Reliability of needs assessments in the community care of older people: impact of the single assessment process in England.
BACKGROUND: The single assessment process (SAP) for older people, introduced in England across health and social care agencies from April 2004, aimed at improving assessment processes. We examined the impact of this policy in terms of the reliability of needs identification within statutory social s...
| Publicado en: | Journal of Public Health Vol. 31; no. 4; pp. 521 - 530 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105275983&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105275983 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Dec2009 vid: 31 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 105275983 2010516884 10.1093/pubmed/fdp035 NLM19372147 105275983 ppf: 521 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Reliability of needs assessments in the community care of older people: impact of the single assessment process in England. aug: au: Clarkson P Abendstern M Sutcliffe C Hughes J Challis D affil: Personal Social Services Research Unit, Faculty of Medical and Human Sciences, First Floor, Dover Street Building, University of Manchester, Manchester M13 9PL, UK. paul.clarkson@manchester.ac.uk sug: subj: Community Health Services Health Policy Medical Care In Old Age Needs Assessment Reliability Social Work Service Aged Aged, 80 and Over Barthel Index Chi Square Test Confidence Intervals Depression England Female Funding Source Geriatric Depression Scale Human Interrater Reliability Interviews kappa Statistic Logistic Regression Male Nonexperimental Studies Odds Ratio Psychological Tests Research Instruments Scales T-Tests Aged: 65+ years Aged, 80 & over Female Male ab: BACKGROUND: The single assessment process (SAP) for older people, introduced in England across health and social care agencies from April 2004, aimed at improving assessment processes. We examined the impact of this policy in terms of the reliability of needs identification within statutory social services assessments. METHODS: An observational study compared the accuracy of needs identification in samples of older people before and after SAP introduction. Participants, at risk of entering care homes, were interviewed using standardized measures. Needs elicited from interviews were compared with those from statutory social services assessments to ascertain the reliability of needs identification at both times. Inter-rater reliabilities were calculated using the kappa (k) statistic. A Chi-squared statistic tested the equality of kappa values pre- and post-SAP. RESULTS: Most needs were identified more reliably after SAP introduction (range adjusted k = 0.05-0.58) than before (range adjusted k = -0.09 to 0.28), this being statistically significant for 9 out of 15 needs. Depression, and associated apathy, was an exception. CONCLUSION: Statutory social services assessments better captured need following the introduction of the SAP. However, the extent to which these findings can be attributed to SAP introduction is limited by the introduction of multiple policy initiatives throughout the study period. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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