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Part of the problem or part of the solution? The role of care homes in tackling delayed hospital discharges
- Authors:
- GLASBY Jon, HENWOOD Melanie
- Journal article citation:
- British Journal of Social Work, 37(2), February 2007, pp.299-312.
- Publisher:
- Oxford University Press
As part of current UK policies to reduce the number of delayed hospital discharges, a number of commentators have identified an alleged crisis in the care home market as one of key contributing factors. With local authorities under pressure to cut costs, it is argued, the number of care homes is reducing, and delays in hospital can often result. Behind this diagnosis is a series of assumptions about the role and nature of care home provision, the appropriateness of this form of service for many older people, and the need for more care homes to reduce the number of hospital delays. In order to explore and critique these assumptions, this paper reviews the role of care homes in tackling delayed discharges, and argues the need for fewer and different care home placements rather than more of this type of provision.
Making evidence fit for purpose in decision making: a case study of the hospital discharge of older people
- Authors:
- GLASBY Jon, WALSHE Kieran, HARVEY Gill
- Journal article citation:
- Evidence and Policy, 3(3), August 2007, pp.425-437.
- Publisher:
- Policy Press
This article focusing on a case study topic (hospital discharge), participants were provided with six sources of evidence chosen to illustrate six very different approaches to generating valid knowledge. Participants then explored a series of questions about each (including reliability/validity, key limitations and contributions to new knowledge). Overall, none of the sources was felt to offer a definitive insight into the issue at stake. A key challenge, therefore, is to design deliberative processes to synthesise and integrate evidence of different types and from multiple sources.