Delivering person-centred holistic care for older people
Delivering person-centred holistic care for older people
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DOI：
10.1108/qaoa-05-2016-0019
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发表时间：
2017-01-01
影响因子：
1.5
通讯作者：
Edwards, Vicky
中科院分区：
文献类型：
--
作者：
Beech, Roger;Ong, Bie Nio;Edwards, Vicky
目的：本文是英国柴郡福利协调员(WBC)服务的评估案例研究。WBC是全科医生手术或医院团队的非临床成员，他们提供建议和支持，帮助患有长期疾病和未得到满足的社会需求的人在家中保持独立。本文旨在讨论这一问题。设计/方法/方法-一种混合方法设计，使用访谈、日记和有效的幸福感测量来评估受助者和照顾者的护理结果。服务利用数据、WBC会诊的访谈和观察使得能够调查护理过程中的变化。使用简单的描述性统计、建立的工具评分系统和公认的社会科学会议对数据进行分析。结果--WBC补充了支持有复杂健康和社会护理问题的人的医疗方法，对照顾者的支持往往是一个关键的服务组成部分。用户报告称，他们的幸福感、访问社交网络以及维护社交身份和有价值的活动方面都有所改善。卫生和社会护理专业人员认识到这项服务的价值。实际影响--WBC概念减轻了卫生和社会护理专业人员的负担，因为健康不良的社会因素得到了解决。从不健康到健康的思维转变意味着老年人感觉更有能力重新控制自己的生活，减少对咨询专业人员的依赖。原创性/价值-WBC是一项新的服务，专注于个人的健康、社会和经济背景。过程和结果评价在这一领域很少见。
Purpose - This paper is an evaluated case study of the Wellbeing Coordinator (WBC) service in Cheshire, UK. WBCs are non-clinical members of the GP surgery or hospital team who offer advice and support to help people with long-term conditions and unmet social needs remain independent at home. The paper aims to discuss this issue.Design/methodology/approach - A mixed method design assessed the outcomes of care for recipients and carers using interviews, diaries and validated wellbeing measures. Service utilization data, interviews and observations of WBC consultations enabled investigation of changes in processes of care. Data were analysed using simple descriptive statistics, established instrument scoring systems and accepted social science conventions.Findings - The WBC complements medical approaches to supporting people with complex health and social care problems, with support for carers often a key service component. Users reported improvements in their wellbeing, access to social networks, and maintenance of social identity and valued activities. Health and social care professionals recognized the value of the service.Practical implications - The WBC concept relieves the burden on health and social care professionals as the social elements of ill-health are addressed. A shift in thinking from ill-health to wellbeing means older people feel more able to regain control over their own lives, being less dependent on consulting professionals.Originality/value - The WBC is a new service focussing on the individual in their health, social and economic context. Process and outcomes evaluations are rare in this field.