Exploring patterns of care coordination within services for older people

Chester, Helen; Hughes, Jane; Sutcliffe, Caroline; Xie, Chengqiu; Challis, David

doi:10.1177/2053434515571371

Cited by 7 publications

(6 citation statements)

References 54 publications

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“…Care coordination, within any of the above descriptions, involves a range of elements which follow an individual's care pathway from referral to closure incorporating assessment, support planning, implementation and brokerage, monitoring and review (Chester, Hughes, Sutcliffe, Xie, & Challis, 2015). These elements are described in Table 1 and demonstrate how care coordination is implemented.…”

Section: Approaches To Coordinating Care and Supportmentioning

confidence: 99%

“…This has been linked to the notion of informational, management, and relational continuity which can provide individuals with security, predictability, inter-personal trust, and in turn can lead to care, tailored to the individual (Guthrie, Saultz, Freeman, & Haggerty, 2008). There is also some indication that such continuity can lead to better outcomes (Chapman, Smith, Williams, & Oliver, 2009;National Health Service Benchmarking Network, 2014) although this evidence remains weak (Chester et al, 2015).…”

Section: Approaches To Coordinating Care and Supportmentioning

confidence: 99%

See 1 more Smart Citation

Care coordination for older people in England: Does context shape approach?

Abendstern

Jasper

Hughes

et al. 2018

Journal of Social Work

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Section: Approaches To Coordinating Care and Supportmentioning

confidence: 99%

Section: Approaches To Coordinating Care and Supportmentioning

confidence: 99%

Care coordination for older people in England: Does context shape approach?

Abendstern

Jasper

Hughes

et al. 2018

Journal of Social Work

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“…This represents a significant change in practice which might produce a greater standardisation in service response. The care coordination framework provides a means of capturing this within current patterns of provision across the country and identifying areas for development in agencies (Chester et al, 2015).…”

Section: Implications For Practicementioning

confidence: 99%

Care coordination for older people: an exploratory framework

Hughes

Chester

Sutcliffe

et al. 2015

Quality in Ageing and Older Adults

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2015),"Longitudinal effects on self-determination in the RCT "Continuum of care for frail elderly people"" (2015),"Critical reflections from the millennials on the global action against dementia legacy events"Access to this document was granted through an Emerald subscription provided by emerald-srm:198285 [] For AuthorsIf you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to present a framework for examining variation in care coordination arrangements for older people. Design/methodology/approach -A multi-method approach was adopted combining analysis of secondary data and primary data. There were two stages: the development of the framework and its constituent attributes and indicators; and its validation from two perspectives: a meeting with managers and focus groups with practitioners. It was informed by an existing generic framework; subsequent policy guidance; data from an English national survey; previous research; and international literature. Findings -The framework comprises 19 attributes each with indicators measuring performance relating to: organisational arrangements influencing service delivery; the performance of core tasks of care coordination; and differentiation within the process to distinguish between responses to different levels of need. Originality/value -Care coordination arrangements in England are characterised by diversity. This paper provides a framework for evaluating local arrangements thereby highlighting strengths and where improvements are needed. It offers a means to promote programme fidelity. As such it has utility for both service commissioners and providers.

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“…Increasing age is likely to be matched by greater frailty and with this comes the requirement for planned, wellorganised care to allow older people to continue to live in their own homes. Internationally, care coordination is rec-ognised as one of the mechanisms to achieve this (Chester et al 2015;Gauld, 2017). Recently there has been growing interest in developing a greater understanding of its component parts (Schultz & McDonald, 2014).…”

Section: Introductionmentioning

confidence: 99%

Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs

Hughes¹,

Jasper²,

Worden³

et al. 2020

Journal of Long Term Care

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Context: Care coordination is one important mechanism to provide effective care at home for frail older people in a world with ageing populations. In England this has usually been undertaken by state funded local authority social care services. The Care Act 2014 promoted greater involvement of the non-statutory sector in the provision of care and support, including care coordination, for older people at home to offer greater flexibility and consumer choice. Objective(s): To explore how organisations in the non-statutory sector in England undertake care coordination activities, targeting, their staff time use and costs to support older people at home. Method(s): A case study approach was used involving semi-structured interviews with practitioners in 17 services selected from a national survey in 2015. Estimates of practitioner time use for a typical case, and associated costs for each service were calculated. Data were analysed to identify the range of care coordination activities undertaken, forms of targeting, patterns of staff time use and service costs. Findings: Two services undertook no targeting activities; of eight care coordination activities only two were undertaken in all services. Costs of care coordination activities varied both within and between services in two distinct settings: hospital discharge and memory services. More time was spent by practitioners in direct contact with service users and carers than on indirect activities in most care coordination services. Limitations: A case study approach is more difficult to generalise; recall bias may have influenced data on time use and costs from practitioner interviews; some costs had to be attributed using national data. Implications: Both service setting and gatekeeping mechanisms shaped care coordination activities. Where services were designed to substitute for statutory services their sustainability needs to be addressed in terms of length of contracts, extent of case responsibility and full costing.

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Exploring patterns of care coordination within services for older people

Cited by 7 publications

References 54 publications

Care coordination for older people in England: Does context shape approach?

Care coordination for older people in England: Does context shape approach?

Care coordination for older people: an exploratory framework

Care Coordination for Older People in the Non-Statutory Sector: Activities, Time Use and Costs

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