{"id":5853,"date":"2019-05-04T16:12:09","date_gmt":"2018-12-16T12:11:09","guid":{"rendered":"https:\/\/gerec.fi\/tutkimus\/elamankulku-elakoityminen-ja-toimijuus\/vanheneminen-ja-sosiaalinen-hyvinvointi-sowell-marja-jylha-ja-outi-jolanki-5\/"},"modified":"2024-06-19T08:42:26","modified_gmt":"2024-06-19T05:42:26","slug":"functionality-quality-of-service-chain","status":"publish","type":"page","link":"https:\/\/www.gerec.fi\/en\/research\/services\/functionality-quality-of-service-chain\/","title":{"rendered":"The functionality and the quality of the geriatric service chain \/ Esa J\u00e4msen and Jaakko Valvanne","raw":"The functionality and the quality of the geriatric service chain \/ Esa J\u00e4msen and Jaakko Valvanne"},"content":{"rendered":"[vc_row][vc_column][vc_column_text]\n
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The functionality and the quality of the geriatric service chain<\/span><\/p>\n

Health and social care provided for the aged consist of a wide range of different types of services ranging from geriatric prevention to acute care and again to end-of-life care. Furthermore, it involves health and social care professionals at various levels from home care nurses and nursing home staff to paramedics, emergency medical services, ED nurses and physicians in primary and tertiary care units. Unfortunately, service chains are often considered complex both by professional and older patients and their families. Maintaining and improving health and function, however, would require services that are reachable, meaningful and effective. In particular, prompt and high-quality care is important in acute care of the aged in order to advance their recovery and to ensure continued living at home. On the other hand, good care of chronic diseases is an important way to maintain physical function and to prevent acute hospital admissions and injuries.<\/span><\/span><\/p>\n

Successful management of older people\u2019s health conditions should base on comprehensive assessment of their situation. This is important as common geriatric syndromes, like memory disorders and frailty, often remain unnoticed in routine care. This far, the benefits of care based on comprehensive geriatric assessment (CGA) have been demonstrated among acutely ill older people and hip fracture patients. Unfortunately, such care is currently rarely available and there are difficulties in recognizing the patients who should be admitted to geriatric units.<\/span><\/p>\n

The purpose of this research project is to assess function, effectiveness and quality of geriatric services both from the viewpoints of the patient and healthcare system. In addition, the project provides knowledge on the care of acute and chronic diseases, particularly among home care clients. The main reseach topics include detection of factors predicting different health outcomes and testing and developing tools for healthcare professionals for assessing older patients and monitoring quality of their care. In wide scale, the project ranges from preventive services to outpatient geriatric assessment, home care, emergency and hospital care, and long-term care. However, at the moment the main focus is on acute care of the aged, including orthogeriatrics, and \u2013 on the other hand \u2013 on the management home care clients\u2019 chronic conditions. From methodological point of view, the main interest is in the use of routinely collected and register-based data, like hospital discharge records, RAI assessments and prescription data.<\/span><\/p>\n

Besides coworkers at GEREC, the research group co-operates with researchers from Tampere University Hospital (emergency care, gastrointestinal surgery, infectious diseases, orthopedics) and the Finnish Institute for Health and Welfare, FIMEA and University of Eastern Finland.<\/span><\/p>\n

Funding<\/span>
\nState research funding. Tampere physicians\u2019 society<\/span><\/p>\n

Research group<\/span>
\nPrincipal investigator
\n<\/i>Esa J\u00e4msen, Associate Professor, esa.jamsen@tuni.fi, Faculty of Medicine and Health Technology, Tampere University
\n<\/span><\/p>\n

Jaakko Valvanne, Professor (emeritus), jaakko.valvanne@tuni.fi, Faculty of Medicine and Health Technology, Tampere University
\n<\/span><\/p>\n

Postdoctoral researchers<\/span>
\nLauri Seinel\u00e4, MD, PhD, lauri.seinela@tuni.fi, Faculty of Medicine and Health Technology, Tampere University<\/span>
\nHeini Huhtala, University Lecturer, heini.huhtala\u00a3tuni.fi, Faculty of Social Sciences (health sciences), Tampere University
\n<\/span><\/p>\n

Doctoral students<\/span>
\nLL Saila Haapasalmi:\u00a0Hospital care and and hospital readmissions in the aged<\/span>
\nLL Hanna Kerminen (hanna.kerminen@tuni.fi):\u00a0Use of comprehensive geriatric assessment in clinical practice<\/span>
\nFM, puheterapeutti Riitta L\u00e4hde: Dysphagia in acute geriatric setting<\/span>
\nLL Heidi M\u00f6rttinen-Vallius:\u00a0Use of opioid analgesics among home care clients<\/span>
\nLL Riina Nurmi: Subsequent fractures and hospital readmissions following hip fracture<\/span>
\nLL Jukka R\u00f6nneikk\u00f6:\u00a0RAI assessment in home care<\/span>
\nFM, proviisori Jasmin Paulam\u00e4ki: Use of potentially inappropriate medications in Finland<\/span><\/p>\n

Selected publications<\/span><\/p>\n

Original article, Finnish Medical Journal, 2018: Screening of memory and attention disorders in hospital (Muistitoimintojen ja tarkkaavaisuuden h\u00e4iri\u00f6iden seulonta sairaalassa).<\/span>
\nOriginal article, Journal of American Geriatrics Society, 2017: Predictors for Unplanned Hospitalization of New Home Care Clients<\/a><\/span>
\nOriginal article, Finnish Medical Journal, 2016: Urinary tract infections in acutely hospitalized geriatric patients (Virtsatieinfektio i\u00e4kk\u00e4\u00e4n potilaan sairaalaan oton syyn\u00e4: onko diagnoosille perusteita?)<\/span>
\nReview, Finnish Medical Journal 2015: When the disease is cured but the patient is not – Hospitalization-associated disability (Kun tauti paranee mutta potilas ei \u2013 sairaalahoitoon liittyv\u00e4 toimintakyvyn heikentyminen).<\/span>
\nEditorial, Finnish Medical Journal, 2012: Riskivanhukset tulisi tunnistaa paremmin<\/span>
\nEditorial, Finnish Medical Journal, 2011: Hoitoketjut toimiviksi potilaan ketjuiksi<\/span><\/p>\n

Collaborators<\/span>
\nFaculty of Social Sciences (health sciences), Tampere University (Marja Jylh\u00e4 and research group of gerontology)<\/span>
\nTampere University of Applied Sciences (Taru Lehtim\u00e4ki, Tuija Rasku, Sirpa Salin)<\/span>
\nTampere University Hospital (Sanna Hoppu, Satu-Liisa Pauniaho, Jaana Syrj\u00e4nen, Mika Ukkonen)<\/span>
\nNational Institute for Health and Welfare (THL), Health and Social Services, Aging and Services (Harriet Finne-Soveri, Matti M\u00e4kel\u00e4), and Centre for Health and Social Economics CHESS (Unto H\u00e4kkinen, Mikko Peltola)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false,"raw":"[vc_row][vc_column][vc_column_text]\r\n

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\r\n\r\nThe functionality and the quality of the geriatric service chain<\/span>\r\n

Health and social care provided for the aged consist of a wide range of different types of services ranging from geriatric prevention to acute care and again to end-of-life care. Furthermore, it involves health and social care professionals at various levels from home care nurses and nursing home staff to paramedics, emergency medical services, ED nurses and physicians in primary and tertiary care units. Unfortunately, service chains are often considered complex both by professional and older patients and their families. Maintaining and improving health and function, however, would require services that are reachable, meaningful and effective. In particular, prompt and high-quality care is important in acute care of the aged in order to advance their recovery and to ensure continued living at home. On the other hand, good care of chronic diseases is an important way to maintain physical function and to prevent acute hospital admissions and injuries.<\/span><\/span><\/p>\r\n

Successful management of older people\u2019s health conditions should base on comprehensive assessment of their situation. This is important as common geriatric syndromes, like memory disorders and frailty, often remain unnoticed in routine care. This far, the benefits of care based on comprehensive geriatric assessment (CGA) have been demonstrated among acutely ill older people and hip fracture patients. Unfortunately, such care is currently rarely available and there are difficulties in recognizing the patients who should be admitted to geriatric units.<\/span><\/p>\r\n

The purpose of this research project is to assess function, effectiveness and quality of geriatric services both from the viewpoints of the patient and healthcare system. In addition, the project provides knowledge on the care of acute and chronic diseases, particularly among home care clients. The main reseach topics include detection of factors predicting different health outcomes and testing and developing tools for healthcare professionals for assessing older patients and monitoring quality of their care. In wide scale, the project ranges from preventive services to outpatient geriatric assessment, home care, emergency and hospital care, and long-term care. However, at the moment the main focus is on acute care of the aged, including orthogeriatrics, and \u2013 on the other hand \u2013 on the management home care clients\u2019 chronic conditions. From methodological point of view, the main interest is in the use of routinely collected and register-based data, like hospital discharge records, RAI assessments and prescription data.<\/span><\/p>\r\n

Besides coworkers at GEREC, the research group co-operates with researchers from Tampere University Hospital (emergency care, gastrointestinal surgery, infectious diseases, orthopedics) and the Finnish Institute for Health and Welfare, FIMEA and University of Eastern Finland.<\/span><\/p>\r\nFunding<\/span>\r\nState research funding. Tampere physicians\u2019 society<\/span>\r\n\r\nResearch group<\/span>\r\nPrincipal investigator\r\n<\/i>Esa J\u00e4msen, Associate Professor, esa.jamsen@tuni.fi, Faculty of Medicine and Health Technology, Tampere University\r\n<\/span>\r\n\r\nJaakko Valvanne, Professor (emeritus), jaakko.valvanne@tuni.fi, Faculty of Medicine and Health Technology, Tampere University\r\n<\/span>\r\n\r\nPostdoctoral researchers<\/span>\r\nLauri Seinel\u00e4, MD, PhD, lauri.seinela@tuni.fi, Faculty of Medicine and Health Technology, Tampere University<\/span>\r\nHeini Huhtala, University Lecturer, heini.huhtala\u00a3tuni.fi, Faculty of Social Sciences (health sciences), Tampere University\r\n<\/span>\r\n\r\nDoctoral students<\/span>\r\nLL Saila Haapasalmi:\u00a0Hospital care and and hospital readmissions in the aged<\/span>\r\nLL Hanna Kerminen (hanna.kerminen@tuni.fi):\u00a0Use of comprehensive geriatric assessment in clinical practice<\/span>\r\nFM, puheterapeutti Riitta L\u00e4hde: Dysphagia in acute geriatric setting<\/span>\r\nLL Heidi M\u00f6rttinen-Vallius:\u00a0Use of opioid analgesics among home care clients<\/span>\r\nLL Riina Nurmi: Subsequent fractures and hospital readmissions following hip fracture<\/span>\r\nLL Jukka R\u00f6nneikk\u00f6:\u00a0RAI assessment in home care<\/span>\r\nFM, proviisori Jasmin Paulam\u00e4ki: Use of potentially inappropriate medications in Finland<\/span>\r\n\r\nSelected publications<\/span>\r\n\r\nOriginal article, Finnish Medical Journal, 2018: Screening of memory and attention disorders in hospital (Muistitoimintojen ja tarkkaavaisuuden h\u00e4iri\u00f6iden seulonta sairaalassa).<\/span>\r\nOriginal article, Journal of American Geriatrics Society, 2017: Predictors for Unplanned Hospitalization of New Home Care Clients<\/a><\/span>\r\nOriginal article, Finnish Medical Journal, 2016: Urinary tract infections in acutely hospitalized geriatric patients (Virtsatieinfektio i\u00e4kk\u00e4\u00e4n potilaan sairaalaan oton syyn\u00e4: onko diagnoosille perusteita?)<\/span>\r\nReview, Finnish Medical Journal 2015: When the disease is cured but the patient is not - Hospitalization-associated disability (Kun tauti paranee mutta potilas ei \u2013 sairaalahoitoon liittyv\u00e4 toimintakyvyn heikentyminen).<\/span>\r\nEditorial, Finnish Medical Journal, 2012: Riskivanhukset tulisi tunnistaa paremmin<\/span>\r\nEditorial, Finnish Medical Journal, 2011: Hoitoketjut toimiviksi potilaan ketjuiksi<\/span>\r\n\r\nCollaborators<\/span>\r\nFaculty of Social Sciences (health sciences), Tampere University (Marja Jylh\u00e4 and research group of gerontology)<\/span>\r\nTampere University of Applied Sciences (Taru Lehtim\u00e4ki, Tuija Rasku, Sirpa Salin)<\/span>\r\nTampere University Hospital (Sanna Hoppu, Satu-Liisa Pauniaho, Jaana Syrj\u00e4nen, Mika Ukkonen)<\/span>\r\nNational Institute for Health and Welfare (THL), Health and Social Services, Aging and Services (Harriet Finne-Soveri, Matti M\u00e4kel\u00e4), and Centre for Health and Social Economics CHESS (Unto H\u00e4kkinen, Mikko Peltola)<\/span>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n[\/vc_column_text][\/vc_column][\/vc_row]"},"excerpt":{"rendered":"[vc_row column_spacing=\"50\" bg_style=\"stretch\" css=\".vc_custom_1544814296502{padding-top: 30px !important;padding-bottom: 5px !important;}\"][vc_column][vc_column_text font_size=\"14px\"] Monisairaan i\u00e4kk\u00e4\u00e4n hoito I\u00e4kk\u00e4ille henkil\u00f6ille suunnatut sosiaali- ja terveyspalvelut muodostavat laajan kokonaisuuden, joka ulottuu ennaltaehk\u00e4isevist\u00e4 palveluista akuuttihoitoon ja toisaalta el\u00e4m\u00e4n loppuvaiheen hoitoon, ja jossa toimii useita sosiaali- ja terveydenhuollon eri ammattiryhmi\u00e4.…","protected":false,"raw":""},"author":1,"featured_media":0,"parent":5663,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_fi_post_content":"[vc_row column_spacing=\"50\" bg_style=\"stretch\" css=\".vc_custom_1544814296502{padding-top: 30px !important;padding-bottom: 5px !important;}\"][vc_column][vc_column_text font_size=\"14px\"]\r\n

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\r\n\r\nMonisairaan i\u00e4kk\u00e4\u00e4n hoito<\/strong>\r\n\r\nI\u00e4kk\u00e4ille henkil\u00f6ille suunnatut sosiaali- ja terveyspalvelut muodostavat laajan kokonaisuuden, joka ulottuu ennaltaehk\u00e4isevist\u00e4 palveluista akuuttihoitoon ja toisaalta el\u00e4m\u00e4n loppuvaiheen hoitoon, ja jossa toimii useita sosiaali- ja terveydenhuollon eri ammattiryhmi\u00e4. I\u00e4kk\u00e4\u00e4n v\u00e4est\u00f6n terveyden ja toimintakyvyn yll\u00e4pit\u00e4minen sek\u00e4 yhteiskunnan n\u00e4k\u00f6kulmasta kasvavan hoidon tarpeen hallinta\r\n\r\nedellytt\u00e4\u00e4 kuitenkin tarkoituksenmukaisia, oikea-aikaisia ja vaikuttavia palveluita. Varsinkin terveydentilan tai toimintakyvyn muuttuessa \u00e4kisti hoidon tulisi j\u00e4rjesty\u00e4 joutuisasti ja laadukkaasti, jotta toipumiselle ja kotona asumisen jatkumiselle olisi mahdollisimman hyv\u00e4t edellytykset. Toisaalta pitk\u00e4aikaissairaudet tulee hoitaa hyvin niiden aiheuttaman haitan minimoimiseksi ja \u00e4killisten sairauksien ja vammojen ennaltaehk\u00e4isemiseksi.\r\n\r\nKoska i\u00e4kk\u00e4\u00e4t ihmiset ovat hyvin heterogeeninen ihmisjoukko, hoidon suunnittelussa ja hoitoa toteutettaessa olisi pystytt\u00e4v\u00e4 huomioimaan erilaiset yksil\u00f6lliset terveydentilaan ja toimintakykyyn vaikuttavat tekij\u00e4t. Valitettavasti vanhuspotilaiden erityispiirteet ja geriatriset oireyhtym\u00e4t, kuten muistisairaudet ja gerastenia, j\u00e4\u00e4v\u00e4t yleisyydest\u00e4\u00e4n huolimatta usein huomioimatta tavanomaisessa hoidossa. Lis\u00e4ksi erilaiset l\u00e4\u00e4kitykseen liittyv\u00e4t ongelmat ovat yleisi\u00e4. Laaja-alaiseen geriatriseen arviointiin (comprehensive geriatric assessment, CGA) perustuva hoito ja kuntoutus on vaikuttavaa, mutta satunnaistettujen tutkimusten tulokset eiv\u00e4t toteudu k\u00e4yt\u00e4nn\u00f6n kliinisess\u00e4 ty\u00f6ss\u00e4 toivotulla tavalla.\r\n\r\nHankkeen tavoitteena on tutkia pitk\u00e4aikaissairauksien ja akuuttien sairauksien hoitoa sek\u00e4 toisaalta i\u00e4kk\u00e4ille suunnattujen palveluiden toimintaa, vaikuttavuutta ja laatua niin asiakkaan kuin terveydenhuoltoj\u00e4rjestelm\u00e4nkin n\u00e4k\u00f6kulmasta. T\u00e4rkeit\u00e4 tutkimuskohteita ovat hoitotuloksia ennustavat tekij\u00e4t, joita voidaan hy\u00f6dynt\u00e4\u00e4 hoidon ja palveluiden kohdentamisessa, sek\u00e4 suomalaiseen terveydenhuoltoj\u00e4rjestelm\u00e4\u00e4n soveltuvien mittareiden ja arvioinnin ty\u00f6kalujen kehitt\u00e4minen, arviointi ja implementointi. Hanke kohdistuu erityisesti kolmeen haavoittuvaan potilasryhm\u00e4\u00e4n: kotihoidon asiakkaisiin, sairaalahoitoon akuutin sairastumisen tai vamman vuoksi joutuneisiin potilaisiin sek\u00e4 monisairaisiin i\u00e4kk\u00e4isiin potilaisiin, joille suunnitellaan raskaita toimenpide- tai l\u00e4\u00e4kehoitoja (esim. sy\u00f6p\u00e4potilaat). T\u00e4rkeit\u00e4 n\u00e4k\u00f6kulmia ovat l\u00e4\u00e4kkeiden k\u00e4ytt\u00f6, toimintakyky ja laaja-alaisen geriatrisen arvioinnin (comprehensive geriatric assessment, CGA) k\u00e4ytt\u00f6. Tutkimusty\u00f6 liittyy kiinte\u00e4sti i\u00e4kk\u00e4iden potilaiden hoidon kehitt\u00e4miseen Pirkanmaan hyvinvointialueella, erityisesti Tampereen yliopistollisessa sairaalassa.\r\n\r\nAineistoina k\u00e4ytet\u00e4\u00e4n kotihoidon RAI-tietoja (Resident Assessment Instrument), Pirkanmaan hyvinvointialueen sairaaloiden ja THL:n Hoitoilmoitusrekisterin hoitoilmoitustietoja, sairauskertomuksia sek\u00e4 erikseen ker\u00e4tt\u00e4vi\u00e4 tutkimusaineistoja Tampereen yliopistollisesta sairaalasta. Lis\u00e4ksi tutkimusryhm\u00e4 tekee yhteisty\u00f6t\u00e4 Tampereen yliopistollisen sairaalan (gastrokirurgia, korva-, nen\u00e4- ja kurkkutaudit, suusairaudet, infektiosairaudet, onkologia, traumatologia, sairaala-apteekki), Tekonivelsairaala Coxan ja THL:n tutkijoiden kanssa.\r\n\r\nTutkimushanke on yhteinen Helsingin yliopiston geriatrian tutkimusryhm\u00e4n kanssa.\r\n\r\n \r\n\r\nTutkimuksen rahoittaja\r\n\r\nvaltion tutkimusrahoitus, Tays tukis\u00e4\u00e4ti\u00f6, Tampereen L\u00e4\u00e4k\u00e4rip\u00e4ivien kohdeapuraha\r\n\r\n \r\n\r\nTutkimusryhm\u00e4<\/strong>\r\n\r\nVastuulliset tutkijat\r\n\r\nLT Hanna Kerminen, hanna.kerminen@tuni.fi, L\u00e4\u00e4ketieteen ja terveysteknologian tiedekunta, Tampereen yliopisto\r\n\r\nprofessori Esa J\u00e4msen, esa.jamsen@helsinki.fi, L\u00e4\u00e4ketieteellinen tiedekunta (Clinicum), Helsingin yliopisto\r\n\r\n \r\n\r\nTutkijatohtorit\r\n\r\nLT Lauri Seinel\u00e4, lauri.seinela@tuni.fi, L\u00e4\u00e4ketieteen ja terveysteknologian tiedekunta, Tampereen yliopisto\r\n\r\nYliopistonlehtori Heini Huhtala, heini.huhtala@tuni.fi, Yhteiskuntatieteiden tiedekunta (terveystieteet), Tampereen yliopisto\r\n\r\nV\u00e4it\u00f6skirjatutkijat\r\n\r\nLL Heidi M\u00f6rttinen-Vallius: Opioidien k\u00e4ytt\u00f6 kotihoidon asiakkailla\r\n\r\nLL Riina Husu: Lonkkamurtumapotilaiden uudet murtumat ja sairaalahoitojaksot\r\n\r\nLL Emma Knuuttila: I\u00e4kk\u00e4ill\u00e4 v\u00e4ltett\u00e4vien l\u00e4\u00e4kkeiden k\u00e4ytt\u00f6 sairaalahoidossa ja sen yhteys hoidon kestoon, readmissioihin ja hoidon haittatapahtumiin.\r\n\r\nLL Jukka R\u00f6nneikk\u00f6: Kotihoidon RAI gerontologisen arvioinnin kohdentamisen ty\u00f6kaluna\r\n\r\nproviisori Jasmin Paulam\u00e4ki: I\u00e4kk\u00e4ill\u00e4 v\u00e4ltett\u00e4v\u00e4t l\u00e4\u00e4kkeet \u2013 v\u00e4ltett\u00e4vien l\u00e4\u00e4kkeiden k\u00e4ytt\u00f6\u00e4 selitt\u00e4v\u00e4t tekij\u00e4t suomalaisissa sairaanhoitopiireiss\u00e4 ja kotihoidon potilailla\r\n\r\n \r\n\r\nYhteisty\u00f6tahot\r\n\r\nTampereen yliopisto, Yhteiskuntatieteiden tiedekunta (Marja Jylh\u00e4 tutkimusryhmineen)\r\n\r\nPirkanmaan hyvinvointialue (Maarit B\u00e4rlund, Elina Mattila, Ville Mattila, Jaana Syrj\u00e4nen, Terhi Toivo, Pia \u00d6sterlund, Saara Markkanen, Anna Norppa)\r\n\r\nIt\u00e4-Suomen yliopisto (Sirpa Hartikainen)\r\n\r\nTHL:n Tiedolla johtaminen ja vertaiskehitt\u00e4minen -yksikk\u00f6 (Mari Aaltonen, Harriet Finne-Soveri)\r\n\r\nFimea (Johanna Jyrkk\u00e4)\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","_fi_post_name":"geriatria","_fi_post_excerpt":"","_fi_post_title":"Geriatria","_en_post_content":"[vc_row][vc_column][vc_column_text]\r\n
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\r\n\r\nThe functionality and the quality of the geriatric service chain<\/span>\r\n

Health and social care provided for the aged consist of a wide range of different types of services ranging from geriatric prevention to acute care and again to end-of-life care. Furthermore, it involves health and social care professionals at various levels from home care nurses and nursing home staff to paramedics, emergency medical services, ED nurses and physicians in primary and tertiary care units. Unfortunately, service chains are often considered complex both by professional and older patients and their families. Maintaining and improving health and function, however, would require services that are reachable, meaningful and effective. In particular, prompt and high-quality care is important in acute care of the aged in order to advance their recovery and to ensure continued living at home. On the other hand, good care of chronic diseases is an important way to maintain physical function and to prevent acute hospital admissions and injuries.<\/span><\/span><\/p>\r\n

Successful management of older people\u2019s health conditions should base on comprehensive assessment of their situation. This is important as common geriatric syndromes, like memory disorders and frailty, often remain unnoticed in routine care. This far, the benefits of care based on comprehensive geriatric assessment (CGA) have been demonstrated among acutely ill older people and hip fracture patients. Unfortunately, such care is currently rarely available and there are difficulties in recognizing the patients who should be admitted to geriatric units.<\/span><\/p>\r\n

The purpose of this research project is to assess function, effectiveness and quality of geriatric services both from the viewpoints of the patient and healthcare system. In addition, the project provides knowledge on the care of acute and chronic diseases, particularly among home care clients. The main reseach topics include detection of factors predicting different health outcomes and testing and developing tools for healthcare professionals for assessing older patients and monitoring quality of their care. In wide scale, the project ranges from preventive services to outpatient geriatric assessment, home care, emergency and hospital care, and long-term care. However, at the moment the main focus is on acute care of the aged, including orthogeriatrics, and \u2013 on the other hand \u2013 on the management home care clients\u2019 chronic conditions. From methodological point of view, the main interest is in the use of routinely collected and register-based data, like hospital discharge records, RAI assessments and prescription data.<\/span><\/p>\r\n

Besides coworkers at GEREC, the research group co-operates with researchers from Tampere University Hospital (emergency care, gastrointestinal surgery, infectious diseases, orthopedics) and the Finnish Institute for Health and Welfare, FIMEA and University of Eastern Finland.<\/span><\/p>\r\nFunding<\/span>\r\nState research funding. Tampere physicians\u2019 society<\/span>\r\n\r\nResearch group<\/span>\r\nPrincipal investigator\r\n<\/i>Esa J\u00e4msen, Associate Professor, esa.jamsen@tuni.fi, Faculty of Medicine and Health Technology, Tampere University\r\n<\/span>\r\n\r\nJaakko Valvanne, Professor (emeritus), jaakko.valvanne@tuni.fi, Faculty of Medicine and Health Technology, Tampere University\r\n<\/span>\r\n\r\nPostdoctoral researchers<\/span>\r\nLauri Seinel\u00e4, MD, PhD, lauri.seinela@tuni.fi, Faculty of Medicine and Health Technology, Tampere University<\/span>\r\nHeini Huhtala, University Lecturer, heini.huhtala\u00a3tuni.fi, Faculty of Social Sciences (health sciences), Tampere University\r\n<\/span>\r\n\r\nDoctoral students<\/span>\r\nLL Saila Haapasalmi:\u00a0Hospital care and and hospital readmissions in the aged<\/span>\r\nLL Hanna Kerminen (hanna.kerminen@tuni.fi):\u00a0Use of comprehensive geriatric assessment in clinical practice<\/span>\r\nFM, puheterapeutti Riitta L\u00e4hde: Dysphagia in acute geriatric setting<\/span>\r\nLL Heidi M\u00f6rttinen-Vallius:\u00a0Use of opioid analgesics among home care clients<\/span>\r\nLL Riina Nurmi: Subsequent fractures and hospital readmissions following hip fracture<\/span>\r\nLL Jukka R\u00f6nneikk\u00f6:\u00a0RAI assessment in home care<\/span>\r\nFM, proviisori Jasmin Paulam\u00e4ki: Use of potentially inappropriate medications in Finland<\/span>\r\n\r\nSelected publications<\/span>\r\n\r\nOriginal article, Finnish Medical Journal, 2018: Screening of memory and attention disorders in hospital (Muistitoimintojen ja tarkkaavaisuuden h\u00e4iri\u00f6iden seulonta sairaalassa).<\/span>\r\nOriginal article, Journal of American Geriatrics Society, 2017: Predictors for Unplanned Hospitalization of New Home Care Clients<\/a><\/span>\r\nOriginal article, Finnish Medical Journal, 2016: Urinary tract infections in acutely hospitalized geriatric patients (Virtsatieinfektio i\u00e4kk\u00e4\u00e4n potilaan sairaalaan oton syyn\u00e4: onko diagnoosille perusteita?)<\/span>\r\nReview, Finnish Medical Journal 2015: When the disease is cured but the patient is not - Hospitalization-associated disability (Kun tauti paranee mutta potilas ei \u2013 sairaalahoitoon liittyv\u00e4 toimintakyvyn heikentyminen).<\/span>\r\nEditorial, Finnish Medical Journal, 2012: Riskivanhukset tulisi tunnistaa paremmin<\/span>\r\nEditorial, Finnish Medical Journal, 2011: Hoitoketjut toimiviksi potilaan ketjuiksi<\/span>\r\n\r\nCollaborators<\/span>\r\nFaculty of Social Sciences (health sciences), Tampere University (Marja Jylh\u00e4 and research group of gerontology)<\/span>\r\nTampere University of Applied Sciences (Taru Lehtim\u00e4ki, Tuija Rasku, Sirpa Salin)<\/span>\r\nTampere University Hospital (Sanna Hoppu, Satu-Liisa Pauniaho, Jaana Syrj\u00e4nen, Mika Ukkonen)<\/span>\r\nNational Institute for Health and Welfare (THL), Health and Social Services, Aging and Services (Harriet Finne-Soveri, Matti M\u00e4kel\u00e4), and Centre for Health and Social Economics CHESS (Unto H\u00e4kkinen, Mikko Peltola)<\/span>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n[\/vc_column_text][\/vc_column][\/vc_row]","_en_post_name":"functionality-quality-of-service-chain","_en_post_excerpt":"","_en_post_title":"The functionality and the quality of the geriatric service chain \/ Esa J\u00e4msen and Jaakko Valvanne","edit_language":"en","footnotes":""},"class_list":["post-5853","page","type-page","status-publish","hentry","entry","no-media"],"_links":{"self":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/5853","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/comments?post=5853"}],"version-history":[{"count":22,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/5853\/revisions"}],"predecessor-version":[{"id":9058,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/5853\/revisions\/9058"}],"up":[{"embeddable":true,"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/pages\/5663"}],"wp:attachment":[{"href":"https:\/\/www.gerec.fi\/en\/wp-json\/wp\/v2\/media?parent=5853"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}