Dr. Lorna Roe
Research Assistant Professor, Public Health & Primary Care
Research Assistant Professor, Trinity Inst. of Neurosciences (TCIN)
Biography
Lorna Roe is a Research Assistant Professor at the Centre for Health Policy and Management in Trinity College Dublin. Lorna is an Alumnus of the HRB SPHERE programme, completing her PHD in Health Services Research and Population Health Sciences in Trinity College Dublin in Ireland 2015. The PhD focused on improving care for older adults living with frailty. It was a mixed methods study, using data from The Irish Longitudinal Study on Ageing (TILDA) in addition to qualitative interviews. Previous work experience includes Social Policy Officer in Age Action, where she worked in the Community and Voluntary Pillar of the Governments' Social Partnership process. There are a number of strands to Lorna's research interests including: Gerontology; ageing trajectories, complexity of needs, frailty and cognitive decline, design of care pathways, healthy ageing and self-determination for older adults. Health economic analysis; health service utilisation and access, particularly econometric analyses to estimate the patterns and costs of frailty and cognitive decline among older adults. Policy analysis; using a whole systems approach to examine access/quality of health and social care for older adults and healthy ageing. Analysis of large datasets, survey, census and administrative data and international comparability of longitudinal ageing datasets. An emerging research area of interest includes exploring how diverse identity impacts on healthy ageing, including the appropriateness and accessibility of health and social care services.
Publications and Further Research Outputs
Peer-Reviewed Publications
O'Halloran A.M., Cremers J., Vrangbaek K., Roe L., Bourke R., Mortensen L.H., Westendorp R.G.J., Kenny R.A., Cardiovascular disease and the risk of incident falls and mortality among adults aged " 65 years presenting to the emergency department: a cohort study from national registry data in Denmark, BMC Geriatrics, 24, (1), 2024
May P, Moriarty F, Hurley E, Matthews S, Nolan A, Ward M, Johnston B, Roe L, Normand C, Kenny RA, Smith S, Formal health care costs among older people in Ireland: methods and estimates using The Irish Longitudinal Study on Ageing (TILDA), 2023
Roe L. and Galvin M., Providing inclusive, person-centred care for LGBT+ older adults: A discussion on health and social care design and delivery, Journal of Nursing Management, 29, (1), 2021, p104 - 108
Lorna Roe, Christine McGarrigle, Belinda Hernández, Aisling O"Halloran, Siobhan Scarlett, Mark Ward, Charles Normand, Rose Anne Kenny, Patterns in health service utilisation: Results from Wave 5 of The Irish Longitudinal Study on Ageing, April, 2020, 1-22
Aisling O'Halloran, Christine McGarrigle, Siobhan Scarlett, Lorna Roe, Roman Romero-Ortuno and Rose Anne Kenny, TILDA Report on Population Estimates of Physical Frailty in Ireland to Inform Demographics for Over 50s in Ireland during the COVID-19 Pandemic, April, 2020, 1-21
May P, Roe L, McGarrigle CA, Kenny RA, Normand C., End-of-life experience for older adults in Ireland: results from the Irish longitudinal study on ageing (TILDA)., BMC health services research, 20, (1), 2020, p118
Lorna Roe and Miriam Galvin and Laura Booi and Lenisa Brandao and Jorge Leon Salas and Eimear McGlinchey and Dana Walrath, To live and age as who we really are: Perspectives from older LGBT+ people in Ireland, HRB Open Research, 2020
Frailty in older persons in, editor(s)O'Hanlon S, Smith M , A Comprehensive Guide to Rehabilitation of the Older Patient 4e, Elsevier, 2019, [Roe L, Williamson W, Romero-Ortuno R]
Aisling O"Halloran, Sharon Cruise, Lorna Roe, Siobhán Scarlett, Matthew O"Connell, Frank Kee, Rose Anne Kenny, 180Frailty and Disability in Ireland North and South: Preliminary Evidence from TILDA and NICOLA, Age and Ageing, 47, (suppl_5), 2018, pv1 - v12, pv1-v12
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
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
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
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
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
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
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
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
Non-Peer-Reviewed Publications
United Nations Economic Commission for Europe (UNECE), Guidelines for mainstreaming ageing, United Nations, 2021
Lorna Roe, Steve Thomas, Dominic Trepel, Charles Normand, Wellbeing and Health in Irelands over 50s 2009-2016: Trends in healthcare cover and healthcare use for older adults in Ireland during the austerity years of 2009 to 2016, TILDA, 2018
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
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
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
Roe, L, Models of integrated care for frail older people, 1st National Clinical Care Programme for Older People conference, Dublin, Ireland, May 2015, 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
Research Expertise
Projects
- Title
- The Frail Brain and the Frail Body: Impact of FRAILty and COGnitive impairment on trajectories, patterns and costs in care in old age
- Summary
- Background: Healthcare needs and service use increase with frailty. Frailty is closely linked with cognitive impairment, but not all those who are cognitively impaired are frail. It is not well understood how the combination of frailty and cognitive impairment are related to patterns of illness, service use and cost of care. Aim: We will use data from the Irish Longitudinal Study on Ageing (TILDA) to examine: 1. The prevalence of physical and cognitive frailty and incident risk of severe cognitive impairment 2. The drivers of patterns and costs of care Methods: We aim to use data from wave 1 to wave 5 of the Irish Longitudinal Study on Ageing (TILDA). Respondent"s socio-economic data, health data (frailty, chronic illness, disability, falls, and measures of cognition) and healthcare utilisation (primary, secondary, long term care, medication, informal care) will be used. In the context of future pressures on public budgets from population ageing, examining the determinants of healthcare utilisation and costs with frailty and cognitive impairment can assist policymakers in designing appropriate interventions (e.g., increasing use of primary prevention) to control expenditure, improve population health and better project the effects
- Funding Agency
- Health Research Board
- Date From
- November 2019
- Date To
- October 2027
- 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
Representations
Co-delivered a masterclass "Improving outcomes through identification of frailty" to the Northern Ireland Frailty Network Autumn conference
A written representation to the Citizens Assembly entitled "How we best respond to the challenges and opportunities of an ageing population on the Irish health and social care system"
Invited speaker on the topic 'Models of integrated care for frail older people' at the 1st National Clinical Care Programme for Older People conference, Royal College of Physicians, Dublin, Ireland
Developed a workshop 'Brain Health and Diversity: Perspectives from the LGBT+ community' in conjunction with Fellows at the Global Brain Health Institute with contributions from the TCD School of Law and School of Nursing, political representatives, members of LGBT+ representative groups and older adults who identified as LGBT+
Publication of an opinion piece in the Irish Times 'Older LGBT+ people face significant obstacles in Irish society' to coincide with Pride Festival
I assisted in the organisation and design of the conference "Exploring the establishment of a statutory homecare scheme in Ireland" co-run by the Irish Gerontological Society (IGS) and the Irish Social Policy Association (ISPA) Key experts discussed aspects of such a statutory homecare scheme from a number of perspectives including clinical, economic and policy. Speakers included: Brendan Courtney (RTE presenter), Elaine O Connor (Connolly Hospital & Irish Gerontological Society), Justin Moran (Age Action), Virginia Pye (Public Health Nursing, HSE), Maeve O'Brien (Department of Health), Dr. Rachel Kiersey (Health Research Board), Dr Catriona Murphy (Dublin City University/TILDA), Prof. Desmond O"Neill (Consultant Geriatrician, Tallaght Hospital), Padraic Fleming (SPHeRE/NUI Maynooth), Prof Eamon O'Shea (Irish Centre for Social Gerontology), Dr Siobhan Kennelly (National Clinical Care Programme for Older People) and Michael Fitzgerald (HSE Services for Older People)
Publication of an opinion piece for the Irish Independent entitled 'Finding sustainable funding for homecare is in all our best interests' in the aftermath of the broadcast of the documentary "We need to talk about Dad" which had started a national debate about the provision of public homecare services in Ireland
Awards and Honours
Health Research Board 'Applying Research into Policy and Practice (ARPP)' Awardee
Atlantic Fellow for Equity in Brain Health at the Global Brain Health Institute (GBHI)
Faculty of Health Sciences (TCD) 'Ageing Research Award'
Irish Gerontological Society (IGS) Presidential Prize Medal
World Congress on Integrated Care (WCIC) 'Best Oral Presentation'
LSE Beveridge Scholarship
HRB PhD Scholarship
TCD Equality Fund Awardee
TCD Faculty of Health Sciences 'Deans Fund' awardee
Memberships
Atlantic Fellow for Equity in Brain Health at the Global Brain Health Institute (GBHI)
Member of the Expert Review panel of the United Nations Economic Commission for Europe (UNECE) Guidelines on Mainstreaming Ageing
Trinity Board member (elected)
Invited Board member of the Institute of Obstetricians and Gynaecologists, Royal College of Physicians Ireland
Executive Committee of the Irish Gerontological Society
Committee of the Irish Social Policy Association