Meaningful and measurable: developing approaches to the analysis and use of information on personal outcomes within health and social care

有意义且可衡量：开发分析和使用健康和社会护理中个人结果信息的方法

• 批准号: ES/L002132/1
• 负责人: Ailsa Cook
• 金额: $ 12.72万
• 依托单位: University of Edinburgh
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2013
• 资助国家: 英国
• 起止时间: 2013 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FL002132%2F1
• 关键词: Meaningful; measurable; developing; approaches; analysis

Policy and practice across the UK and beyond is committed to improving the lives of people who use services and unpaid carers. Over the past five to ten years there has been a particular concern to shift health and social care systems away from an exclusive focus on their own inputs, processes and outputs to give a more prominent focus to personal outcomes for people using services and unpaid carers. In this context the term personal outcomes is used to refer to both the impact and end results of services and supports on a persons life and more simply, what matters to people. The proposed project builds on a seven year programme of knowledge exchange and service improvement that has been led by two of the applicants (Dr Ailsa Cook and Dr Emma Miller) and funded by the Joint Improvement Team in Scotland. This programme, known as Talking Points, has involved work with more than 130 organisations to support the development of outcomes focussed practice. A key finding emerging from the Talking Points programme is that limited capacity and skills in the analysis of qualitative and quantitative personal outcomes information within health and social care organisations constitutes a significant barrier to effective outcomes focussed project. Furthermore, this issue is exacerbated by the predominance of performance cultures that prioritise consistency, comparability and measurability of information over meaning. Over the past year 15 partner organisations have worked together to develop this proposal for funding from the ESRC. The partner organisations have all been involved in the Talking Points programme and include the following academic, practice and national stakeholder partners:University of Edinburgh (host institution), University of Strathclyde, University of SwanseaAngus Council, Bridgend County Borough Council, City of Edinburgh Council, East renfrewshire Health and Care Partnership, Moray Health and Social Care Partnership, Penumbra, Stirling Council, VOCAL (Voice of Carers Across Lothian)Joint Improvement Team, Community Care Benchmarking Network, The ALLIANCE, Social Services Inspection Agency. The proposed project involves both collaborative action research and knowledge exchange elements. Specifically the academic team will support each of the practice partners to engage in an action research project focussed on the analysis and use of personal outcomes data routinely collected through assessment and review processes within their organisations. Co-ordination and collaboration between these projects will be primarily achieved through the convention of three 'data retreats' two day workshops where project partners work together to develop capacity and skills, exchange knowledge and reflect on the process. The contribution of national stakeholder partners will ensure that the findings of this project are effectively disseminated to and implemented within a wider constituency of health and social care organisations. This will be achieved through support for a range of knowledge exchange processes, including events, dissemination of materials and staff time to work with other organisations not directly involved in the project to implement the findings in their own practice. Engagement with these partners, all of whom are actively involved in shaping policy, will ensure that the project findings influence national policy, in particular in relation to the development of national outcome performance reporting frameworks. In these ways it is anticipated that the proposed project will bring significant benefits not only to partner and provider organisations, but to the wider health and social care system. The short term impacts of the project will be systematically evaluated through a process of contribution analysis. Findings from this contribution analysis and the project as a whole will be widely disseminated, including to academic audiences.

英国及其他地区的政策和做法致力于改善使用服务和无偿护理人员的生活。在过去的五到十年里，人们特别关注的是将卫生和社会护理系统从完全关注其自身的投入、过程和产出转变为更加突出地关注使用服务的人和无报酬护理者的个人成果。在这方面，个人成果一词是指服务和支助对个人生活的影响和最终结果，更简单地说，是指对人们重要的东西。拟议的项目建立在一个为期七年的知识交流和服务改进方案的基础上，该方案由两名申请人（Ailsa Cook博士和Emma米勒博士）领导，并由苏格兰联合改进小组资助。该方案被称为谈话要点，涉及与130多个组织合作，以支持发展注重成果的做法。谈话要点方案的一个关键发现是，在卫生和社会保健组织内分析定性和定量个人成果信息的能力和技能有限，构成了有效成果重点项目的重大障碍。此外，业绩文化的主导地位使这一问题更加严重，这种文化将信息的一致性、可比性和可衡量性置于意义之上。在过去的一年里，15个合作伙伴组织共同努力，制定了这一提案，以获得ESRC的资助。伙伴组织都参与了谈话要点方案，包括以下学术、实践和国家利益攸关方伙伴：爱丁堡大学（主办机构）、斯特拉斯克莱德大学、斯旺西大学安格斯理事会、布里真德县自治市理事会、爱丁堡市理事会、东伦弗鲁郡卫生和护理伙伴关系、马里卫生和社会护理伙伴关系、Penumbra、斯特林理事会、VOCAL（洛锡安各地护理者之声）联合改进小组、社区护理基准网络、联盟、社会服务检查局。拟议的项目涉及合作行动研究和知识交流两个要素。具体来说，学术团队将支持每个实践伙伴参与行动研究项目，重点是分析和使用通过其组织内的评估和审查过程定期收集的个人成果数据。这些项目之间的协调和合作将主要通过三个为期两天的“数据务虚会”来实现，项目合作伙伴将共同努力发展能力和技能，交流知识并反思这一过程。国家利益攸关方合作伙伴的贡献将确保该项目的调查结果有效地传播到更广泛的卫生和社会保健组织并在其范围内得到实施。这将通过支持一系列知识交流过程来实现，包括活动、材料传播和工作人员与未直接参与项目的其他组织合作的时间，以在自己的实践中实施调查结果。这些伙伴都积极参与制定政策，与这些伙伴的接触将确保项目结果影响国家政策，特别是在制定国家成果执行情况报告框架方面。通过这些方式，预计拟议的项目不仅将为合作伙伴和提供者组织带来重大利益，而且将为更广泛的卫生和社会保健系统带来重大利益。该项目的短期影响将通过贡献分析过程进行系统评估。这一贡献分析的结果和整个项目将广泛传播，包括向学术界传播。