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: Polypharmacy and Medication Self-Efficacy in Older Emergency Department Patients
Polypharmacy and Medication Self-Efficacy in Older Emergency Department Patients Open
Over 50% of older adults in the US take ≥5 medications, with prevalence reaching 76.8% in the emergency department (ED) setting. However, little is known about their medication self-efficacy (the ability to understand and follow medication…
View article: Technological Challenges During Video Visits with Veterans for Medication Management
Technological Challenges During Video Visits with Veterans for Medication Management Open
There is limited understanding of technological barriers that occurs leading up to and during video visits for older adults. Successful implementation of video visit to deliver care requires recognizing the specific barriers faced by older…
View article: Beer PIMs and GEMS-Rx Prescribing in Treat-and-Release ED Visits Among Older Veterans: A Proof-of-Concept Study
Beer PIMs and GEMS-Rx Prescribing in Treat-and-Release ED Visits Among Older Veterans: A Proof-of-Concept Study Open
Nearly half of older Veterans (≥65 years) visiting emergency departments (EDs) receive new medications. Potentially inappropriate medication (PIMs) lists, such as Beers Criteria, primarily address long-term use, yet consideration of indica…
View article: Uncertainty About Geriatricians’ Roles Limits Access to Essential Care for Rural Veterans
Uncertainty About Geriatricians’ Roles Limits Access to Essential Care for Rural Veterans Open
Tele-health hub-and-spoke models, where urban specialists provide care for rural patients via telemedicine platforms, are one way to address the dearth of specialty care clinicians in rural areas. Two examples at the VA are GRECC Connect (…
View article: Frailty Screening in World Trade Center Responders: Validation of the WTC Clinical Frailty Index
Frailty Screening in World Trade Center Responders: Validation of the WTC Clinical Frailty Index Open
World Trade Center (WTC) responders are a unique cohort whose environmental exposures place them at increased risk for earlier onset of aging-related conditions, including frailty. Detecting frailty in this group is critical for guiding in…
View article: Rural Urban Disparities in Geriatric Care Resources and Usage
Rural Urban Disparities in Geriatric Care Resources and Usage Open
Disparities in availability of geriatric care may lead to limited access of geriatric care for older adults, especially those residing in rural areas. Mapping locations of geriatric resources and needs will identify incongruities between s…
View article: ALIGNing-CARE in Geriatric Surgery Co-Management: Pre-operative Phase
ALIGNing-CARE in Geriatric Surgery Co-Management: Pre-operative Phase Open
Older patients comprise more than half of surgeries, with greater risk for death, loss of function and quality of life. Geriatric Surgery Co-Management programs aim to assess peri-operative risks and improve surgical outcomes, via comprehe…
View article: Lessons Learned: Implementation & Sustainment of a Geriatric Care Model Within a Changing Healthcare Landscape
Lessons Learned: Implementation & Sustainment of a Geriatric Care Model Within a Changing Healthcare Landscape Open
Americans in rural communities tend to be older and in poorer health than their urban counterparts. Telemedicine programs like GRECC Connect, within the VA healthcare system, have proven to reduce healthcare barriers such as limited availa…
View article: Legitimacy and Geriatrics: Making Space for Geriatric Care in a National Healthcare System
Legitimacy and Geriatrics: Making Space for Geriatric Care in a National Healthcare System Open
This presentation uses the lens of medical anthropology to better understand how geriatric services are established and maintained within the Veterans Health Administration (VHA) system. Specifically, we look to Margaret Locks theoretical …
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: Micro-gyms as a catalyst for healthy aging in university and healthcare settings: applications for the Semmelweis-EUniWell Workplace Health Promotion Model Program
Micro-gyms as a catalyst for healthy aging in university and healthcare settings: applications for the Semmelweis-EUniWell Workplace Health Promotion Model Program Open
Europe is experiencing a significant demographic shift, with aging populations posing economic and social challenges due to increased healthcare costs and a higher prevalence of age-related diseases. Hungary, in particular, faces these cha…
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…