Evidence map›Paper›PMID 41814199›Full record

ArticleBMC geriatrics2026

Understanding the situation and challenges of falls prevention work in clinical settings for geriatric healthcare in China: a mixed-method study.

Qi Zhou, Jiling Liao, Hengshuo Liu, Yuanyuan Jiang, Dingyi Wang, Xinmiao Chang, Juan Wu, Huan Xi, Xiaofen Wu, Haitao Chen and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Qi ZhouDepartment of Basic Innovation Research, Beijing Hospital, National Center for Gerontology; National Clinical Research Center for Gerontology; The Key Laboratory of Geriatrics of NHC; Beijing Key Laboratory of Aging Mechanism and Intervention Research On Aging-Related Diseases, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 10073, China.
Jiling LiaoDepartment of Geriatrics, Beijing Hospital, National Center for Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 10073, China.
Hengshuo LiuDepartment of Basic Innovation Research, Beijing Hospital, National Center for Gerontology; National Clinical Research Center for Gerontology; The Key Laboratory of Geriatrics of NHC; Beijing Key Laboratory of Aging Mechanism and Intervention Research On Aging-Related Diseases, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 10073, China.
Yuanyuan JiangDepartment of Basic Innovation Research, Beijing Hospital, National Center for Gerontology; National Clinical Research Center for Gerontology; The Key Laboratory of Geriatrics of NHC; Beijing Key Laboratory of Aging Mechanism and Intervention Research On Aging-Related Diseases, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 10073, China.
Dingyi WangNational Center for Respiratory Medicine; State Key Laboratory of Respiratory Health and Multimorbidity; National Clinical Research Center for Respiratory Diseases; Institute of Respiratory Medicine, Chinese Academy of Medical Sciences; Data and Project Management Unit, Center of Respiratory Medicine, China-Japan Friendship Hospital, Beijing, 100192, China.
Xinmiao ChangDepartment of Geriatrics, Beijing Hospital, National Center for Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 10073, China.
Juan WuDepartment of Geriatrics, Beijing Hospital, National Center for Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 10073, China.
Huan XiDepartment of Geriatrics, Beijing Hospital, National Center for Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 10073, China. xih@bjhmoh.cn.
Xiaofen WuDepartment of Gerontology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. 375961667@qq.com.
Haitao ChenDepartment of Geriatrics, Changhai Hospital, Naval Medical University, Shanghai, 200433, China. medchenhaitao@163.com.
Li CaoDepartment of Geriatrics, West China Hospital of Sichuan University, Cheng Du, 610041, China. caoli@wchscu.cn.
Wenbin WuDepartment of Geriatrics, Beijing Hospital, National Center for Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 10073, China. firestone1985@126.com.

Funding

National Science and Technology Major Project for the Prevention and Treatment of Cancer, Cardiovascular and Cerebrovascular, Respiratory and Metabolic Diseases 2024ZD0524100, 2024ZD0524104, and 2023ZD0509803the China National Key R&D Program 2021YFE0111800 and 2020YFC2009006the National High Level Hospital Clinical Research Funding BJ-2024-210
6 · The paper itself

Abstract

backgroundFalls are a major public health concern in rapidly ageing countries. While guidelines for preventing falls exist, their application remains arduous. This study aimed to understand the situation and challenges of falls prevention work in Chinese clinical practices for geriatric healthcare. DESIGN AND

methodsA mixed-methods convergent design was used with a nationwide quantitative survey and qualitative interviews. Geriatricians, general practitioners, and nurses from tertiary/secondary hospitals and community healthcare centres were recruited via purposive and snowball sampling. Domains and themes were developed following the integration of the two results (survey and interview)—focused on falls prevention status and implementation barriers—within the framework of the 2022 World Falls Guideline.

resultsThree domains and nine themes were identified. The domains were (1) The extent of falls prevention practices, (2) Understanding on the clinical importance and effectiveness of falls prevention, and (3) Challenges in implementing falls prevention programs. The themes were (1) Systematic falls prevention was not widely conducted, (2) Fewer practices in community healthcare centres versus secondary and tertiary hospitals, (3) Wards implemented more clinical practices than outpatient settings, (4) Falls were not deemed as a primary concern in clinical practice, (5) Scepticism about the effectiveness of interventions, (6) How to select patients? (7) Inadequate competence in assessment and intervention, (8) A lack of integrated care and pathways, and (9) Financing challenges. CONCLUSIONS AND IMPLICATIONS: This study concluded that while the importance of falls prevention was widely recognized in both outpatient and inpatient settings, its implementation remained unsystematic. Narrowing the knowledge-to-practice gap is a key priority for geriatric healthcare settings when rolling out evidence-based falls prevention initiatives.

Indexed as

Accidental FallsGeriatricsAgedChinaFemaleHumansMaleBarriers and facilitatorsClinical practiceFallsFalls preventionGeriatric medicineHospitalsInpatientOlder adultsOutpatientThe world falls prevention guideline

Identifiers

PMID41814199
PMCPMC13088802

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LicenceCC BY-NC-ND
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Registered trials

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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.