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- W106121343 abstract "Intermediate care is defined as a range of integrated services designed to promote faster recoveryfrom illness, prevent unnecessary admissions to hospital and long term care, support timelydischarge and maximise independent living. It is a vital component of the programme to improvethe health and well–being of older people and raise the quality of healthcare they receive.Evaluation of the extent to which intermediate care services (ICS) can achieve these objectives isimportant given the expectation for and investment in them.Conventional wisdom is that the best approaches to service evaluation are randomised controlledtrials and systematic reviews of the literature. However these methods are difficult to use forintermediate care services; because of the differences between the elements of health and socialcare services, the varying characteristics of the population they serve, the multiple problems andchronic disease of elderly people, and the problems of interaction with other services that may bechanging.The aim of the ICON project was to explore ICS using a whole systems approach to examine therelationship between different ICS and the use of hospital beds and intermediate care resources.To overcome the difficulties of evaluation computer simulation techniques were used. The goalwas to develop a computer model that would provide a generalisable system for evaluatingintermediate care services.The project took place in the Shepway District of Kent, while ICS were being developed. Theyincluded hospital inpatient rehabilitation beds, a Community Assessment and Rehabilitation Team(CART), a recuperative care service and a Day Hospital. Rapid Response Teams have recentlybeen introduced and are being evaluated separately from the ICON project.To develop the computer model, all health and social care services relevant to older people inShepway were mapped, along with the resources currently available to each. Interviews withservice managers provided data on the numbers of staff and beds, admission criteria, andresource use. Patient information was gathered by health care assessments using assessmentitems from the interRAI Minimum Data Set for Home Care Assessment system (MDS-HC). Theassessments included structured health care data on patients, describing their medical, physical,psychological and social characteristics." @default.
- W106121343 created "2016-06-24" @default.
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- W106121343 date "2003-05-01" @default.
- W106121343 modified "2023-09-23" @default.
- W106121343 title "An evaluation of intermediate care services for older people: Summary report" @default.
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