William W. Hung
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View article: Polypharmacy and frailty among aging World Trade Center responders
Polypharmacy and frailty among aging World Trade Center responders Open
Background During and after the 9/11 rescue and recovery efforts, World Trade Center (WTC) responders were exposed to environmental hazards that may accelerate aging and increase frailty. This study examines the relationship between polyph…
View article: Age-related and dual task-induced gait alterations and asymmetry: optimizing the Semmelweis Study gait assessment protocol
Age-related and dual task-induced gait alterations and asymmetry: optimizing the Semmelweis Study gait assessment protocol Open
Gait alterations are recognized as early markers of age-related decline and cognitive impairment. Dual-task assessments, which impose cognitive load while walking, provide valuable insights into gait control limitations and cognitive-motor…
View article: Exploring the intersection of structural racism and ageism in healthcare
Exploring the intersection of structural racism and ageism in healthcare Open
The American Geriatrics Society (AGS) has consistently advocated for a healthcare system that meets the needs of older adults, including addressing impacts of ageism in healthcare. The intersection of structural racism and ageism compounds…
View article: THE RIGHT STRATEGY, THE RIGHT PERSON, THE RIGHT TIME: DEVELOPING AN ADVOCACY FIELD GUIDE FOR RURAL GERIATRICS
THE RIGHT STRATEGY, THE RIGHT PERSON, THE RIGHT TIME: DEVELOPING AN ADVOCACY FIELD GUIDE FOR RURAL GERIATRICS Open
The need to expand rural geriatric services has received increasing attention within and outside the VHA, yet medical center leaders are often challenged to prioritize expanding these services among myriad competing needs. To better unders…
View article: ADVANCING RURAL GERIATRIC SERVICES: LESSONS FROM THE VETERANS HEALTH ADMINISTRATION
ADVANCING RURAL GERIATRIC SERVICES: LESSONS FROM THE VETERANS HEALTH ADMINISTRATION Open
Almost 3 million rural Veterans receive care from the Veterans Health Administration (VHA) and more than half are 65 and older. But, rural older Veterans may have limited access to specialized, interdisciplinary geriatric care services. VH…
View article: “THE HARDEST JOB IS A HOSPITAL DIRECTOR”: LEADERSHIP PERSPECTIVES PRIORITIZING RURAL GERIATRICS IN THE VA
“THE HARDEST JOB IS A HOSPITAL DIRECTOR”: LEADERSHIP PERSPECTIVES PRIORITIZING RURAL GERIATRICS IN THE VA Open
The Veterans Health Administration, like other health systems, faces the challenge of meeting older rural Veterans’ needs. VA leaders must balance these complex needs with other local priorities, and, at the same time, a large number of na…
View article: HIGH CONFIDENCE IN MANAGING COMMON GERIATRIC PROBLEMS AMONG RURAL FRONTLINE CLINICIANS
HIGH CONFIDENCE IN MANAGING COMMON GERIATRIC PROBLEMS AMONG RURAL FRONTLINE CLINICIANS Open
Background Older rural Veterans often have less access to specialty care services, including geriatrics. The Veterans Health Administration’s (VHA) GRECC Connect is a national program that provides virtual geriatric services for patients a…
View article: IDENTIFYING AND MAPPING RURAL VETERANS’ GERIATRIC NEEDS AND RESOURCES
IDENTIFYING AND MAPPING RURAL VETERANS’ GERIATRIC NEEDS AND RESOURCES Open
Veterans in rural areas often lack access to specialized geriatric care and may struggle to reach distant VA facilities for treatment. To better understand the regional needs of aging rural Veterans, this project aims to identify regional …
View article: A FACILITATED APPROACH TO SUSTAINMENT PLANNING FOR A RURAL GERIATRICS PROGRAM
A FACILITATED APPROACH TO SUSTAINMENT PLANNING FOR A RURAL GERIATRICS PROGRAM Open
Continual adaptations enhance health care program sustainability amid ongoing health system changes, yet implementation research lacks descriptions of processes to facilitate needed adaptions, particularly for programs implemented in heter…
View article: Effect of Medication Management at Home via Pharmacist-Led Home Televisits: Protocol for a Cluster Randomized Controlled Trial
Effect of Medication Management at Home via Pharmacist-Led Home Televisits: Protocol for a Cluster Randomized Controlled Trial Open
Background Older adults are more likely to have multiple chronic conditions, be prescribed multiple medications, and be more susceptible to adverse drug reactions (ADRs) to their medications. In addition, older adults often use over-the-co…
View article: Racial and ethnic disparities in potentially inappropriate medication use in patients with dementia
Racial and ethnic disparities in potentially inappropriate medication use in patients with dementia Open
Introduction Racial and ethnic disparities in potentially inappropriate medication (PIM) use among older adults with dementia are unclear. Methods Data were drawn from the baseline visits of participants who were ≥60 years old and diagnose…
View article: Effect of Medication Management at Home via Pharmacist-Led Home Televisits: Protocol for a Cluster Randomized Controlled Trial (Preprint)
Effect of Medication Management at Home via Pharmacist-Led Home Televisits: Protocol for a Cluster Randomized Controlled Trial (Preprint) Open
BACKGROUND Older adults are more likely to have multiple chronic conditions, be prescribed multiple medications, and be more susceptible to adverse drug reactions (ADRs) to their medications. In addition, older adults often use over-the-c…
View article: A pilot study to identify factors associated with frailty within the World Trade Center general responder cohort
A pilot study to identify factors associated with frailty within the World Trade Center general responder cohort Open
Background Given the significant exposures experienced by the World Trade Center (WTC) general responders, there is increasing interest in understanding the effect of these exposures on aging in this population. We aim to identify factors …
View article: Can telemedicine reach rural, older veterans on the edge of or caught in the digital divide? – Unique considerations for two distinct populations
Can telemedicine reach rural, older veterans on the edge of or caught in the digital divide? – Unique considerations for two distinct populations Open
GRECC Connect, a national program with interprofessional teams at urban-based VA medical facilities, partner with VA community-based outpatient clinics (CBOCs) to provide geriatric specialty care via telemedicine to rural, older Veterans. …
View article: Needs for Successful Engagement in Telemedicine Among Rural Older US Veterans and Their Caregivers: Qualitative Study
Needs for Successful Engagement in Telemedicine Among Rural Older US Veterans and Their Caregivers: Qualitative Study Open
Background Telemedicine is an important option for rural older adults who often must travel far distances to clinics or forgo essential care. In 2014, the Geriatric Research, Education, and Clinical Centers (GRECC) of the US Veterans Healt…
View article: The Development and Use of a New Visual Tool (REVISIT) to Support Participant Recall: Web-Based Interview Study Among Older Adults
The Development and Use of a New Visual Tool (REVISIT) to Support Participant Recall: Web-Based Interview Study Among Older Adults Open
Background Qualitative health services research often relies on semistructured or in-depth interviews to develop a deeper understanding of patient experiences, motivations, and perspectives. The quality of data gathered is contingent upon …
View article: VARIATIONS ACROSS 11 DEPARTMENT OF VETERANS AFFAIRS HOSPITAL-IN-HOME PROGRAMS IN 2021–2022
VARIATIONS ACROSS 11 DEPARTMENT OF VETERANS AFFAIRS HOSPITAL-IN-HOME PROGRAMS IN 2021–2022 Open
The Department of Veterans Affairs’ (VA) Hospital-In-Home (HIH) program provides Veterans with the option to receive acute level services in the comforts of their own homes. A total of 11 HIH programs operated between fiscal years 2021 and…
View article: GERIATRIC RENAL TRANSPLANT CO-MANAGEMENT: EVALUATION OF FRAIL OLDER ADULTS FOR TRANSPLANT ELIGIBILITY
GERIATRIC RENAL TRANSPLANT CO-MANAGEMENT: EVALUATION OF FRAIL OLDER ADULTS FOR TRANSPLANT ELIGIBILITY Open
Older transplant patients have higher rates of adverse post-transplant outcomes. The Renal Transplant Co-Management (RCOM) program is a collaboration of surgeons, geriatricians, and social workers to medically and psychosocially optimize o…
View article: THE DEPARTMENT OF VETERANS AFFAIRS HOSPITAL-IN-HOME PROGRAM: A BIRD’S EYE VIEW
THE DEPARTMENT OF VETERANS AFFAIRS HOSPITAL-IN-HOME PROGRAM: A BIRD’S EYE VIEW Open
The Department of Veterans Affairs (VA) Hospital-In-Home (HIH) program offers Veterans the option to receive intensive, institutional-level acute services in their homes. This study presents characteristics of Veterans across 11 HIH progra…
View article: LOCAL ADAPTATIONS OF HIH: VARIATIONS IN STRUCTURE AND IMPLEMENTATION OF HIH MODEL ACROSS SIX VA PROGRAMS
LOCAL ADAPTATIONS OF HIH: VARIATIONS IN STRUCTURE AND IMPLEMENTATION OF HIH MODEL ACROSS SIX VA PROGRAMS Open
A number of Department of Veterans Affairs (VA) medical centers have adopted the Hospital-In-Home (HIH) model of care to provide at home services to Veterans requiring acute-level hospital care. We aimed to identify similarities and variat…
View article: DIRECT OBSERVATION OF OLDER ADULTS VIDEO TELEMEDICINE CHALLENGES
DIRECT OBSERVATION OF OLDER ADULTS VIDEO TELEMEDICINE CHALLENGES Open
Video to home has the potential to increase access to clinical services for older adults that face barriers to in-person care and to specialty care such as mobility and transportation challenges. There is evidence that the digital divide h…
View article: HEALTH SYSTEM LEADERSHIP PERSPECTIVES AND PRIORITIES ON CARE FOR OLDER ADULTS
HEALTH SYSTEM LEADERSHIP PERSPECTIVES AND PRIORITIES ON CARE FOR OLDER ADULTS Open
Innovative care models for older adults such as non-institutional and home-based care have the potential to improve quality and efficiency of healthcare, but adoption of these models requires resources from health systems. Health systems l…
View article: The role of Department of Veterans Affairs community‐based outpatient clinics in enhancing rural access to geriatrics telemedicine specialty care
The role of Department of Veterans Affairs community‐based outpatient clinics in enhancing rural access to geriatrics telemedicine specialty care Open
Background Half of the 4.7 M veterans who reside in rural communities and rely on U.S. Department of Veterans Affairs (VA) health care are older (≥65). Their rurality presents unique challenges, including a shortage of clinicians skilled i…
View article: Connecting the disconnected: Leveraging an in‐home team member for video visits for older adults
Connecting the disconnected: Leveraging an in‐home team member for video visits for older adults Open
Background Older adults are interested and able to complete video visits, but often require coaching and practice to succeed. Data show a widening digital divide between older and younger adults using video visits. We conducted a qualitati…
View article: The Development and Use of a New Visual Tool (REVISIT) to Support Participant Recall: Web-Based Interview Study Among Older Adults (Preprint)
The Development and Use of a New Visual Tool (REVISIT) to Support Participant Recall: Web-Based Interview Study Among Older Adults (Preprint) Open
BACKGROUND Qualitative health services research often relies on semistructured or in-depth interviews to develop a deeper understanding of patient experiences, motivations, and perspectives. The quality of data gathered is contingent upon…
View article: Needs for Successful Engagement in Telemedicine Among Rural Older US Veterans and Their Caregivers: Qualitative Study (Preprint)
Needs for Successful Engagement in Telemedicine Among Rural Older US Veterans and Their Caregivers: Qualitative Study (Preprint) Open
BACKGROUND Telemedicine is an important option for rural older adults who often must travel far distances to clinics or forgo essential care. In 2014, the Geriatric Research, Education, and Clinical Centers (GRECC) of the US Veterans Heal…