A literature review of interprofessional working and intermediate care in the UK

Rout, Amelia; Ashby, Susan; Maslin‐Prothero, Sian; Masterson, Abigail; Priest, Helena; Beach, M.E.; Harrison, Gina; Mann, P J; Sturdy, Deborah

doi:10.1111/j.1365-2702.2009.03156.x

Cited by 5 publications

(8 citation statements)

References 19 publications

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“…Existing scientific reviews of IHSC largely focus on the characteristics of IHSC systems, exploring models of care, values of IHSC and their impact and effect upon service delivery outcomes (Baxter et al., 2018; Kelly et al, 2020; Robertson et al., 2014; Zonneveld et al, 2018). Many reviews explore integrated ways of working, policy drivers, implementation strategies and funding (Billings & De Weger, 2015; Cameron et al, 2014; Maslin‐Prothero & Bennion, 2010; Mason et al., 2015; Rout et al., 2011; Rummery, 2009; Weatherly et al, 2010). Service user needs and experiences of IHSC are explored in part; however, specific contexts limit the scope of some of these reviews; for example, service users who are homeless or living with long‐term conditions (McGilton et al., 2018; Omerov et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Integrated health and social care in the community: A critical integrative review of the experiences and well‐being needs of service users and their families

Henderson

Bain

Allan

et al. 2020

Health Soc Care Community

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A need for people‐centred health and social support systems is acknowledged as a global priority. Most nations face challenges in providing safe, effective, timely, affordable, coordinated care around the needs and preferences of people who access integrated health and social care (IHSC) services. Much of the current research in the field focuses on describing and evaluating specific models for delivering IHSC. Fewer studies focus on person‐centred experiences, needs and preferences of people who use these services. However, current international guidance for integrated care sets a precedence of person‐centred integrated care that meets the health and well‐being needs of people who access IHSC services. This integrative literature review synthesises empirical literature from six databases (CINAHL; MEDLINE; AMED; TRIP; Web of Science and Science Direct; 2007–2019). This review aims to better understand the experiences and health and well‐being needs of people who use IHSC services in a community setting. Twenty studies met the inclusion criteria and results were thematically analysed. Three overarching themes were identified, including relationships, promoting health and well‐being and difficulty understanding systems. Findings of this review indicate that relationships hold significance in IHSC. People who access IHSC services felt that they were not always involved in planning their care and that there was a lack of clarity in navigating integrated systems; subsequently, this impacted upon their experiences of those services. However, service user and informal carer voices appear to be underrepresented in current literature and studies that included their views were found to be of low quality overall. Collectively, these findings support the need for further research that explores the person‐centred experiences and needs of people who access IHSC.

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Section: Discussionmentioning

confidence: 99%

Integrated health and social care in the community: A critical integrative review of the experiences and well‐being needs of service users and their families

Henderson

Bain

Allan

et al. 2020

Health Soc Care Community

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“…It was difficult to establish how services that did not have a single issue/disease focus were organized, if there were shared accountability structures or how the effectiveness of IPW was defined across organisations. This focus on the implementation of health and social care services over evaluations of effectiveness for the patient or service user is well documented [19,38,43,45-47]. Despite our best efforts it was very difficult to identify who was best placed to describe IPW for older people even when taking account of the need for this to be spread between managers.…”

Section: Discussionmentioning

confidence: 99%

Models of inter professional working for older people living at home: a survey and review of the local strategies of english health and social care statutory organisations

Goodman

Drennan

Scheibl

et al. 2011

BMC Health Serv Res

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BackgroundMost services provided by health and social care organisations for older people living at home rely on interprofessional working (IPW). Although there is research investigating what supports and inhibits how professionals work together, less is known about how different service models deliver care to older people and how effectiveness is measured. The aim of this study was to describe how IPW for older people living at home is delivered, enacted and evaluated in England.MethodAn online survey of health and social care managers across England directly involved in providing services to older people, and a review of local strategies for older people services produced by primary care organisations and local government adult services organisations in England.ResultsThe online survey achieved a 31% response rate and search strategies identified 50 local strategies that addressed IPW for older people living at home across health and social care organisations. IPW definitions varied, but there was an internal consistency of language informed by budgeting and organisation specific definitions of IPW.Community Services for Older People, Intermediate Care and Re-enablement (rehabilitation) Teams were the services most frequently identified as involving IPW. Other IPW services identified were problem or disease specific and reflected issues highlighted in local strategies. There was limited agreement about what interventions or strategies supported the process of IPW. Older people and their carers were not reported to be involved in the evaluation of the services they received and it was unclear how organisations and managers judged the effectiveness of IPW, particularly for services that had an open-ended commitment to the care of older people.ConclusionHealth and social care organisations and their managers recognise the value and importance of IPW. There is a theoretical literature on what supports IPW and what it can achieve. The need for precision may not be so necessary for the terms used to describe IPW. However, there is a need for shared identification of both user/patient outcomes that arise from IPW and greater understanding of what kind of model of IPW achieves what kind of outcomes for older people living at home

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“…One overall strategy has been to initiate organizational changes, for example by merging organizations or creating new units in order to reduce bottlenecks or discontinuities between different activities or services. In the care of the elderly, observation units and units for intermediate care and early discharge from hospitals have also been developed [678]. Such units can for example be organized as community hospitals or nurse-led wards.…”

Section: Background and Aimsmentioning

confidence: 99%

“…30]. Recent reviews emphasize the significance of intermediate units in elderly care, but views of patients and carers represent a gap in the research literature [8]. …”

Section: Background and Aimsmentioning

confidence: 99%

Interorganizational Collaboration in Transitional Care – A Study of a Post-Discharge Programme for Elderly Patients

Orvik

Nordhus

Axelsson

et al. 2016

International Journal of Integrated Care

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Introduction and aim:This article reports a study of a post-discharge programme for elderly patients in Norway. It took place in an intermediate ward for transitional care and was based on collaboration between a municipality and a hospital, which was part of a health enterprise. The aim of the study was to analyse the collaboration and its possible effects on the quality of patient care, and the economic efficiency of the project for the organizations involved.Methodology:A mixed-methods approach, consisting of interviews, questionnaires and analyses of official documents and statistics.Results:The collaboration was working well on the top level of the organizations, but was more problematic on the operative level. However, there were clear signs of improvement. The patients who received transitional care were more satisfied with their stay at the ward than their previous stay at the hospital. They were discharged to their homes more often and perceived to have a higher level of functioning than the hospital patients. Average costs per patient were also lower in the ward than in the hospital departments.Conclusion:The collaboration had mainly positive impacts on the quality of patient care and the economic efficiency of elderly care in the municipality. However, the board of the health enterprise decided to close down the intermediate ward.

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A literature review of interprofessional working and intermediate care in the UK

Abstract: Intermediate care as a policy has been interpreted very differently across the four countries of the UK; there is no one preferred or consistent interpretation to its delivery.

Cited by 5 publications

References 19 publications

Integrated health and social care in the community: A critical integrative review of the experiences and well‐being needs of service users and their families

Integrated health and social care in the community: A critical integrative review of the experiences and well‐being needs of service users and their families

Models of inter professional working for older people living at home: a survey and review of the local strategies of english health and social care statutory organisations

Interorganizational Collaboration in Transitional Care – A Study of a Post-Discharge Programme for Elderly Patients

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