Search results for ‘Subject term:"older people"’ Sort:
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Quality indicators for community care for older people: a systematic review
- Authors:
- JOLING K.J., et al
- Journal article citation:
- PLoS ONE, 13(1), 2018, Online only
- Publisher:
- Plos Publications
- Place of publication:
- San Francisco, CA
Background: Health care systems that succeed in preventing long term care and hospital admissions of frail older people may substantially save on their public spending. The key might be found in high-quality care in the community. Quality Indicators (QIs) of a sufficient methodological level are a prerequisite to monitor, compare, and improve care quality. This systematic review identified existing QIs for community care for older people and assessed their methodological quality. Methods: Relevant studies were identified by searches in electronic reference databases and selected by two reviewers independently. Eligible publications described the development or application of QIs to assess the quality of community care for older people. Information about the QIs, the study sample, and specific setting was extracted. The methodological quality of the QI sets was assessed with the Appraisal of Indicators through Research and Evaluation (AIRE) instrument. A score of 50% or higher on a domain was considered to indicate high methodological quality. Results: Searches resulted in 25 included articles, describing 17 QI sets with 567 QIs. Most indicators referred to care processes (80%) and measured clinical issues (63%), mainly about follow-up, monitoring, examinations and treatment. About two-third of the QIs focussed on specific disease groups. The methodological quality of the indicator sets varied considerably. The highest overall level was achieved on the domain ‘Additional evidence, formulation and usage’ (51%), followed by ‘Scientific evidence’ (39%) and ‘Stakeholder involvement’ (28%). Conclusion: A substantial number of QIs is available to assess the quality of community care for older people. However, generic QIs, measuring care outcomes and non-clinical aspects are relatively scarce and most QI sets do not meet standards of high methodological quality. This study can support policy makers and clinicians to navigate through a large number of QIs and select QIs for their purposes. (Publisher abstract)
Quality care for the dying person with dementia
- Author:
- COX Sylvia
- Journal article citation:
- Journal of Dementia Care, 4(4), July 1996, pp.19-21.
- Publisher:
- Hawker
Asks whether it is possible to provide good quality care in non hospital settings for people with dementia who are terminally ill? Explores a range of policy, practice, and training issues, and raises some of the wider implications for objectives and priorities in health and social care.
The patient experience in community mental health services for older people: a concept mapping approach to support the development of a new quality measure
- Authors:
- WILBERFORCE Mark, et al
- Journal article citation:
- BMC Health Services Research, 18(461), 2018, Online only
- Publisher:
- BioMed Central Ltd
Background: The patient experience is a crucial part of the measurement of service quality. However, instruments to evaluate experiential quality in the community mental health care of older adults are lacking. Before designing a new instrument, clarity is needed about what is to be measured, and how care experiences are articulated by patients. The study aimed to construct a framework to describe older patients’ experience of community mental health and social care. Methods: Concept mapping blends structured qualitative data collection with quantitative analysis in a mixed method approach. Five activities were undertaken. Patients first identified sentences describing the care experience; a card-sort exercise then grouped these thematically; multidimensional analysis portrayed these data in a map of clusters; interpretation was by patient advisers; finally a new questionnaire was designed. The research involved 22 older people with mental health problems and 29 mental health practitioners, from one region of England. Results: Sixty-seven statements were identified that described the care experience. Analysis of card sort data revealed seven clusters, which were interpreted by patient advisers to the study as: personal qualities and relationships; communication problems; feeling powerless; in-and-out care; bureaucracy; focus on life, not just mental health; and continuity of care. These themes and the component statements were used as a foundation for later work, developing a new measure of the care experience in mental health services for older people. Conclusions: Concept mapping has many strengths as an empirical and participant-driven means for underpinning new measurement instruments. A group of older people identified 67 candidate statements that could act as questionnaire items grouped within seven themes. Future research will establish the psychometric properties of the new measure. (Edited publisher abstract)
Quality of chronic disease care for older people in care homes and the community in a primary care pay for performance system: retrospective study
- Authors:
- SHAH Sunil M., et al
- Journal article citation:
- British Medical Journal, 12.3.11, 2011, p.587.
- Publisher:
- British Medical Association
Using Retrospective analysis of the Health Improvement Network (THIN), a large primary care database, this study describes the quality of care for chronic diseases among older people in care homes compared with the community in a pay for performance system (the Quality and Outcomes Framework). Participants were 10,387 residents of care homes and 403,259 residents in the community aged 65 to 104 and registered for 90 or more days with their general practitioner. A total of 326 English and Welsh general practices were included. After adjustment for age, sex, dementia, and length of registration, attainment of quality indicators was significantly lower for residents of care homes than for those in the community for 14 of 16 indicators. Attainment was lower in nursing homes than in residential homes. The study concludes that there is scope for improving the management of chronic diseases in care homes, but high attainment of some indicators shows that pay for performance systems do not invariably disadvantage residents of care homes compared with those living in the community. High use of exception reporting may compromise care for vulnerable patient groups.
Partial regulatory impact assessment: White Paper: Our health, our care, our say: a new direction for community services
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2006
- Pagination:
- 64p.
- Place of publication:
- London
The overarching objective of the White Paper is to improve community health and social care services in England. Underpinning this objective are four key themes: better prevention for improved health and well-being; giving people greater choice and control over the care they receive; providing rapid and convenient access to high quality, cost effective, care closer to home; and support for people with long-term conditions.
The process of care: a learning resource for care home managers and senior staff
- Author:
- BLACKLOCK Neil
- Publisher:
- Age Concern
- Publication year:
- 2004
- Pagination:
- 76p.
- Place of publication:
- London
This pack is concerned with the care model as applied to residential care for older people. It helps carers define and set goals which are likely to result in the provision of quality care and shows ways to assess how well such goals are achieved over time. It covers the care process; preliminary assessment; admission; full assessment (the health rating scale); strength and needs identification; selection of appropriate strength or need; care planning; quality caring; and the review. The book explains the whys and hows of assessment, reviewing, quality assurance, care planning.
Measuring satisfaction with social care amongst older service users: issues from the literature
- Authors:
- BAULD Linda, CHESTERMAN John, JUDGE Ken
- Journal article citation:
- Health and Social Care in the Community, 8(5), September 2000, pp.316-324.
- Publisher:
- Wiley
This article highlights some of the main issues to be considered when designing and conducting surveys with older users of community care services. Through a review of British and North American literature the article outlines current approaches to measuring satisfaction and examines the relationship between the characteristics and circumstances of older people and their response to satisfaction questions. Concludes by offering some solutions to overcoming current problems by drawing conclusions about quality from survey findings, to that older people's opinions about the services they receive can be better assessed.
Seeking residents' views in homes for older people: a user's perspective approach
- Authors:
- WALKERDEN Steve, CAMPBELL Tina
- Journal article citation:
- Managing Community Care, 7(5), October 1999, pp.35-43.
- Publisher:
- Pavilion
This article describes the experiences of a major provider of residential care for older people in Australia, in ascertaining the views of their residents. It discusses resource implications, outlines benefits and recommends the use of a specific approach which provides a practical demonstration of commitment to quality care.
Does the NHS deserve a golden celebration
- Authors:
- HIRST Judy, WELLARD Sarah
- Journal article citation:
- Community Care, 9.7.98, 1998, pp.8-9.
- Publisher:
- Reed Business Information
As the NHS celebrates its 50th anniversary, the authors reflect on the service it offers and examines the experiences of vulnerable social groups.
Services for people who are elderly: addressing the balance; the multi-disciplinary assessment of elderly people and the delivery of high quality continuing care
- Author:
- GREAT BRITAIN. Department of Health. NHS Health Advisory Service
- Publisher:
- Stationery Office
- Publication year:
- 1997
- Pagination:
- 197p.,tables.
- Place of publication:
- London
Review setting out to establish the current state of commissioning, purchasing and delivery of services for elderly people and to suggest ways of improving them. Includes chapters on: meeting the healthcare needs of older people; commissioning and purchasing services; providing services to older people; the concepts, problems and challenges that affect commissioners, purchasers and providers; a strategy for the future; and the way forward for purchasers, commissioners and providers. Includes checklists.