Can Managers Research their own Services? An Experiment in Consulting Frail, Older Community Care Clients

Patmore, Charles

doi:10.1108/14769018200100036

Cited by 5 publications

(10 citation statements)

References 8 publications

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“…Findings which concern specific local services are presented elsewhere (Patmore 2001a). It is broader findings about perceived quality of life, which may have wider relevance, which are reported here.…”

Section: Quality Of Lifementioning

confidence: 99%

“…Information on methodology and use of managers as interviewers can also be found in Patmore (2000) and Patmore (2001a).…”

Section: Methodsmentioning

confidence: 99%

“…Home Care Organisers identified people who were currently very ill, away from home, recently bereaved, or anxious or depressed to the point that an interview would be distressing, and people with whom communication would be very difficult owing to dementia or severe speech or hearing problems. Screening procedures are further described elsewhere (Patmore 2001a, Patmore 2001b). …”

Section: Methodsmentioning

confidence: 99%

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Morale and quality of life among frail older users of community care: Key issues for the success of community care

Patmore

2002

Quality in Ageing and Older Adults

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Recent years have seen growing interest in service users' views as a source of guidance for service development. This paper reports findings about quality of life from a programme of in-depth interviews with older users of community care, which had been designed to supply guidance for improving local services. One reason for wider interest is that interview methods were tailored to reach very frail older people, who are an increasing proportion of the home care clientele owing to national changes in service targeting (Godfrey, 1999) but hard to reach through conventional 30

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Section: Quality Of Lifementioning

confidence: 99%

“…Information on methodology and use of managers as interviewers can also be found in Patmore (2000) and Patmore (2001a).…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Morale and quality of life among frail older users of community care: Key issues for the success of community care

Patmore

2002

Quality in Ageing and Older Adults

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“…Sustainability has been achieved by providing bespoke training packages and consultations taking place in the members own homes, negating the need to travel and ensuring all individuals have the opportunity to be listened to. Visiting volunteer participants individually in their home environment has been shown to be successful in reaching very old and frail people [3].…”

Section: Discussionmentioning

confidence: 99%

“…The acknowledged benefits of consulting older people include facilitation of health technologies, illumination of areas of practice leading to improvements in care, enhancement of both the quality of research and its potential for helping address more intractable health problems, and improving the chances of more relevant research being conducted [3–8]. Frail older house-bound people can unwittingly be excluded from consultation because, for practical reasons, they are less accessible.…”

Section: Introductionmentioning

confidence: 99%

Hearing the voices of older adult patients: processes and findings to inform health services research

et al. 2019

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Plain English summary Whilst Patient and Public Involvement and Engagement (PPIE) are widely regarded as critical to developing clinical research, there is a perception that older adults may not be able to contribute and there is less emphasis on gaining a wide range of opinions before developing research questions or projects; for example an organisational change. This PPIE initiative used three PPIE processes including existing panels and wider networking to access older adults in the community who had used the hospital services and been discharged. Older adults expressed a range of views about their experience of discharge planning and this provided an important perspective on patients’ research priorities associated with their personal independence. Efforts were taken to ensure representative views across a cross section of the population. As a result of this initial PPIE, a permanent, co-ordinated ‘elders’ panel has been established to ensure a representation of older adult views for research, service development and evaluation. This panel has permanent, fully supported members who provide reflection and feedback on any projects and programmes relating to older people’s services in the City. Abstract Background Clinical academic research and service improvement is planned using Patient and Public Involvement and Engagement (PPIE) but older PPIE participants are consulted less often due to the perception that they are vulnerable or hard to engage. Objectives To consult frail older adults about a recently adopted service, discharge to assess (D2A), and to prioritise services improvements and research topics associated with the design and delivery of discharge from hospital. To use successive PPIE processes to enable a permanent PPIE panel to be established. Participants Following guidance from an established hospital PPI panel 27 older adult participants were recruited. Participants from Black, Asian and Minority Ethnic (BAME) communities, affluent and non-affluent areas and varied social circumstances were included. Methods Focus groups and individual interviews were conducted in participants own homes or nearby social venues. Results Priorities for discharge included remaining independent despite often feeling lonely at home; to remain in hospital if needed; and for services to ensure effective communication with families. The main research priority identified was facilitating independence, whilst establishing a permanent PPIE panel involving older adults was viewed favourably. Conclusions Taking a structured approach to PPIE enabled varied older peoples’ voices to express their priorities and concerns into early discharge from hospital, as well as enabling the development of health services research into hospital discharge planning and management. Older people as participants identified research...

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Health and well-being promotion strategies for ‘hard to reach’ older people in England: a mapping exercise

Iliffe

Walters

Manthorpe

et al. 2017

Prim Health Care Res Dev

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Can Managers Research their own Services? An Experiment in Consulting Frail, Older Community Care Clients

Cited by 5 publications

References 8 publications

Morale and quality of life among frail older users of community care: Key issues for the success of community care

Morale and quality of life among frail older users of community care: Key issues for the success of community care

Hearing the voices of older adult patients: processes and findings to inform health services research

Health and well-being promotion strategies for ‘hard to reach’ older people in England: a mapping exercise

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