Abstract
The detailed reviews, interviews and subsequent longitudinal case studies structured around a unifying realist analytical framework allowed us to establish a theory of commissioning for health care provision to care homes, which proposes that health care services will work better when: staff are explicitly tasked to work with care homes at an institutional level as well as individual residents; healthcare and care home staff are empowered to co-design their working models; where explicit expertise in dementia care is available; the role of GP as medical provider is supported by access to a wider array of services and they incorporate care management. There was no evidence from our study that a short-term focus on avoiding admissions to acute hospitals from care homes added any value to service specification or care delivery.
| Original language | English |
|---|---|
| Article number | IAGG 2017 World Congress |
| Pages (from-to) | 1054 |
| Number of pages | 1054 |
| Journal | Innovation in Aging |
| Volume | v1 |
| Issue number | Issue 1 (Supp 1) |
| Publication status | Published - 1 Jul 2017 |
Keywords
- health care, models, realist review