Care coordination for older people: an exploratory framework

Authors:
HUGHES Jane, et al
Journal article citation:
Quality in Ageing and Older Adults, 16(3), 2015, pp.130-139.
Publisher:
Emerald

Purpose: 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. (Edited publisher abstract)

Subject terms:
older people, integrated care, social care, evaluation;
Content type:
research
Location(s):
England
Link:
Journal home page
ISSN online:
2042-8766
ISSN print:
1471-7794

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