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dc.contributor.authorPeckham, S.
dc.contributor.authorWilson, Patricia
dc.contributor.authorGosling, J.
dc.contributor.authorOsipovic, D.
dc.contributor.authorWallace, A.
dc.date.accessioned2016-03-03T10:20:32Z
dc.date.available2016-03-03T10:20:32Z
dc.date.issued2011
dc.identifier.citationPeckham , S , Wilson , P , Gosling , J , Osipovic , D & Wallace , A 2011 , ' Community nursing in systems reform : the London polyclinic experience ' , British journal of community nursing , vol. 16 , no. 6 , pp. 293-297 . < http://www.internurse.com/cgi-bin/go.pl/library/abstract.html?uid=84272 >
dc.identifier.issn1462-4753
dc.identifier.urihttp://hdl.handle.net/2299/16601
dc.descriptionOriginal article can be found at : http://www.internurse.com/ Copyright Mark Allen Healthcare
dc.description.abstractInternationally, the polyclinic has been a feature of many health systems. The recent UK policy shift towards enhanced coordination of care closer to home resulted in the development of polyclinics, most notably in London. This article explores the background to the development of polyclinics and draws on the early experience of developments in London to explore what their impact has been, and is likely to be, on community nursing. Emerging findings from an evaluation of four pilot polyclinics suggests that rather than one model, polyclinics evolved in distinctively different ways more appropriately labelled as polysystems. Although policy makers clearly identified community nursing as being one of the key components of integrated, community-based care, the evaluation suggests a focus on highlevel organizational restructuring and system change can shift attention from what many would consider core activities such as community health services.en
dc.format.extent519086
dc.language.isoeng
dc.relation.ispartofBritish journal of community nursing
dc.subjectcommunity nurses
dc.subjecthealth policy
dc.subjecthealth system reform
dc.subjectpolyclinics
dc.titleCommunity nursing in systems reform : the London polyclinic experienceen
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionPatient Experience and Public Involvement
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionNursing, Midwifery and Social Work
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.internurse.com/cgi-bin/go.pl/library/abstract.html?uid=84272
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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