A typology of integrated care policies in the care home sector: A policy document analysis.
A typology of integrated care policies in the care home sector: A policy document analysis.
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DOI：
10.3389/fpubh.2023.943351
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发表时间：
2023
影响因子：
5.2
通讯作者：
Stokes, Jonathan
中科院分区：
文献类型：
--
作者：
Simpson, Glenn;Entwistle, Charlotte;Short, Andrea D.;Morciano, Marcello;Stokes, Jonathan
许多国家的保健和社会护理系统已开始试验和采用“综合”办法。然而，养老院在卫生和社会保健系统中发挥的重要作用往往被低估。确定最具（成本）效益的护理之家整合干预措施的关键第一步是能够准确识别和记录实施了什么，在哪里，以及何时-“政策地图”。为了解决与识别和记录（成本）有效的综合护理院干预措施有关的差距，我们开发了一种新的类型学工具。我们在英格兰的一个下放地区-大曼彻斯特（GM）进行了一项政策规划工作。具体而言，我们进行了系统的政策文件搜索，并提取了一系列定性数据有关的综合健康和社会护理倡议在通用汽车地区的护理院。然后，根据英格兰现有的国家雄心以及通用卫生系统框架对数据进行分类，以说明现有记录工具的差距，并迭代开发新方法。共确定和筛选了124份政策文件，其中确定了131项具体的护理之家融合举措。目前的举措强调监测护理之家的质量，劳动力培训和服务提供的变化（如多学科团队）。相对而言，很少强调融资或其他激励措施的变化，以刺激提供者的行为，为护理之家的设置。我们提出了一种新的类型来捕捉和比较养老院整合政策举措，主要是概念化的系统或具体的过渡点的养老院整合的目标，或者是否有一个更广泛的跨领域的系统干预正在制定，如数字或金融干预。我们的类型学建立在现有框架的差距上，包括以前对养老院缺乏特异性，以及对国际上新的和不断发展的举措缺乏适应性。它可以为决策者提供一个有用的工具，以确定在其各自领域内实施举措方面的差距，同时也使研究人员能够根据全面的政策图，评价在今后的研究中什么最有效和最有效率。
Health and social care systems in many countries have begun to trial and adopt “integrated” approaches. Yet, the significant role care homes play within the health and social care system is often understated. A key first step to identifying the care home integration interventions that are most (cost-)effective is the ability to precisely identify and record what has been implemented, where, and when—a “policy map.” To address gaps relating to the identification and recording of (cost-)effective integrated care home interventions, we developed a new typology tool. We conducted a policy mapping exercise in a devolved region of England—Greater Manchester (GM). Specifically, we carried out systematic policy documentary searches and extracted a range of qualitative data relating to integrated health and social care initiatives in the GM region for care homes. The data were then classified according to existing national ambitions for England as well as a generic health systems framework to illustrate gaps in existing recording tools and to iteratively develop a novel approach. A combined total of 124 policy documents were identified and screened, in which 131 specific care home integration initiatives were identified. Current initiatives emphasized monitoring quality in care homes, workforce training, and service delivery changes (such as multi-disciplinary teams). There was comparatively little emphasis on financing or other incentive changes to stimulate provider behavior for the care home setting. We present a novel typology for capturing and comparing care home integration policy initiatives, largely conceptualizing which part of the system or specific transition point the care home integration is targeting, or whether there is a broader cross-cutting system intervention being enacted, such as digital or financial interventions. Our typology builds on the gaps in current frameworks, including previous lack of specificity to care homes and lack of adaptability to new and evolving initiatives internationally. It could provide a useful tool for policymakers to identify gaps in the implementation of initiatives within their own areas, while also allowing researchers to evaluate what works most effectively and efficiently in future research based on a comprehensive policy map.
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影响因子：
0.8
作者：
Coleman, Anna;Croke, Sarah;Checkland, Kath
通讯作者：
Checkland, Kath
影响因子：
4.1
作者：
Gage H;Dickinson A;Victor C;Williams P;Cheynel J;Davies SL;Iliffe S;Froggatt K;Martin W;Goodman C
通讯作者：
Goodman C
影响因子：
3.3
作者：
Leijten, Fenna R. M.;Struckmann, Verena;Rutten-van Molken, Maureen
通讯作者：
Rutten-van Molken, Maureen
DOI：
10.1016/s2666-7568(20)30012-x
发表时间：
2020-10
期刊：
The lancet. Healthy longevity
影响因子：
--
作者：
Burton JK;Bayne G;Evans C;Garbe F;Gorman D;Honhold N;McCormick D;Othieno R;Stevenson JE;Swietlik S;Templeton KE;Tranter M;Willocks L;Guthrie B
通讯作者：
Guthrie B
影响因子：
2.8
作者：
Linton, Myles-Jay;Coast, Joanna;Owen-Smith, Amanda
通讯作者：
Owen-Smith, Amanda