ArticleJournal of aging & social policy2022
Unrepresented Adults Face Adverse Healthcare Consequences: The Role of Guardians, Public Guardianship Reform, and Alternative Policy Solutions.
Article in Journal of aging & social policy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed.
- Impact of Legal Protection on Life-Support Interventions and 3-Month Mortality in the Intensive Care Unit: The Vulne-Rea Study.Healthcare (Basel, Switzerland) · 2026Article
- Prolonged Hospitalization and Adverse Events in Veterans Awaiting Guardianship: A Retrospective Cohort Analysis.Journal of general internal medicine · 2025Article
- Top Ten Tips Palliative Care Clinicians Should Know About Caring for Patients Under Guardianships.Journal of palliative medicine · 2025Article
- Health Outcomes of Elder Orphans: An Umbrella and Scoping Review of the Literature.Journal of population ageing · 2024Article
- Guardianship Before and Following Hospitalization.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2023Article
- Kinless Older Adults With Dementia: Qualitative Analysis of Data From the Adult Changes in Thought Study.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Current situation of the hospitalization of persons without family in Japan and related medical challenges.PloS one · 2023Article
- "I worry about this patient EVERY day": Geriatrics Clinicians' Challenges in Caring for Unrepresented Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- End-of-Life Care for Persons Under Guardianship.Journal of pain and symptom management · 2021Article
- Adults Without Advocates and the Unrepresented: A Narrative Review of Terminology and Settings.Gerontology & geriatric medicineReview
- The Cost of Medically Unnecessary Days Due to Waiting for Guardianship in a State Acute Hospital System.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
Persons without family or friends to serve as healthcare agents may become "unrepresented" in healthcare, with no one to serve as healthcare agents when decisional support is needed. Surveys of clinicians (N = 81) and attorneys/guardians (N = 23) in Massachusetts reveal that unrepresented adults experience prolonged hospital stays (66%), delays in receiving palliative care (52%), delays in treatment (49%), and other negative consequences. Clinicians say guardianship is most helpful in resolving issues related to care transitions, medical treatment, quality of life, housing, finances, and safety. However, experiences with guardianship are varied, with delays often/always in court appointments (43%) and actions after appointments (24%). Policy solutions include legal reform, education, and alternate models.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.