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Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes
(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
(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, ...
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
(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 ...
Effective heath care for older people living and dying in care homes: a realist review
(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 ...
Provision of NHS generalist and specialist services to care homes in England : review of surveys
(2016-03-01)
Background: The number of beds in care homes (with and without nurses) in the UK is three times greater than the number of beds in NHS hospitals. Care homes are predominantly owned by a range of commercial, not-for-profit ...
Relationships, Expertise, Incentives, and Governance: Supporting Care Home Residents' Access to Health Care : An interview study from England
(2015-05-01)
Objectives: To explore what commissioners of care, regulators, providers and care home residents in England identify as the key mechanisms or components of different service delivery models that support the provision of ...
Effective health care for older people resident in care homes : The Optimal study protocol for realist review
(2014-05-24)
Background: Care homes in the UK rely on general practice for access to specialist medical and nursing care as well as referral to therapists and secondary care. Service delivery to care homes is highly variable in both ...
OPTIMAL: A realistic evaluation of what supports effective health care for care home residents
(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 ...
Improving recruitment of older people to research through good practice
(2011-11)
There is widespread evidence both of the exclusion of older people from clinical research, and of under-recruitment to clinical trials. This review and opinion piece provides practical advice to assist researchers both to ...