Co-located health and social care services in Wales: What are the benefits to professionals?

Kaehne, Axel; Catherall, Chris

doi:10.1179/2047971912y.0000000014

Cited by 7 publications

(8 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, UK IHSC staff highlighted inter‐professional communication as important to collaborative working, regardless of co‐location (Baumann et al., 2007). This corroborates the suggestion in wider literature that communication is an underpinning driver for IHSC (Baumann et al., 2007; Bien et al., 2013; Bonciani et al., 2017; Challis et al., 2011; Cook et al., 2017; Curry et al., 2013; Kaehne & Catherall, 2012; Mackie & Darvill, 2016; Murphy et al., 2017; Petch et al., 2013; Scheele & Vrangbæk, 2016).…”

Section: Discussionsupporting

confidence: 86%

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 86%

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

View full text Add to dashboard Cite

show abstract

“…The combined effect of these challenges has been that the impact of integrated care programmes on patient outcomes is poorly evidenced (Cash-Gibson and Rosenmoller, 2014; Kaehne et al, 2017;Rosen et al, 2011). Whilst there is some evidence that care integration provides some benefits to professionals (Dickinson, 2014;Dickinson and Glasby, 2010;Dickinson and Sullivan, 2014;Kaehne, 2016bKaehne, , 2017Kaehne and Catherall, 2012;Wistow and Dickinson, 2012), evidence of patient benefits is hard to come by. Consequently, quite a few evaluations of integrated care programmes have focused on investigating processes and how programmes have created better interprofessional practices.…”

Section: Big Datawhat Is It?mentioning

confidence: 99%

Big Data and what it means for evaluating integrated care programmes

Kaehne

2019

JICA

Self Cite

View full text Add to dashboard Cite

Purpose Big Data is likely to have significant implications for the way in which services are planned, organised or delivered as well as the way in which we evaluate them. The increase in data availability creates particular challenges for evaluators in the field of integrated care and the purpose of this paper is to set out how we may usefully reframe these challenges in the longer term. Design/methodology/approach Using the characteristics of Big Data as defined in the literature, the paper develops a narrative around the data and research design challenges and how they influence evaluation studies in the field of care integration. Findings Big Data will have significant implications for how we conduct integrated care evaluations. In particular, dynamic modelling and study designs capable of accommodating new epistemic foundations for the phenomena of social organisations, such as emergence and feedback loops, are likely to be most helpful. Big Data also generates opportunities for exploratory data analysis approaches, as opposed to static model development and testing. Evaluators may find research designs useful that champion realist approaches or single-n designs. Originality/value This paper reflects on the emerging literature and changing practice of data generation and data use in health care. It draws on organisational theory and outlines implications of Big Data for evaluating care integration initiatives.

show abstract

“…Integration pilot schemes for patients with chronic conditions, for older people and children with complex care have been launched. There is little systematic research on the effectiveness of these isolated localised pilots however and the Welsh Government has so far not published any data on their impact on care quality (Kaehne and Catherall, 2012; Morgan, 2013; Palfreman et al , 2011).…”

Section: Walesmentioning

confidence: 99%

Bringing integration home

Kaehne

Birrell

Miller

et al. 2017

JICA

Self Cite

View full text Add to dashboard Cite

Purpose The purpose of this paper is to outline relevant policies on the integration of health and social care (HSC) in the four home nations: Scotland, Wales, Northern Ireland and England and offer a comparison of emphasis and approaches and draw out general insights on the implementation of integrated care policy. Design/methodology/approach The paper is written as a piece of critical reflection by drawing on the authors’ knowledge and expertise and wider evidence where available. Findings Since 2010, HSC integration has started to diverge significantly in the four constituent countries of the UK. Although England and Wales have undergone considerable re-organisation of the NHS, Scotland and Northern Ireland have largely been marked by organisational continuity. However, beyond organisational differences, policy approaches, policy emphases and implementation strategies have also started to show considerable dissimilarity across the UK. An important contributory factor may be different ideological perspectives on the role of competition and pilots, partnership, patient choice and organisational incentives to bring about change in the field. Research limitations/implications The paper identifies a serious lack of comparative research in integration policy, despite the considerable opportunities for quasi-experimental studies. This lack of empirical research impedes shared learning across the home nations. Originality/value The paper presents a descriptive comparison of current integration policy between HSC providers in the four home nations. It reveals considerable opportunities for further research and comparative modelling of integration approaches.

show abstract

Co-located health and social care services in Wales: What are the benefits to professionals?

Cited by 7 publications

References 14 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

Big Data and what it means for evaluating integrated care programmes

Bringing integration home

Contact Info

Product

Resources

About