This book explores what is understood by the concept of intermediate care in four parts: the concept and context; understanding ageing and the older person in society and in health care; planning, developing, monitoring and evaluating new services; and delivering care and preparing staff for delivery.
This book explores what is understood by the concept of intermediate care in four parts: the concept and context; understanding ageing and the older person in society and in health care; planning, developing, monitoring and evaluating new services; and delivering care and preparing staff for delivery.
Working with Older People, 8(2), June 2004, pp.22-25.
Publisher:
Emerald
Discusses convalescence needs of older people and the importance of services. Argues that convalescence should b built into mandatory provision by making two streams of intermediate care available: one that is treatment focused and a second that is rest focused.
Discusses convalescence needs of older people and the importance of services. Argues that convalescence should b built into mandatory provision by making two streams of intermediate care available: one that is treatment focused and a second that is rest focused.
Journal of Integrated Care, 12(6), December 2004, pp.43-48.
Publisher:
Emerald
New service models such as intermediate care may find it difficult to involve older people in services that are time-limited and unfamiliar. Their staff may perceive themselves as having little time to sustain or build relationships with voluntary and community-based organisations engaged in intermediate care. This article shows how such challenges can be met by drawing on the experiences of voluntary sector projects involved in intermediate care services. The article focuses on practitioners' experiences of involving older people in intermediate care assessment and treatment and, secondly on the views of older people about the information they received.
New service models such as intermediate care may find it difficult to involve older people in services that are time-limited and unfamiliar. Their staff may perceive themselves as having little time to sustain or build relationships with voluntary and community-based organisations engaged in intermediate care. This article shows how such challenges can be met by drawing on the experiences of voluntary sector projects involved in intermediate care services. The article focuses on practitioners' experiences of involving older people in intermediate care assessment and treatment and, secondly on the views of older people about the information they received.
Subject terms:
intermediate care, older people, user participation, user views;
Health and Social Care in the Community, 12(2), March 2004, pp.150-154.
Publisher:
Wiley
Discusses the evolution of intermediate care (IC) and presents interim observations from a survey of providers in England being conducted as part of a national evaluation. Telephone interviews covering various issues concerning level of provision and style of delivery have been conducted with 70 services. Data are used to discuss the progress, range and nature of IC in relation to clinician viewpoints and academic and official literature on the subject. IC 'on the ground' is a multiplicitous entity, with provision apparently evolving in accordance with the particularities of local need. While protocols for medical involvement in IC generally appear to be well established, there are some tensions concerning integration of services in a locality, care management processes and questions of flexibility and inclusiveness in relation to eligibility criteria.
Discusses the evolution of intermediate care (IC) and presents interim observations from a survey of providers in England being conducted as part of a national evaluation. Telephone interviews covering various issues concerning level of provision and style of delivery have been conducted with 70 services. Data are used to discuss the progress, range and nature of IC in relation to clinician viewpoints and academic and official literature on the subject. IC 'on the ground' is a multiplicitous entity, with provision apparently evolving in accordance with the particularities of local need. While protocols for medical involvement in IC generally appear to be well established, there are some tensions concerning integration of services in a locality, care management processes and questions of flexibility and inclusiveness in relation to eligibility criteria.
Providing appropriate, sustainable care to older people for the coming decades is a challenge that all EU member states are facing, because of demographic changes, cost containment and empowerment. An increasing number of older people have long-term, complex needs which may require support from any combination of primary, residential or acute hospital care, as well as social care and practical support. A key solution to this challenge is integrated care – a well-planned and well-organised set of services and care processes, targeted at the multidimensional needs and problems of an individual client, or at a group of people with similar needs or problems. Members of the integrated care team work closely to offer timely detection, appropriate assessment, treatment and care, so that the older person‘s health and well-being might be significantly enhanced. This resource book for managers provides guidelines for those involved in the development of integrated care services, focusing on the management of integrated care at the client level, the organisation level and the system level, this book will be invaluable to managers and professionals in the health and social care field.
Providing appropriate, sustainable care to older people for the coming decades is a challenge that all EU member states are facing, because of demographic changes, cost containment and empowerment. An increasing number of older people have long-term, complex needs which may require support from any combination of primary, residential or acute hospital care, as well as social care and practical support. A key solution to this challenge is integrated care – a well-planned and well-organised set of services and care processes, targeted at the multidimensional needs and problems of an individual client, or at a group of people with similar needs or problems. Members of the integrated care team work closely to offer timely detection, appropriate assessment, treatment and care, so that the older person‘s health and well-being might be significantly enhanced. This resource book for managers provides guidelines for those involved in the development of integrated care services, focusing on the management of integrated care at the client level, the organisation level and the system level, this book will be invaluable to managers and professionals in the health and social care field.
Extended abstract:
Author:NIES Henk, BERMAN Philip C., eds. Title: Integrating services for older people: a resource book for managers Publisher: European Health Management Association, 2004
Summary
This resource book for managers provides guidelines for those involved in the development of integrated care services, focusing on the management of integrated care at the client level, the organisation level and the system level.
Context
Providing appropriate, sustainable care to older people for the coming decades is a challenge that all EU member states are facing, because of demographic changes, cost containment and empowerment. An increasing number of older people have long-term, complex needs which may require support from any combination of primary, residential or acute hospital care, as well as social care and practical support. A key solution to this challenge is integrated care – a well-planned and well-organised set of services and care processes, targeted at the multidimensional needs and problems of an individual client, or at a group of people with similar needs or problems. Members of the integrated care team work closely to offer timely detection, appropriate assessment, treatment and care, so that the older person‘s health and well-being might be significantly enhanced.
Contents
The editors' foreword gives the background, discusses definitions and terminology and implementing the concept, and explains how the book developed, that it users should mainly be managers of care-providing organisations and managers and officials responsible for commissioning long-term care for older people, how to use it, topics covered, the geographical spread of content, and how to get involved. Chapter 1 discusses the concepts and background of integrated care. Chapter 2 considers integrated organisational structures. Chapter 3 is on involvement, empowerment and advocacy. Needs assessment is covered by Chapter 4. Chapter 5 covers care pathways. Case management is the theme of Chapter 6. Chapter 7 is about integrated teams. The workforce is discussed in Chapter 8 and cultural change in Chapter 9. Leadership is the theme of Chapter 10. Chapter 11 considers strategic planning. Information management is discussed in Chapter 12, and quality management in Chapter 13. Almost all chapters have sections on definitions, implementation, objectives and intended outcomes, models and approaches, the implementation process, staff, monitoring and evaluation, staff, barriers, supports, references and further reading, and sometimes a conclusion. Some also give web links. Much information is given in figures and tables.
352 references
Subject terms:
hospitals, intermediate care, older people, primary care, residential care;
Discusses 8 recent publications. Says the National Service Framework for Older People continues to influence development of services but asks if the needs of users are adequately covered. Comments on community living, electronic resources, intermediate care, independence for older people and new approaches. Lists points for practice.
Discusses 8 recent publications. Says the National Service Framework for Older People continues to influence development of services but asks if the needs of users are adequately covered. Comments on community living, electronic resources, intermediate care, independence for older people and new approaches. Lists points for practice.
Subject terms:
independence, intermediate care, needs, older people, care planning;
Working with Older People, 8(3), September 2004, pp.19--24.
Publisher:
Emerald
Considers the lessons learnt from Help the Aged's intermediate care programme for older people. Describes the programme and lists partner projects. Gives a case study of voluntary sector care management. The voluntary sector has some way to go before it is taken seriously as a genuine partner. A key message is the need to secure joint financing of any pilot project from day one.
Considers the lessons learnt from Help the Aged's intermediate care programme for older people. Describes the programme and lists partner projects. Gives a case study of voluntary sector care management. The voluntary sector has some way to go before it is taken seriously as a genuine partner. A key message is the need to secure joint financing of any pilot project from day one.
Subject terms:
joint working, intermediate care, older people, voluntary organisations, financing;
Journal of Integrated Care, 12(4), August 2004, pp.42-48.
Publisher:
Emerald
Demonstrates how a single assessment tool can be linked to intermediate care services eligibility criteria to examine referrals and admissions. Reports on a project in east Kent involving implementing a standardised patient assessment tool for three months in all intermediate services, to examine the suitability of patients entering each service. Focuses on the results of the community assessment rehabilitation team, a recuperative care centre and the day hospital. Analysis showed that some patients in all services were placed inappropriately, most evidently in the day hospital. Concludes with considerations and suggestions for improving the effectiveness of assessment tools in practice.
Demonstrates how a single assessment tool can be linked to intermediate care services eligibility criteria to examine referrals and admissions. Reports on a project in east Kent involving implementing a standardised patient assessment tool for three months in all intermediate services, to examine the suitability of patients entering each service. Focuses on the results of the community assessment rehabilitation team, a recuperative care centre and the day hospital. Analysis showed that some patients in all services were placed inappropriately, most evidently in the day hospital. Concludes with considerations and suggestions for improving the effectiveness of assessment tools in practice.
Subject terms:
intermediate care, older people, referral, assessment, eligibility criteria;
Intermediate care helps many people stay in their own home and frees up hospital beds, yet many people with dementia are often excluded from these services. Looks at how to provide intermediate care services for older people with dementia, and what can go wrong.
Intermediate care helps many people stay in their own home and frees up hospital beds, yet many people with dementia are often excluded from these services. Looks at how to provide intermediate care services for older people with dementia, and what can go wrong.
Subject terms:
intermediate care, mental health problems, older people, access to services, dementia;
Intermediate care co-ordinators face a huge challenge to meet the expectations of the NHS Plan and national service frameworks. Considers the prospects.
Intermediate care co-ordinators face a huge challenge to meet the expectations of the NHS Plan and national service frameworks. Considers the prospects.
Subject terms:
interagency cooperation, intermediate care, older people, primary care trusts, standards;