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Lorna Roe
Research Fellow, Public Health & Primary Care
Research Fellow, Trinity Inst. of Neurosciences (TCIN)

Biography

Lorna Roe is a Research Fellow at the Centre for Health Policy and Management in Trinity College Dublin and has been working on health economics analyses at The Irish Longitudinal Study on Ageing (TILDA) since 2013.

Background She studied Social Science at University College Dublin, graduating with a first-class honors degree in 2007 and in 2008 studied for a Masters in Social Policy Research with the London School of Economics and Political Science. Lorna is specifically interested in how healthcare systems respond to the older peoples' healthcare needs. For five years, she worked for Age Action Ireland, an Irish charity who advocate for the rights of older people in Ireland. Working in Age Action deepened her understanding of the challenges facing older people in seeking, activating and managing healthcare services which ultimately prompted her return to academia to investigate solutions to these challenges.

Evidence-based healthcare design The aim of Lornas' doctoral work was to build an evidence base on the current pattern of healthcare utilisation of frail older people and to use that evidence to inform how we can improve care delivery systems, notably through integrated care programmes. She is particularly interested in frailty, as older people who are frail are at risk of many adverse outcomes such as falls, hospitalization and nursing home admission, and, they often need many different kinds of services (e.g. hospital, GP, homecare etc), and providing these services quickly and reliably is a challenge to the healthcare system. She continues to work on this topic in her postdoctoral work on two funded projects in TILDA, the FOCUS and RADIUS projects, which are detailed below.

In addition to her research, Lorna is the Assistant Director of Teaching and Learning on the Structured Population and Health-services Research Education (SPHeRE) PhD programme and the Local Director of the SPHeRE Postgraduate Diploma in Population Health and Health Services Research. She supervises Masters Students in health economics research projects and lectures on the topics of health policy analyses and the impact of population ageing and frailty on the healthcare system.

Specific Research interests: Health policy Patient complexity/frailty and healthcare utilisation Whole-systems analyses of healthcare systems Evidence-based integrated care planning/ healthcare reform Healthcare finance and access

Publications and Further Research Outputs

Peer-Reviewed Publications

Roe, L., Normand, C., Wren, M.-A., Browne, J. and O'Halloran, A. M., The impact of frailty on healthcare utilisation in Ireland: evidence from the Irish longitudinal study on ageing, BMC Geriatrics, 17, (1), 2017 Journal Article, 2017

Roe, L, Supporting Older People to Age in Place in Ireland: Frailty-related Outcomes and health Care USe (FOCUS), 5th World Congress of the International Association of Geriatrics and Gerontology, San Francisco, United States , July 2017, 2017 Conference Paper, 2017

Roe, L., Wren, M.-A., Browne, J., O'Halloran, A. M. and Normand, C., Examining frail older people's use and experience of the Irish healthcare system: A mixed methods study, International Journal of Integrated Care, 4th World Congress on Integrated Care, Wellington, New Zealand, November 2016, 17, (3), 2017 Conference Paper, 2017

Roe, L., A. M. O'Halloran and C. Normand, An evaluation of the Older People Remaining At Home (OPRAH) project: a mixed methods study, Age and Ageing, Killarney, Ireland, September 2016, 45, (2), 2016 Conference Paper, 2016

Roe, L., C. Normand and A. M. O'Halloran, The Impact Of Three Measures Of Frailty On Capturing Health Service Use In Ireland, Irish Ageing Studies Review, The International Association of Geriatrics and Gerontology European Congress (IAGG-EG), Dublin, Ireland, 2015, 6, (1), 2015 Conference Paper, 2015

Roe, L., A. M. O'Halloran and C. Normand, Variation in service utilisation among the frail community dwelling elderly: implications for the design of integrated models of care, International Journal of Integrated Care, 15th International Conference for Integrated Care, Edinburgh, Scotland, March 2015, 15, 2015 Conference Paper, 2015

Roe L., Leadership and Management in Integrated Services, Review of Leadership and Management in Integrated Services, by Judy McKimm and Kay Phillips , International Journal of Integrated Care, 13, (e037), 2013 Review, 2013

Roe, L and C. Normand, A review of the Care Coordination Mechanisms used in Integrated Care Interventions to deliver care across sectors for community-dwelling older people, International Journal of Integrated Care, 1st World Congress on Integrated Care , Singapore, November 2013, 13, (8), 2013 Conference Paper, 2013

Non-Peer-Reviewed Publications

Roe, L., A. M. O'Halloran, C. Normand and C. M. Murphy , The impact of frailty on the public health nurse service: Findings from The Irish Longitudinal Study on Ageing Dublin, TILDA Report, 2016 Journal Article, 2016

Roe, L, Models of integrated care for frail older people, 1st National Clinical Care Programme for Older People conference, Dublin, Ireland, May 2015, 2015 Conference Paper, 2015

Roe, L., A. M. O'Halloran and C. Normand, Discussing an approach to measure the impact of frailty on health and social care utilisation in Ireland, Structured Population and Health services Research Education (SPHeRE) conference, Dublin, Ireland, January 2015, 2015 Conference Paper, 2015

Roe, L., A. M. O'Halloran and C. Normand , Variation in service use among community dwelling frail older people: a latent class analysis, Variation in service use among community dwelling frail older people: a latent class analysis, Milan, Italy, July 2015, 2015 Conference Paper, 2015

Roe, L., A. M. O'Halloran and C. Normand, Exploring the impact of frailty on the health and social care system, Irish Journal of Medical Sciences, Irish Gerontological Society 62nd Annual Scientific Meeting, Galway, Dublin, October 2014, 13, (8), 2013 Conference Paper, 2013

Research Expertise

Projects

  • Title
    • Frailty-related Outcomes and health Care USe (FOCUS)
  • Summary
    • This study is investigating patterns and trajectories of frailty-related health service use over three waves of the TILDA study spanning six years and the impact on mortality, health and social outcomes in Ireland.
  • Funding Agency
    • Health Service Executive
  • Date From
    • September 2016
  • Date To
    • February 2018
  • Title
    • Retrospective cohort study of healthcare utilisation among ADults with frailty in Ireland and the United States (RADIUS)
  • Summary
    • This study is a collaboration between Queens University, Icahn School of Medicine at Mount Sinai and Trinity College Dublin, exploring the patterns of healthcare utilization among frail older people and risk of mortality across three countries.
  • Funding Agency
    • Faculty of Health Sciences Trinity College Dublin
  • Date From
    • 2017
  • Date To
    • 2018

Recognition

Awards and Honours

Ageing Research Award 2017

IGS Presidential Prize Medal 2014

WCIC Best Oral Presentation 2013

LSE Beveridge Scholarship 2007

HRB PhD Scholarship 2011

Memberships

Executive Committee of the Irish Gerontological Society 2014

Committee of the Irish Social Policy Association 2008