The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol

Gordon, Adam L. and Goodman, Claire and Dening, Tom and Davies, Sue and Gladman, John R.F. and Bell, Brian G. and Zubair, Maria and Handley, Melanie J. and Meyer, Julienne and Bowman, Clive and Gage, Heather and Iliffe, Steve R. and Martin, Finbarr C. and Schneider, Justine and Victor, Christina (2014) The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol. Journal of the American Medical Directors Association, 15 (9). pp. 681-686. ISSN 1538-9375

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Abstract

Long term institutional care in the UK is provided by care homes. Residents have prevalent cognitive impairment and disability, have multiple diagnoses and are subject to polypharmacy. Prevailing models of healthcare provision - ad hoc, reactive and co-ordinated by general practitioners - result in unacceptable variability of care. A number of innovative responses to improve health care for care homes have been commissioned. The organisation of health and social care in the UK is such that it is unlikely that a single solution to the problem of providing quality healthcare for care homes will be identified that can be used nationwide.

Realist evaluation is a methodology which uses both qualitative and quantitative data to establish an in depth understanding of what works, for whom, in what settings. In this paper we describe a protocol for using realist evaluation to understand the context, mechanisms and outcomes which shape effective health care delivery to care home residents in the UK. By describing this novel approach, we hope to inform international discourse about research methodologies in long-term care settings internationally.

Item Type: Article
Keywords: Nursing homes, homes for the aged, delivery of health care, frail older adults, research design
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Rehabilitation and Ageing
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine
Identification Number: 10.1016/j.jamda.2014.06.011
Depositing User: Dziunka, Patricia
Date Deposited: 21 Mar 2017 09:27
Last Modified: 13 Oct 2017 01:40
URI: http://eprints.nottingham.ac.uk/id/eprint/40881

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