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Care home readiness: a rapid review and consensus workshops on how organisational context affects care home engagement with health care innovation
Goodman, Claire; Sharpe, Rachel; Russell , Charlotte; Meyer, Julienne; Gordon , Adam; Dening , Tom; Corazzini , Kirsten; Lynch, Jennifer; Bunn, Frances (NHS England, 2017-03-31)Summary The NHS Five-Year Forward view recognises that the NHS needs to do more to support older people living with frailty in care homes. This paper presents the findings from a rapid review and consensus events that ... -
Commentary: COVID in care homes—challenges and dilemmas in healthcare delivery
Gordon , Adam; Goodman, Claire; Actherberg, Wilco; Barker , Robert O; Burns , Eileen; Hanratty , Barbara; Martin , Finbarr; Meyer, Julienne; Schols, Jos; Spilsbury , Karen (2020-09-01)The COVID-19 pandemic has disproportionately affected care home residents internationally, with 19–72% of COVID-19 deaths occurring in care homes. COVID-19 presents atypically in care home residents and up to 56% of residents ... -
Data collection in care homes for older adults: A national survey in England
Hanratty , Barbara; Wolters , Arne; Towers, Ann-Marie; Spilsbury, Karen; Meyer, Julienne; Killet , Anne; Jones, Liz; Gordon , Adam; Burton , Jennifer; Akdur, Gizdem; Irvine, Lisa; Warmoth, Krystal; Liddle, Jennifer; Goodman, Claire (2023-11-07)Context: In many countries, there is a specification for information that should be collected by care homes. So-called ‘minimum data-sets’ (MDS) are often lengthy, and report on resident health and wellbeing, staff, and ... -
Effective heath care for older people living and dying in care homes: a realist review
Goodman, Claire; Dening , Tom; Gordon , Adam; Davies, Susan; Meyer, Julienne; Martin , Finbarr; Gladman, John; Bowman, Clive; Victor, Christina (2016-07-16)Background Care home residents in England have variable access to health care services. There is currently no coherent policy or consensus about the best arrangements to meet these needs. The purpose of this review was to ... -
Exploratory factor analysis and Rasch analysis to assess the structural validity of the Adult Social Care Outcomes Toolkit Proxy version (ASCOT-Proxy) completed by care home staff
Rand , Stacey; Towers, Ann-Marie; Allan, Stephen; webster , Lucy; Palmer, Sinead; Carroll, Rachael; Gordon , Adam; Akdur, Gizdem; Goodman, Claire (2024-03-20)Purpose. Rasch analysis and exploratory factor analysis (EFA) were used to evaluate the structural validity of the ASCOT-Proxy measures completed by staff on behalf of older adults resident in care homes, by comparison to ... -
Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes
Gordon , Adam; Goodman, Claire; Davies, Sue L; Dening , Tom; Gage, Heather; Meyer, Julienne; Schneider, Justine; Bell , Brian; Jordan , Jake; Martin , Finbarr; Iliffe , Steve; Bowman, Clive; Gladman, John; Victor, Christina; Mayrhofer, Andrea; Handley, Melanie; Zubair , Maria (2018-07-01)Introduction: care home residents have high healthcare needs not fully met by prevailing healthcare models. This study explored how healthcare configuration influences resource use. Methods: a realist evaluation using ... -
Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings
Goodman, Claire; Davies, Sue L; Gordon , Adam; Dening , Tom; Gage, Heather; Meyer, Julienne; Bell , Brian; Jordon , Jake; Martin , Finbarr; Iliffe , Steve; Gladman, John; Victor, Christina; Mayrhofer, Andrea; Handley, Melanie; Zubair , Maria (2017-11-01)The OPTIMAL study argued that it is probable that there are key activities within different models of health-care provision that are important for residents’ health care. Objectives: To understand ‘what works, for whom, ... -
OPTIMAL: A realistic evaluation of what supports effective health care for care home residents
Davies, Susan; Goodman, Claire; Gordon , Adam; Schneider, Justine; Gladman, John; Dening , Tom; Bell , Brian (2013-07-09)This poster presents early findings from phase one of OPTIMAL, a 3 year study that asked: 1.What is the range of health service delivery models that provide health care to care home residents? 2.What features of these ... -
Protocol for a realist review of General Practitioners’ Role in Advancing Practice in Care Homes (GRAPE study)
Gordon , Adam; Devi, Reena; Williams , Chris; Goodman, Claire; Sartain , Kathleen; Chadborn , Neil (2020-06-15)Introduction Older people who live in care homes have a high level of need with complex health conditions. In addition to providing medical care to residents, general practitioners (GPs) play a role as gatekeeper for access ... -
Setting priorities to inform assessment of care homes’ readiness to participate in healthcare innovation: a systematic mapping review and consensus process
Bunn, Frances; Goodman, Claire; Lynch, Jennifer; Handley, Melanie; Dening , Tom; Gordon , Adam (2020-02-05)Organisational context is known to impact on the successful implementation of healthcare initiatives in care homes. We undertook a systematic mapping review to examine whether researchers have considered organisational ... -
Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study
Zubair , Maria; Chadborn , Neil H; Gladman, John; Dening , Tom; Gordon , Adam; Goodman, Claire (2017-10-01)Abstract Introduction Care home residents are relatively high users of healthcare resources and may have complex needs. Comprehensive geriatric assessment (CGA) may benefit care home residents and improve efficiency of ... -
USING INTERNATIONAL COLLABORATIONS TO SHAPE RESEARCH AND INNOVATION INTO CARE HOMES IN BRAZIL: A WHITE PAPER
Jacinto, Alessandro F; Goodman, Claire; Gordon , Adam (2020-11-27)The Brazilian care home sector is underdeveloped, and the limited available evidence suggests that care quality falls below international standards. Development of the Brazilian care home sector could be associated with ...