Micro innovation: what, how and who?

2016 ◽  
Author(s):  
Catherine Needham ◽  
Kerry Allen ◽  
Kelly Hall
Keyword(s):  
Older People ◽  
Social Care ◽  
Models Of Care ◽  
Service Users ◽  
Care Providers ◽  
Personal Care ◽  
Specific Context ◽  
Flexible Approach ◽  
Care For Older People ◽  
Micro Enterprises

Chapter eight draws on the interviews undertaken with people running care organisations, to bring out three types of innovation - what innovation, how innovation and who innovation. This chapter identifies the different types of innovation that are displayed within the specific context of care; referred to here as what, how and who innovations. In terms of what innovations, some micro-enterprises are delivering services that deviate from the traditional residential, domiciliary and day models of care through the provision of flexible ‘one-to-one support’. Whilst micro-enterprises were offering more flexible services, larger organisations were also offering a broad range of services, and in day provision especially, larger services were found to offer more choice to service users. Whilst it tends to be the what and who innovations within micro-enterprises that are most widely reported, it may be the how innovations that are most important when it comes to the context of social care for older people. For people receiving personal care in the home, the scope for micro providers to take a more flexible approach gives them an advantage over large care providers.

Patient Flow or the Patient’s Journey? Exploring Health Care Providers’ Experiences and Understandings of Implementing a Care Pathway to Improve the Quality of Transitional Care for Older People

2021 ◽  
pp. 104973232110038
Author(s):  
Cecilie Fromholt Olsen ◽  
Astrid Bergland ◽  
Jonas Debesay ◽  
Asta Bye ◽  
Anne Gudrun Langaas
Keyword(s):  
Health Care ◽  
Older People ◽  
Health Care Providers ◽  
Transitional Care ◽  
Care Pathway ◽  
Patient Flow ◽  
Care Pathways ◽  
Care Providers ◽  
Patient Centered ◽  
Care For Older People

Internationally, the implementation of care pathways is a common strategy for making transitional care for older people more effective and patient-centered. Previous research highlights inherent tensions in care pathways, particularly in relation to their patient-centered aspects, which may cause dilemmas for health care providers. Health care providers’ understandings and experiences of this, however, remain unclear. Our aim was to explore health care providers’ experiences and understandings of implementing a care pathway to improve transitional care for older people. We conducted semistructured interviews with 20 health care providers and three key persons, along with participant observations of 22 meetings, in a Norwegian quality improvement collaborative. Through a thematic analysis, we identified an understanding of the care pathway as both patient flow and the patient’s journey and a dilemma between the two, and we discuss how the negotiation of conflicting institutional logics is a central part of care pathway implementation.

scholarly journals THE EVALUATION OF INTERPROFESSIONAL EDUCATION IN PRIMARY CARE: A SOCIAL NETWORK ANALYSIS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S47-S47
Author(s):  
Linda C Smit ◽  
Jeroen Dikken ◽  
Nienke M Moolenaar ◽  
Marieke J Schuurmans ◽  
Niek J De Wit ◽  
...  
Keyword(s):  
Social Network ◽  
Social Network Analysis ◽  
Network Analysis ◽  
Older People ◽  
Health Care Professionals ◽  
Interprofessional Education ◽  
Social Care ◽  
Care Providers ◽  
Frail Older People ◽  
Health And Social Care

Abstract Effective, safe, person-centred care relies on skilled interprofessional collaboration (IPC) and practice. Little is known about interprofessional education (IPE) to increase IPC in the context of care for frail older people in the community. This study evaluates the effectiveness of IPE on IPC of primary health and social care providers providing care to frail older people in three districts in the Netherlands. A before-after study among 55 health care professionals using social network analysis was performed. The number of contacts increased on average with two contacts. The reciprocity in the districts increased with 15%, 2% and 13%. The diversity of contacts increased between 6% and 10% (p <.001; p .055; p .371). The IPE effectuated a larger, more collaborative, and diverse interprofessional network of health and social care professionals providing care to frail older people suggesting a ripple-effect of networked interventions.

scholarly journals Modernising social care services for older people: scoping the United Kingdom evidence base

2009 ◽  
Vol 29 (4) ◽  
pp. 497-538 ◽  
Author(s):  
SALLY JACOBS ◽  
CHENGQIU XIE ◽  
SIOBHAN REILLY ◽  
JANE HUGHES ◽  
DAVID CHALLIS
Keyword(s):  
United Kingdom ◽  
Older People ◽  
Social Care ◽  
Developed Countries ◽  
Evidence Base ◽  
Research Literature ◽  
Care Services ◽  
The United Kingdom ◽  
Health And Social Care ◽  
Care For Older People

ABSTRACTIn common with other developed countries at the end of the 20th century, modernising public services was a priority of the United Kingdom (UK) Labour administration after its election in 1997. The modernisation reforms in health and social care exemplified their approach to public policy. The authors were commissioned to examine the evidence base for the modernisation of social care services for older people, and for this purpose conducted a systematic review of the relevant peer-reviewed UK research literature published from 1990 to 2001. Publications that reported descriptive, analytical, evaluative, quantitative and qualitative studies were identified and critically appraised under six key themes of modernisation: integration, independence, consistency, support for carers, meeting individuals' needs, and the workforce. This paper lists the principal features of each study, provides an overview of the literature, and presents substantive findings relating to three of the modernisation themes (integration, independence and individuals' needs). The account provides a systematic portrayal both of the state of social care for older people prior to the modernisation process and of the relative strengths and weaknesses of the evidence base. It suggests that, for evidence-based practice and policy to become a reality in social care for older people, there is a general need for higher quality studies in this area.

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