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dc.contributor.authorTrivedi, Daksha
dc.contributor.authorGoodman, Claire
dc.contributor.authorGage, Heather
dc.contributor.authorBaron, Natasha
dc.contributor.authorScheibl, Fiona
dc.contributor.authorIliffe, Steve
dc.contributor.authorManthorpe, Jill
dc.contributor.authorBunn, Frances
dc.contributor.authorDrennan, Vari
dc.identifier.citationTrivedi , D , Goodman , C , Gage , H , Baron , N , Scheibl , F , Iliffe , S , Manthorpe , J , Bunn , F & Drennan , V 2013 , ' The effectiveness of inter-professional working for older people living in the community : A systematic review ' , Health and Social Care in the Community , vol. 21 , no. 2 , pp. 113-128 .
dc.identifier.otherPURE: 603513
dc.identifier.otherPURE UUID: ebc86dcf-4eeb-46c5-afc3-9f4526b532cd
dc.identifier.otherScopus: 84872974732
dc.description.abstractHealth and social care policy in the UK advocates inter-professional working (IPW) to support older people with complex and multiple needs. Whilst there is a growing understanding of what supports IPW, there is a lack of evidence linking IPW to explicit outcomes for older people living in the community. This review aimed to identify the models of IPW that provide the strongest evidence base for practice with community dwelling older people. We searched electronic databases from 1 January 1990–31March 2008. In December 2010 we updated the findings from relevant systematic reviews identified since 2008. We selected papers describing interventions that involved IPW for community dwelling older people and randomised controlled trials (RCT) reporting user-relevant outcomes. Included studies were classified by IPW models (Case Management, Collaboration and Integrated Team) and assessed for risk of bias. We conducted a narrative synthesis of the evidence according to the type of care (interventions delivering acute, chronic, palliative and p eventive care) identified within each model of IPW. We retrieved 3211 records and included 37 RCTs which were mapped onto the IPW models: Overall, there is weak evidence of effectiveness and cost-effectiveness for IPW, although well-integrated and shared care models improved processes of care and have the potential to reduce hospital or nursing⁄ care home use. Study quality varied considerably and high quality evaluations as well as observational studies are needed to identify the key components of effective IPW in relation to user-defined outcomes. Differences in local contexts raise questions about the applicability of the findings and their implications for practice. We need more information on the outcomes of the process of IPW and evaluations of the effectiveness of different configurations of health and social care professionals for the care of community dwelling older people.en
dc.relation.ispartofHealth and Social Care in the Community
dc.subjectteam work
dc.subjectInter-professional working
dc.subjectolder people
dc.subjectcommunity dwelling
dc.titleThe effectiveness of inter-professional working for older people living in the community : A systematic reviewen
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionOlder People's Health and Complex Conditions
dc.contributor.institutionEvidence Based Practice
dc.contributor.institutionEDS Trial
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionPatient Experience and Public Involvement
dc.contributor.institutionNursing, Midwifery and Social Work
dc.description.statusPeer reviewed
rioxxterms.typeJournal Article/Review

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