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Can we make sense of multidisciplinary co-operation in primary care by considering routines and rules?
- Authors:
- ELISSEN Arianne M.J., RAAK Arno J.A. Van, PAULUS Aggie T.G.
- Journal article citation:
- Health and Social Care in the Community, 19(1), January 2011, pp.33-42.
- Publisher:
- Wiley
The complex health problems of chronically ill older people require care provision across professional boundaries. However, achieving multidisciplinary co-operation in primary care can be problematic. In this paper the authors developed an explanation for this based of the concepts of routines and rules, which form a relatively new yet promising perspective for studying co-operation in health-care. Interviews were conducted with providers from six primary care professions in the Dutch region of Limburg. Findings suggest that the emergence of more extensive multidisciplinary co-operation in primary care is hampered by the organisational rules and regulations prevailing in the sector. By emphasising individual care delivery rather than co-operation, these rules stimulate the perseverance of diversity between the routines by which providers perform their care delivery activities, rather than the creation of the amount of compatibility between those routines that is necessary for the current shape of multidisciplinary co-operation to expand. The authors suggest that further research should attempt to validate this explanation by utilising a larger research population.
Interdisciplinary working in mental health
- Author:
- BAILEY Di
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2012
- Pagination:
- 256p.
- Place of publication:
- Basingstoke
This book presents a model for interdisciplinary working, and offers an overview of practice and policy across a range of mental health settings. It explores how to combine skills, theories and expertise from a range of disciplines in response to the diverse needs of service users, from children to older people, and those with complex needs. Chapters include: the evolution of interdisciplinary working: definitions and policy context; models and values for interdisciplinary working in mental health; interdisciplinary working and the mental health legislation; interdisciplinary care planning in mental health; interdisciplinary risk assessment planning and management; involving people who use services in interdisciplinary working in mental health; interdisciplinary working with people with mental health problems in primary care; interdisciplinary working with children and young people with mental health problems; interdisciplinary working with older adults with mental health needs; interdisciplinary working with individuals with complex needs; interdisciplinary education and training; and managing interdisciplinary working and practice in mental health.
Just for us: an academic medical center-community partnership to maintain the health of frail low-income senior population
- Authors:
- YAGGY Susan D., et al
- Journal article citation:
- Gerontologist, 46(2), April 2006, pp.271-276.
- Publisher:
- Oxford University Press
To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing in the United States. The program provides primary care, care management, and mental health services delivered in patient's homes by a multidisciplinary, multiagency team. After 2 years of operation, Just for Us is serving nearly 300 individuals in 10 buildings. The program is demonstrating improvement in individual indices of health. Medicaid expenditures for enrolees are shifting from ambulances and hospital services to pharmacy, personal care, and outpatient visits. The program is not breaking even, but it is moving toward that goal. The program's success is based on a partnership involving an academic medical center, a community health center, county social and mental health agencies, and a city housing authority to coordinate and leverage services.
Testing the feasibility of a one stop shop for the older patient
- Authors:
- DUDDLE Judith, et al
- Journal article citation:
- Community Practitioner, 73(10), October 2000, pp.793-795.
- Publisher:
- Community Practitioners' and Health Visitors' Association
Innovation, teamwork and patient centredness are much talked about. Describes how one medium sized inner city practice tested the feasibility of multi-disciplinary working with older people at practice level.
Planning for older people at the health/housing interface
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2000
- Pagination:
- 4p.
- Place of publication:
- York
Housing issues are of fundamental importance to the health and independence of older people. Previous research projects exploring the views of older people living in their own homes have revealed their needs for housing services. However, this analysis of community care plans and Director of Public Health reports in three health regions found they made little provision for such services. The plans reviewed were from the year 1996/7; this was before the advent of Primary Care Groups but at a time when, in some of the areas studied, GPs were already administering 30 per cent of the Health Authority budget. Presents the findings.
Home guard
- Author:
- KLEE Deborah
- Journal article citation:
- Health Service Journal, 5.8.99, 1999, p.26.
- Publisher:
- Emap Healthcare
Collaborative care can free beds while offering elderly people their own recovery plans. Looks at the results of the North Essex health and social services collaborative care pilot project.
Transforming primary care: safe, personalised care for those who need it most
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Pagination:
- 49
- Place of publication:
- London
This document sets out the actions the Department of Health is taking on their vision for personalised proactive care, focussing on the role of primary care. It covers four key areas, looking at: how services will change; support for staff; how health and care services will support the vision; and how it will be implemented. The paper suggests the changes will be initially focussed on people with the most complex care needs, with GPs developing personalised programmes of care and support tailored to their needs and views. In addition, it outlines plans to improve continuity of care by giving all people aged 75 and over a named GP, who will be responsible for care oversight. The changes will also include a new approach to service quality assurance, greater use of information and technology to ensure easier access to medical records, online appointment booking and prescriptions, steps to further reduce bureaucracy, provision of training for staff to ensure they are able to work across professional boundaries in a more joined up way and support for greater integration between health and care services. (Edited publisher abstract)
Crossover culture
- Author:
- -
- Journal article citation:
- Community Care, 15.5.03, 2003, pp.56-58.
- Publisher:
- Reed Business Information
Looks at three innovative projects where health and social care professionals have been working together. Features a project providing therapy for drug and alcohol misusers, a project on continence at a day centre for older people; and working with black and ethnic minority volunteers to tackle mental health problems in their communities.
Forget me not 2002: developing mental health services for older people in England; Audit Commission update, February 2002
- Author:
- AUDIT COMMISSION
- Publisher:
- Audit Commission
- Publication year:
- 2002
- Pagination:
- 49p.
- Place of publication:
- London
'Forget me not', published in January 200, set out the Audit Commission's analysis of mental health services for older people in England and Wales. Since then auditors appointed by the Commission have been carrying out local audits of these services. This report summarises the main findings from audits in England. It highlights for managers and practitioners where they should concentrate their efforts.
The rough road and the smooth road: comparing access to social care for older people via area teams and GP surgeries
- Authors:
- LE MESURIER Nick, CUMELLA Stuart
- Journal article citation:
- Managing Community Care, 9(1), February 2001, pp.7-13.
- Publisher:
- Pavilion
This article discusses the results of a comparative evaluation of a social worker in primary care with her equivalents in an area team. Direct referral was found to be more efficient than referral to the area team, enabling the attached social worker to manage a higher workload and improved levels of contact with service users and the primary care team. The options available for service users are thus enhanced, with consequent cost advantages for the social services department.