The organisation, form and function of intermediate care services and systems in England: results from a national survey.
This paper reports the results of a postal survey of intermediate care coordinators (ICCs) on the organisation and delivery of intermediate care services for older people in England, conducted between November 2003 and May 2004. Questionnaires, which covered a range of issues with a variety of quant...
| Publicado en: | Health & Social Care in the Community Vol. 15; no. 2; pp. 146 - 155 |
|---|---|
| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Mar2007
|
| 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=105719585&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105719585 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660410 EVX jtl: Health & Social Care in the Community issn: 09660410 maglogo: Y pubinfo: dt: Mar2007 vid: 15 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105719585 105719585 2009912335 NLM17286676 105719585 ppf: 146 ppct: 9 formats: fmt: @attributes: type: P tig: atl: The organisation, form and function of intermediate care services and systems in England: results from a national survey. aug: au: Martin GP Hewitt GJ Faulkner TA Parker H affil: Institute for the Study of Genetics, Biorisks and Society, University of Nottingham, Nottingham, UK. graham.martin@nottingham.ac.uk sug: subj: Health Care Delivery, Integrated Administration National Health Programs Administration Nursing Homes Administration Social Work Administration Subacute Care England Health and Welfare Planning Health Care Delivery, Integrated Statistics and Numerical Data Interinstitutional Relations Interviews Nursing Homes Classification Nursing Homes Professional Role Questionnaires Social Work Statistics and Numerical Data Subacute Care Statistics and Numerical Data Surveys Time Factors Human ab: This paper reports the results of a postal survey of intermediate care coordinators (ICCs) on the organisation and delivery of intermediate care services for older people in England, conducted between November 2003 and May 2004. Questionnaires, which covered a range of issues with a variety of quantitative, tick-box and open-ended questions, were returned by 106 respondents, representing just over 35% of primary care trusts (PCTs). The authors discuss the role of ICCs, the integration of local systems of intermediate care provision, and the form, function and model of delivery of services described by respondents. Using descriptive and statistical analysis of the responses, they highlight in particular the relationship between provision of admission avoidance and supported discharge, the availability of 24-hour care, and the locations in which care is provided, and relate their findings to the emerging evidence base for intermediate care, guidance on implementation from central government, and debate in the literature. Whilst the expansion and integration of intermediate care appear to be continuing apace, much provision seems concentrated in supported discharge services rather than acute admission avoidance, and particularly in residential forms of post-acute intermediate care. Supported discharge services tend to be found in residential settings, while admission avoidance provision tends to be non-residential in nature. Twenty-four-hour care in non-residential settings is not available in several responding PCTs. These findings raise questions about the relationship between the implementation of intermediate care, and the evidence for and aims of the policy as part of National Health Service modernisation, and the extent to which intermediate care represents a genuinely novel approach to the care and rehabilitation of older people. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|