowdappa H: Frequency and nature of adverse drug reactions in elderly in-patients of two Indian medical college hospitals. Journal of Postgraduate Medicine. 2011, 57 (3): 189-195.CrossRefPubMed
13.
Malhotra S, Karan R, Pandhi P, Jain S: Drug related medical emergencies in the elderly: role of adverse drug reactions and non-compliance. Postgraduate Medical Journal. 2001, 77 (913): 703-707.CrossRefPubMedPubMedCentral
14.
Kumar V: Health status and healthcare services among older persons in India. Journal of Aging and Social Policy. 2003, 15 (2/3): 67-83.CrossRefPubMed
15.
16.
Jamuna D: Ageing in India: some key issues. Ageing International. 2000, 25 (4): 16-31.CrossRef
17.
Manoj P: On ageing, health and poverty in rural India. 2009, University Library of Munich (MPRA Paper No. 15932)
18.
Government of India: Morbidity¸health care and the condition of the aged. 2006, National Sample Survey Organization 60th round (January - June 2004)
19.
Ara S: Housing facilities for the elderly in India. Ageing International. 1997, 23 (3/4): 107-114.CrossRef
20.
Graham I, Logan J, Harrison M, Straus S, Tetroe J, Caswell W, Robinson N: Lost in knowledge translation: Time for a map?. The Journal of Continuing Education in the Health Profession. 2006, 26: 13-24.CrossRef
21.
22.
23.
24.
25.
26.
Balarajan Y, Selvaraj S, Subramanian S: India: towards universal health coverage 4, health care and equity in India. The Lancet. 2011, 377 (9764): 505-515.CrossRef
27.
Jha P, Laxminarayan R: Choosing health: An entitlement for all Indians. 2009, Centre for Global Health Research
28.
Agrawal G, Arokiasamy P: Morbidity prevalence and health care utilization among older adults in India. Journal of Applied Gerontology. 2010, 29 (2): 155-179.CrossRef
29.
Rajan S, Sarma P, Mishra U: Demography of Indian aging, 2001-2051. Journal of Aging and Social Policy. 2003, 15 (2/3): 11-30.CrossRefPubMed
30.
Ramamurti P: Perspectives of research on aging in India. Journal of Aging and Social Policy. 2003, 15 (2/3): 31-43.CrossRefPubMed
31.
Patel N: Geriatric care in India a developing crisis?. British Geriatric Society. 2009, 22:
32.
Gokhale S: Towards a policy for aging in India. Journal of Aging and Social Policy. 2003, 15 (2/3): 213-234.CrossRefPubMed
33.
Sujaya C: Some comments on national policy on older persons. Economic and Political Weekly. 1999, 34 (44): 1545-1550.
34.
Krishnakumar A: The old and the ignored. India's National Magazine. 2004, 21 (19):
35.
Dhar H: Emerging geriatric challenge. Journal of Association of Physicians of India. 2005, 53:
36.
Biswas S: Implication of population and aging. Public health implications of aging in India. Edited by: Ramachandra C, Shah B. 1994, Indian Council of Medical Research, 22-35.
37.
Rao A: Healthcare of rural aged. 1990, Indian Council of Medical Research
38.
39.
Dharmarajan T, Pitchumoni C: Geriatric medicine programs in India: Has the time arrived?. Journal of the Association of Physicians in India. 2002, 50:
40.
Swami H, Bhatia V: Primary geriatric healthcare in India needs initiatives in the new millennium. Indian Journal of Preventative Social Medicine. 2003, 34 (3/4): 147-152.
41.
42.
Rao M, Rao K, Kumar A, Chatterjee M, Sundararaman T: Human resources for health in India. The Lancet. 2011, 377 (9765): 587-598.CrossRef
43.
44.
45.
46.
Davis D, Davis M, Jadad A, Perrier L, Rath D, Ryan D, Sibbald G, Straus S, Wowk M, Zwarenstein M: The case for knowledge translation: shortening the journey from evidence to effect. British Medical Journal. 2003, 327 (7405): 33-35.CrossRefPubMedPubMedCentral
47.
Farkas M, Jette A, Tennstedt S, Haley S, Quinn V: Knowledge dissemination and utilization in gerontology: an organizing framework. The Gerontologist. 2003, 43 (1): 47-56.CrossRefPubMed
48.
Nussbaum J, Fisher C: A communication model for the competent delivery of geriatric medicine. Journal of Language and Social Psychology. 2009, 28 (2): 190-208.CrossRef
49.
Adams W, McIlvain H, Lacy N, Magsi H, Crabtree B, Yenny S, Sitorius M: Primary care for elderly people: Why do doctors find it so hard?. The Gerontologist. 2002, 42 (6): 835-842.CrossRefPubMed
50.
Bero L, Grilli R, Grimshaw J, Harvey E, Oxman A, Thomson M: Closing the gap between research and practice: an overview of systematic reviews of interventions to promote implementation of research findings by healthcare professionals. British Medical Journal. 1998, 317: 465-468.CrossRefPubMedPubMedCentral
51.
Davis D, O'Brien M, Freemantle N, Wolf F, Mazmanian P, Taylor-Vaisey A: Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behaviour or healthcare outcomes?. JAMA. 1999, 282 (9): 867-874.CrossRefPubMed
52.
Grimshaw J, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, Grilli R, Harvey E, Oxman A, O'Brien M: Changing provider behaviour: An overview of systematic reviews of interventions. Medical Care. 2001, 39 (8): II2-II45.PubMed
53.
Oxman A, Thomson M, Davis D, Haynes B: No magic bullets: A systematic review of 102 trials of interventions to improve professional practice. Canadian Medical Association. 1995, 153 (10): 1423-1431.
54.
Jamtvedt G, Young J, Kritoffersen D, O-Brien M, Oxman A: Audit and feedback: effects on professional practice and healthcare outcomes (Review). Cochrane Database of Systematic Reviews. 2006, 2:
55.
Rowe A, Savigny D, Lanata C, Victora C: How can we achieve and maintain high-quality performance of health workers in low resource settings?. The Lancet. 2005, 366 (9490): 1026-1035.CrossRef
56.
Thomas D, Johnston B, Dunn K, Sullivan G, Brett B, Matzko M, Levine S: Continuing medical education, continuing professional development, and knowledge translation: Improving care of older patients by practicing physicians. The American Geriatrics Society. 2006, 54: 1610-1618.CrossRef
57.
Levine S, Brett B, Robinson B, Stratos G, Lascher S, Granville L, Goodwin C, Dunn K, Barry P: Practicing physician education in geriatrics: Lessons learned from a train-the-trainer model. Journal of the American Geriatrics Society. 2007, 55 (8): 1281-1286.CrossRefPubMed
58.
Bostrom A, Salughter S, Chojecki D, Estabrooks C: What do we know about knowledge translation in the care of older adults? a scoping review. Journal of the American Medical Directors Association. 2011, [http://​www.​trec.​ualberta.​ca]
59.
60.
61.
62.
Warner G, Lyons R, Parker V, Phillips S: Advancing coordinated care in four provincial healthcare systems: evaluating a knowledge-exchange intervention. Healthcare Policy. 7 (1): 80-94.
63.
Chaubey P, Aarti V: Planning consideration of comprehensive geriatric care in India. Journal of the Academy of Hospital Administration. 1999, 11 (2):
64.
Brugha R, Zwi A: Improving the quality of private sector delivery of public health services: challenges and strategies. Health Policy and Planning. 1998, 13 (2): 107-120.CrossRefPubMed
65.
Mathur A: Geriatric caregiver training. Journal of the Indian Academy of Geriatrics. 2007, 3 (1): 3-4.
66.
Abraham C, Michie S: A taxonomy of behaviour change techniques used in interventions. Health Psychology. 2008, 27 (3): 379-387.CrossRefPubMed
67.
Eccles M, Grimshaw J, Walker A, Johnston M, Pitts N: Changing the behaviour of healthcare professionals: The use of theory in promoting the uptake of research findings. Journal of Clinical Epidemiology. 2005, 58 (2): 107-112.CrossRefPubMed
68.
Estabrooks C, Thompson D, Lovely J, Hofmeyer A: A guide to knowledge translation theory. The Journal of Continuing Education in the Health Professions. 2006, 26 (1): 25-35.CrossRefPubMed
69.
Kirkpatrick D: Evaluating training programs: The four levels. 1994, Berrett-Koehler
70.
Bhattacharyya O, Khor S, McGahan A, Dunne D, Daar A, Singer P: Innovative health service delivery models in low and middle income countries - what can we learn from the private sector?. Health Research Policy and Systems. 2010, 8: 24-CrossRefPubMedPubMedCentral
Metadata
Title
Activating the knowledge-to-action cycle for geriatric care in India
Authors
Jenna M Evans
Pretesh R Kiran
Onil K Bhattacharyya
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Health Research Policy and Systems / Issue 1/2011
Electronic ISSN: 1478-4505
DOI
https://doi.org/10.1186/1478-4505-9-42

Other articles of this Issue 1/2011

Health Research Policy and Systems 1/2011 Go to the issue

Commentary

Aid alignment for global health research: the role of HIROs

Research

Decentralization of the provision of health services to people living with HIV/AIDS in rural China: the case of three counties

Commentary

Developing independent investigators for clinical research relevant for Africa

Research

Common characteristics of open source software development and applicability for drug discovery: a systematic review

Research

Product Development Partnerships: Case studies of a new mechanism for health technology innovation

Research

Collaborating with consumer and community representatives in health and medical research in Australia: results from an evaluation