Involving older people in intermediate care

Andrews, JoyAnn; Manthorpe, Jill; Watson, Roger

doi:10.1111/j.1365-2648.2004.02990.x

Cited by 36 publications

(40 citation statements)

References 22 publications

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“…Apart from that, patients may view intermediate care as unacceptable. Little is known about this topic [31], and this is reflected in the call for more user involvement in intermediate care development [32]. Even so, this study indicates that the dynamic health status of candidates requires fast and flexible transition processes.…”

Section: Discussionmentioning

confidence: 95%

Intermediate care: for better or worse? Process evaluation of an intermediate care model between a university hospital and a residential home

Plochg

Delnoij

Kruk

et al. 2005

BMC Health Serv Res

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Background: Intermediate care was developed in order to bridge acute, primary and social care, primarily for elderly persons with complex care needs. Such bridging initiatives are intended to reduce hospital stays and improve continuity of care. Although many models assume positive effects, it is often ambiguous what the benefits are and whether they can be transferred to other settings. This is due to the heterogeneity of intermediate care models and the variety of collaborating partners that set up such models. Quantitative evaluation captures only a limited series of generic structure, process and outcome parameters. More detailed information is needed to assess the dynamics of intermediate care delivery, and to find ways to improve the quality of care. Against this background, the functioning of a low intensity early discharge model of intermediate care set up in a residential home for patients released from an Amsterdam university hospital has been evaluated. The aim of this study was to produce knowledge for management to improve quality of care, and to provide more generalisable insights into the accumulated impact of such a model.

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Section: Discussionmentioning

confidence: 95%

Intermediate care: for better or worse? Process evaluation of an intermediate care model between a university hospital and a residential home

Plochg

Delnoij

Kruk

et al. 2005

BMC Health Serv Res

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“…Listening to users requires the development of different types of skills in order to hear and understand voices that have previously been excluded from decision-making processes (Barnes and Bennett, 1998). User Involvement is not about user control but about providers listening to users so their views influence the provision of services (Andrews et al, 2004). The 'ladder' of user participation developed by Arnstein (1969) has proved of enduring value in setting out the possible interpretation of service users.…”

Section: Considering the User Perspectivementioning

confidence: 99%

Involving users in service planning: A focus group approach

Kelly

Caldwell

Henshaw

2006

European Journal of Oncology Nursing

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Summary This paper outlines the way in which a focus group approach was used to involve service users in the possible reconfiguration of follow-up services for breast cancer patients at a North London hospital. The focus group was used to identify the priority issues for users and the development of an objective questionnaire, to survey all current service users. Within the National Health Service (NHS) the concept of user involvement has been embodied in contemporary health policy, and has become an important constituent of current policy direction. This study was the first stage of a larger stakeholder project that aimed to involve service users and clinicians in developing a new model of breast cancer follow-up service. From the focus group emerged five key themes around breast cancer follow up. They were:The need for reassurance after the diagnosis of cancer.Continuity of care. Privacy and dignity and other elements of the examination technique. Information and the detection of new symptoms. The opportunity to discuss feelings and worries.In this paper, the nature of breast cancer follow-up services is outlined, and the difficulties associated with such services are discussed. The background to user involvement within the United Kingdom is explored, and the strategies that have previously been used are considered. The practical issues involved in using the focus group approach are examined, and the experience of using such an approach is outlined in this study. The involvement of service users as a key stakeholder in the process of planning change, through a participatory research strategy, ensured that their voices were heard alongside those of both hospital and primary care staff.

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“…For older people approaching the end of life an episode of acute hospitalisation is associated with a high risk of institutionalisation and several countries have introduced intermediate care units where older people can transfer for several weeks to recover function and confidence. Staff in this setting often focus on improving function but the time spent in these units also provides an opportunity to deliver interventions, which empower families and older people 77 and prepare them for future care transitions. One of the core underpinnings of the TC program in Australia is that frail older adults and their families need time to decide on the most appropriate future care options and that this decision should be made once the older person's independence has been optimised.…”

Section: Discussionmentioning

confidence: 99%