Matches in SemOpenAlex for { <https://semopenalex.org/work/W2791070462> ?p ?o ?g. }
- W2791070462 endingPage "e017419" @default.
- W2791070462 startingPage "e017419" @default.
- W2791070462 abstract "Objectives To explore stakeholders’ understanding of novel integrated approaches to enhancing care in care homes (a care home ‘vanguard’) and identify priorities for evaluation. Design A qualitative study, using semistructured interviews with commissioners and service providers to/within care homes, and third sector organisations with thematic analysis. Setting A Clinical Commissioning Group (CCG) area in England. Participants Thirty interviewees from care homes, the National Health Service (NHS; England) and local authority, third sector (10 care home managers, 5 general practitioners, 4 CCG employees, 4 local authority employees, 1 national (NHS England) vanguard lead, 2 specialist nurses, 2 geriatricians, 1 third sector and 1 health manager). Results Four higher level themes emerged from the data: understanding of proposed changes, communication, evaluation of outcome measures of success, and trust and complexity. The vision for the new programme was shared by stakeholders, with importance attached to equitable access to high-quality care. Support for the programme was described as being ‘the right thing to do’, inferring a moral imperative. However, the practical implications of key aspects, such as integrated working, were not clearly understood and the programme was perceived by some as being imposed, top down, from the health service. Barriers and facilitators to change were identified across themes of communication, outcomes, trust and complexity. Importance was attached to the measurement of intangible aspects of success, such as collaboration. Interviewees understood that outcome-based commissioning was one element of the new programme, but discussion of their aspirations and practices revealed values and beliefs more compatible with a system based on trust. Conclusions Innovation in service delivery requires organisations to adopt common priorities and share responsibility for success. The vanguard programme is working to ensure health and local authorities have this commitment, but engaging care homes that may feel isolated from the welfare system needs sustained dialogue over the longer term. Evaluation of the programme needs to measure what is important to stakeholders, and not focus too closely on resource consumption." @default.
- W2791070462 created "2018-03-29" @default.
- W2791070462 creator A5007339141 @default.
- W2791070462 creator A5025179431 @default.
- W2791070462 creator A5036314550 @default.
- W2791070462 creator A5068063417 @default.
- W2791070462 creator A5073128502 @default.
- W2791070462 creator A5080890349 @default.
- W2791070462 creator A5083254109 @default.
- W2791070462 date "2018-03-01" @default.
- W2791070462 modified "2023-10-18" @default.
- W2791070462 title "Care home services at the vanguard: a qualitative study exploring stakeholder views on the development and evaluation of novel, integrated approaches to enhancing healthcare in care homes" @default.
- W2791070462 cites W1560870954 @default.
- W2791070462 cites W1584922013 @default.
- W2791070462 cites W1979290264 @default.
- W2791070462 cites W1996310940 @default.
- W2791070462 cites W1999741432 @default.
- W2791070462 cites W2003427627 @default.
- W2791070462 cites W2037937362 @default.
- W2791070462 cites W2100564574 @default.
- W2791070462 cites W2124840469 @default.
- W2791070462 cites W2128850858 @default.
- W2791070462 cites W2133602758 @default.
- W2791070462 cites W2146098320 @default.
- W2791070462 cites W2216837269 @default.
- W2791070462 doi "https://doi.org/10.1136/bmjopen-2017-017419" @default.
- W2791070462 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5875673" @default.
- W2791070462 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/29581198" @default.
- W2791070462 hasPublicationYear "2018" @default.
- W2791070462 type Work @default.
- W2791070462 sameAs 2791070462 @default.
- W2791070462 citedByCount "12" @default.
- W2791070462 countsByYear W27910704622019 @default.
- W2791070462 countsByYear W27910704622020 @default.
- W2791070462 countsByYear W27910704622021 @default.
- W2791070462 countsByYear W27910704622022 @default.
- W2791070462 countsByYear W27910704622023 @default.
- W2791070462 crossrefType "journal-article" @default.
- W2791070462 hasAuthorship W2791070462A5007339141 @default.
- W2791070462 hasAuthorship W2791070462A5025179431 @default.
- W2791070462 hasAuthorship W2791070462A5036314550 @default.
- W2791070462 hasAuthorship W2791070462A5068063417 @default.
- W2791070462 hasAuthorship W2791070462A5073128502 @default.
- W2791070462 hasAuthorship W2791070462A5080890349 @default.
- W2791070462 hasAuthorship W2791070462A5083254109 @default.
- W2791070462 hasBestOaLocation W27910704621 @default.
- W2791070462 hasConcept C144024400 @default.
- W2791070462 hasConcept C144133560 @default.
- W2791070462 hasConcept C151719136 @default.
- W2791070462 hasConcept C159110408 @default.
- W2791070462 hasConcept C160735492 @default.
- W2791070462 hasConcept C162853370 @default.
- W2791070462 hasConcept C165347436 @default.
- W2791070462 hasConcept C166957645 @default.
- W2791070462 hasConcept C17744445 @default.
- W2791070462 hasConcept C190248442 @default.
- W2791070462 hasConcept C199539241 @default.
- W2791070462 hasConcept C201305675 @default.
- W2791070462 hasConcept C2779197502 @default.
- W2791070462 hasConcept C2779541514 @default.
- W2791070462 hasConcept C2780378061 @default.
- W2791070462 hasConcept C36289849 @default.
- W2791070462 hasConcept C39549134 @default.
- W2791070462 hasConcept C71924100 @default.
- W2791070462 hasConcept C74196892 @default.
- W2791070462 hasConcept C95457728 @default.
- W2791070462 hasConceptScore W2791070462C144024400 @default.
- W2791070462 hasConceptScore W2791070462C144133560 @default.
- W2791070462 hasConceptScore W2791070462C151719136 @default.
- W2791070462 hasConceptScore W2791070462C159110408 @default.
- W2791070462 hasConceptScore W2791070462C160735492 @default.
- W2791070462 hasConceptScore W2791070462C162853370 @default.
- W2791070462 hasConceptScore W2791070462C165347436 @default.
- W2791070462 hasConceptScore W2791070462C166957645 @default.
- W2791070462 hasConceptScore W2791070462C17744445 @default.
- W2791070462 hasConceptScore W2791070462C190248442 @default.
- W2791070462 hasConceptScore W2791070462C199539241 @default.
- W2791070462 hasConceptScore W2791070462C201305675 @default.
- W2791070462 hasConceptScore W2791070462C2779197502 @default.
- W2791070462 hasConceptScore W2791070462C2779541514 @default.
- W2791070462 hasConceptScore W2791070462C2780378061 @default.
- W2791070462 hasConceptScore W2791070462C36289849 @default.
- W2791070462 hasConceptScore W2791070462C39549134 @default.
- W2791070462 hasConceptScore W2791070462C71924100 @default.
- W2791070462 hasConceptScore W2791070462C74196892 @default.
- W2791070462 hasConceptScore W2791070462C95457728 @default.
- W2791070462 hasFunder F4320316139 @default.
- W2791070462 hasIssue "3" @default.
- W2791070462 hasLocation W27910704621 @default.
- W2791070462 hasLocation W27910704622 @default.
- W2791070462 hasLocation W27910704623 @default.
- W2791070462 hasLocation W27910704624 @default.
- W2791070462 hasLocation W27910704625 @default.
- W2791070462 hasLocation W27910704626 @default.
- W2791070462 hasOpenAccess W2791070462 @default.
- W2791070462 hasPrimaryLocation W27910704621 @default.
- W2791070462 hasRelatedWork W1512927588 @default.
- W2791070462 hasRelatedWork W2242649363 @default.