{"id":"https://openalex.org/W2157751595","doi":"https://doi.org/10.1093/geront/47.5.604","title":"Clinical Evidence in Guardianship of Older Adults Is Inadequate: Findings From a Tri-State Study","display_name":"Clinical Evidence in Guardianship of Older Adults Is Inadequate: Findings From a Tri-State Study","publication_year":2007,"publication_date":"2007-10-01","ids":{"openalex":"https://openalex.org/W2157751595","doi":"https://doi.org/10.1093/geront/47.5.604","mag":"2157751595","pmid":"https://pubmed.ncbi.nlm.nih.gov/17989402","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/4114332"},"language":"en","primary_location":{"id":"doi:10.1093/geront/47.5.604","doi":"https://doi.org/10.1093/geront/47.5.604","is_oa":false,"landing_page_url":"https://doi.org/10.1093/geront/47.5.604","pdf_url":null,"source":{"id":"https://openalex.org/S130337233","display_name":"The Gerontologist","issn_l":"0016-9013","issn":["0016-9013","1758-5341"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Gerontologist","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4114332","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016834398","display_name":"Jennifer A. Moye","orcid":"https://orcid.org/0000-0002-3434-347X","observed_orcids":["https://orcid.org/0000-0002-3434-347X"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"J. Moye","raw_affiliation_strings":["VA Medical Center, 940 Belmont Street, Brockton, MA 02301, USA. jennifer.moye@va.gov"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"VA Medical Center, 940 Belmont Street, Brockton, MA 02301, USA. jennifer.moye@va.gov","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087079715","display_name":"Stacey A. Wood","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S. Wood","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104909353","display_name":"Barry A. Edelstein","orcid":"https://orcid.org/0000-0001-6648-8000","observed_orcids":["https://orcid.org/0000-0001-6648-8000"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"B. Edelstein","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054861193","display_name":"Jorge C. Armesto","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J. C. Armesto","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075939242","display_name":"Emily H. Bower","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E. H. Bower","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057346678","display_name":"Julie A. Harrison","orcid":"https://orcid.org/0000-0002-2905-6134","observed_orcids":["https://orcid.org/0000-0002-2905-6134"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J. A. Harrison","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":null,"display_name":"E. Wood","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E. Wood","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5016834398"],"corresponding_institution_ids":[],"apc_list":{"value":4408,"currency":"USD","value_usd":4408},"apc_paid":null,"fwci":2.9025,"has_fulltext":false,"cited_by_count":52,"citation_normalized_percentile":{"value":0.90381314,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":100},"biblio":{"volume":"47","issue":"5","first_page":"604","last_page":"612"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.9429000020027161,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.9429000020027161,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13096","display_name":"Family and Matrimonial Law","score":0.022199999541044235,"subfield":{"id":"https://openalex.org/subfields/3308","display_name":"Law"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12462","display_name":"Elder Abuse and Neglect","score":0.013000000268220901,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/adult-guardianship","display_name":"adult guardianship","score":0.9549999833106995},{"id":"https://openalex.org/keywords/clinical-evidence","display_name":"clinical evidence","score":0.5199999809265137},{"id":"https://openalex.org/keywords/functional-assessment","display_name":"functional assessment","score":0.7630000114440918},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.7509999871253967},{"id":"https://openalex.org/keywords/functional-deficits","display_name":"functional deficits","score":0.49399998784065247},{"id":"https://openalex.org/keywords/patient-preferences","display_name":"patient preferences","score":0.4180000126361847},{"id":"https://openalex.org/keywords/massachusetts","display_name":"Massachusetts","score":0.5350000262260437},{"id":"https://openalex.org/keywords/pennsylvania","display_name":"Pennsylvania","score":0.9959999918937683},{"id":"https://openalex.org/keywords/colorado","display_name":"Colorado","score":1.0}],"concepts":[{"id":"https://openalex.org/C47867601","wikidata":"https://www.wikidata.org/wiki/Q157509","display_name":"Legal guardian","level":2,"score":0.9804816246032715},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4860685169696808},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.44102028012275696},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.41808566451072693},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1696428656578064},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.12299266457557678}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004185","descriptor_name":"Disability Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005069","descriptor_name":"Evaluation Studies as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007872","descriptor_name":"Legal Guardians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013219","descriptor_name":"State Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1093/geront/47.5.604","doi":"https://doi.org/10.1093/geront/47.5.604","is_oa":false,"landing_page_url":"https://doi.org/10.1093/geront/47.5.604","pdf_url":null,"source":{"id":"https://openalex.org/S130337233","display_name":"The Gerontologist","issn_l":"0016-9013","issn":["0016-9013","1758-5341"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Gerontologist","raw_type":"journal-article"},{"id":"pmid:17989402","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17989402","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Gerontologist","raw_type":"Comparative Study"},{"id":"pmh:oai:pubmedcentral.nih.gov:4114332","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4114332","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Gerontologist","raw_type":"Text"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.585.4555","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.585.4555","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://gerontologist.oxfordjournals.org/content/47/5/604.full.pdf","raw_type":"text"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:4114332","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/4114332","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Gerontologist","raw_type":"Text"},"sustainable_development_goals":[{"score":0.504800021648407,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.8199999928474426,"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G2651953190","display_name":"MEDICAL DECISION MAKING ABILITIES IN DEMENTIA","funder_award_id":"R29MH057104","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"}],"funders":[{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":13,"referenced_works":["https://openalex.org/W408867989","https://openalex.org/W1582815811","https://openalex.org/W1990311134","https://openalex.org/W2042714846","https://openalex.org/W2063976430","https://openalex.org/W2083132111","https://openalex.org/W2093767268","https://openalex.org/W2107875611","https://openalex.org/W2128529067","https://openalex.org/W2312394146","https://openalex.org/W2599734864","https://openalex.org/W2615851969","https://openalex.org/W2743736181"],"related_works":["https://openalex.org/W2055543131","https://openalex.org/W1582815811","https://openalex.org/W2165029273","https://openalex.org/W2111987715","https://openalex.org/W1489773499","https://openalex.org/W3122742052","https://openalex.org/W2313411016","https://openalex.org/W2113060694","https://openalex.org/W4378803087","https://openalex.org/W4387151087"],"abstract_inverted_index":{"PURPOSE:":[0],"This":[1],"preliminary":[2],"study":[3],"compared":[4],"clinical":[5,51,67,163,197,208],"evaluations":[6],"for":[7,23,53,69,152,222],"guardianship":[8,28,54,70,233],"in":[9,31,73,88,93,157,170,174,217],"three":[10,36],"states":[11,37,183],"with":[12,38,77,97,106,160,184,193],"varying":[13,39],"levels":[14],"of":[15,26,41,48,64,86,103,110,154,196,201,229],"statutory":[16,42,81],"reform.":[17,43],"DESIGN":[18],"AND":[19],"METHODS:":[20],"Case":[21],"files":[22],"298":[24],"cases":[25,156],"adult":[27],"were":[29,59,126,142,150,168],"reviewed":[30],"Massachusetts,":[32,94],"Pennsylvania,":[33],"and":[34,46,55,91,123,134,140,199,209,219,225],"Colorado,":[35,74,158],"degrees":[40],"The":[44,62],"quality":[45,63,195],"content":[47],"the":[49,56,65,75,78,111,130,146,155,223,227],"written":[50,66,112],"evidence":[52,68,113],"hearing":[57],"outcome":[58],"recorded.":[60],"RESULTS:":[61],"was":[71,120,136],"best":[72],"state":[76,96],"most":[79],"progressive":[80,185],"reform,":[82,99],"earning":[83,100],"a":[84,95,101],"grade":[85,102],"B":[87],"our":[89],"ratings,":[90],"worst":[92],"minimal":[98],"D":[104],"-":[105],"nearly":[107],"two":[108],"thirds":[109],"illegible.":[114],"Information":[115,128],"on":[116],"specific":[117],"functional":[118,189],"deficits":[119],"frequently":[121],"missing":[122],"conclusory":[124],"statements":[125],"common.":[127],"about":[129],"individual's":[131],"key":[132],"values":[133],"preferences":[135],"almost":[137],"never":[138],"provided,":[139],"individuals":[141],"rarely":[143],"present":[144],"at":[145],"hearing.":[147],"Limited":[148],"orders":[149,167],"used":[151,169],"34%":[153],"associated":[159,192],"more":[161],"complete":[162],"testimony,":[164],"but":[165],"such":[166],"only":[171],"1":[172],"case":[173],"either":[175],"Massachusetts":[176],"or":[177],"Pennsylvania.":[178],"IMPLICATIONS:":[179],"In":[180],"this":[181],"study,":[182],"statutes":[186],"that":[187],"promote":[188],"assessment":[190],"are":[191],"increased":[194],"testimony":[198],"use":[200],"limited":[202],"orders.":[203],"A":[204],"continuing":[205],"dialogue":[206],"between":[207],"legal":[210],"professionals":[211],"is":[212],"needed":[213],"to":[214],"advance":[215],"reform":[216],"guardianship,":[218],"thereby":[220],"provide":[221],"needs":[224],"protect":[226],"rights":[228],"adults":[230],"who":[231],"face":[232],"proceedings.":[234]},"counts_by_year":[{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":3},{"year":2021,"cited_by_count":2},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":16},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
