scholarly journals Community assets and multimorbidity: A qualitative scoping study

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246856
Author(s):  
Maria Kordowicz ◽  
Dieu Hack-Polay
Keyword(s):  
Thematic Analysis ◽  
Practical Importance ◽  
Rapid Review ◽  
Local Policy ◽  
Long Term Conditions ◽  
Community Assets ◽  
Documentary Analysis ◽  
Patient Stories

Little is known of how community assets can play a role in multimorbidity care provision. Using a rapid ethnographic approach, the study explored perceptions of the role of community assets in how multimorbidity is managed within Southwark and Lambeth in Southeast London, England. The scoping work comprised of four micro-studies covering (1) Rapid review of the literature (2) Documentary analysis of publicly available local policy documents (3) Thematic analysis of community stories and (4) Semi-structured stakeholder interviews. The data were analysed using framework thematic analysis. Themes are presented for each of the microstudies. The literature review analysis highlights the role of attitudes and understandings in the management of multiple long-term conditions and the need to move beyond silos in their management. Documentary analysis identifies a resource poor climate, whilst recognising the role of community assets and solution-focussed interventions in the management of multimorbidity. Community patient stories underline the lack of joined up care, and psychosocial issues such as the loss of control and reducing isolation. The stakeholder interview analysis reveals again a sense of disjointed care, the need for holism in the understanding and treatment of multimorbidity, whilst recognising the important role of community-based approaches, beyond the biomedical model. Recommendations stemming from the study’s findings are proposed. Upholding access to and resourcing community assets have key practical importance.

scholarly journals Falling through the gaps: exploring the role of integrated commissioning in improving transition from children’s to adults' services for young people with long-term health conditions in England

2018 ◽  
Vol 23 (2) ◽  
pp. 107-115 ◽  
Author(s):  
Gregory Maniatopoulos ◽  
Ann Le Couteur ◽  
Luke Vale ◽  
Allan Colver
Keyword(s):  
Young People ◽  
Transitional Care ◽  
Transition Services ◽  
Health Conditions ◽  
Local Policy ◽  
Long Term Conditions ◽  
Different Cultures ◽  
Depth Interviews

Objectives To explore the role of integrated commissioning in improving the transition of young people with long-term conditions from child to adult services. We aimed to identify organizational and policy gaps around transition services and provide recommendations for integrated commissioning practice. Methods Semi-structured in-depth interviews were conducted with two groups of participants: (1) twenty-four stakeholders involved in the commissioning and provision of transition services for young people with long-term conditions in two regions in England; (2) five professionals with national roles in relation to planning for transition. Transcripts were interrogated using thematic analysis. Results There is little evidence of integrated commissioning for transitional care for young people with long-term conditions. Commissioners perceive there to be a lack of national and local policy to guide integrated commissioning for transitional care; and limited resources for transition. Furthermore, commissioning organizations responsible for transition have different cultures, funding arrangements and related practices which make inter- and intra-agency co-ordination and cross-boundary continuity of care difficult to achieve. Conclusions Integrated commissioning may be an effective way to achieve successful transitional care for young people with long-term health conditions. However, this innovative relational approach to commissioning requires a national steer together with recognition of common values and joint ownership between relevant stakeholders.

The context of healthcare

2020 ◽  
pp. 1-34
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Northern Ireland ◽  
Healthcare Services ◽  
Health Profile ◽  
Long Term Conditions ◽  
Key Concepts ◽  
The Uk

This chapter begins by covering the UK health profile, then defines the key concepts in primary care and public health, and outlines the generic long-term conditions model. It provides a brief overview of the National Health Service, including differences in England, Northern Ireland, Scotland, and Wales. It covers current NHS entitlements for people from overseas, commissioning of services, and public health in a broader context. It also describes health needs assessment, and provides an overview of the services in primary care, the role of general practice, and other primary healthcare services. Further services, including those to prevent unplanned hospital admission, aid hospital discharge, those that support children and families, housing, social support, and care homes are all covered.

Case Management for Long‐Term Conditions: The Role of Networks in Health and Social Care Services

2010 ◽  
Vol 18 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Jessica Abell ◽  
Jane Hughes ◽  
Siobhan Reilly ◽  
Kathryn Berzins ◽  
David Challis
Keyword(s):  
Case Management ◽  
Social Care ◽  
Long Term Conditions ◽  
Care Services ◽  
Health And Social Care

Exploring the value of social network ‘care maps’ in the provision of long-term conditions care

2019 ◽  
pp. 174239531983646
Author(s):  
Jessica Young ◽  
Ursula Poole ◽  
Fardowsa Mohamed ◽  
Shona Jian ◽  
Martyn Williamson ◽  
...  
Keyword(s):  
Social Network ◽  
Health Professionals ◽  
Long Term Conditions ◽  
Care Community ◽  
Therapeutic Value ◽  
Care Maps ◽  
Hospital Wards ◽  
Reflection On Practice

Objectives There is renewed attention to the role of social networks as part of person-centred long-term conditions care. We sought to explore the benefits of ‘care maps’ – a patient-identified social network map of their care community – for health professionals in providing person-centred care. Methods We piloted care maps with 39 patients with long-term conditions in three urban and one rural general practice and two hospital wards. We interviewed the health professionals (n = 39) of these patients about what value, if any, care maps added to patient care. We analysed health professional interview data using thematic analysis to identify common themes. Results Health professionals all said they learned about their patients as a person-in-context. There was an increased understanding of patients’ support networks, synthesising what is known and unknown. Health professionals understood patients’ perceptions of health professionals and what really mattered to patients. There was discussion about the therapeutic value of care maps. The maps prompted reflection on practice. Discussion Care maps facilitated a broader focus than the clinical presentation. Using care maps may enable health professionals to support self-management rather than feeling responsible for many aspects of care. Care maps had ‘social function’ for health professionals. They may be a valuable tool for patients and clinicians to bridge the gap between medical treatment and patients’ lifeworlds.

scholarly journals Effects of participating in community assets on quality of life and costs of care: longitudinal cohort study of older people in England

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e033186 ◽  
Author(s):  
Luke Aaron Munford ◽  
Anna Wilding ◽  
Peter Bower ◽  
Matt Sutton
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Secondary Outcome ◽  
Long Term Conditions ◽  
Community Assets ◽  
Costs Of Care ◽  
Life Years ◽  
Double Robust

ObjectivesImproving outcomes for older people with long-term conditions and multimorbidity is a priority. Current policy commits to substantial expansion of social prescribing to community assets, such as charity, voluntary or community groups. We use longitudinal data to add to the limited evidence on whether this is associated with better quality of life or lower costs of care.DesignProspective 18-month cohort survey of self-reported participation in community assets and quality of life linked to administrative care records. Effects of starting and stopping participation estimated using double-robust estimation.SettingParticipation in community asset facilities. Costs of primary and secondary care.Participants4377 older people with long-term conditions.InterventionParticipation in community assets.Primary and secondary outcome measuresQuality-adjusted life years (QALYs), healthcare costs and social value estimated using net benefits.ResultsStarting to participate in community assets was associated with a 0.017 (95% CI 0.002 to 0.032) gain in QALYs after 6 months, 0.030 (95% CI 0.005 to 0.054) after 12 months and 0.056 (95% CI 0.017 to 0.094) after 18 months. Cumulative effects on care costs were negative in each time period: £−96 (95% CI £−512 to £321) at 6 months; £−283 (95% CI £−926 to £359) at 12 months; and £−453 (95% CI £−1366 to £461) at 18 months. The net benefit of starting to participate was £1956 (95% CI £209 to £3703) per participant at 18 months. Stopping participation was associated with larger negative impacts of −0.102 (95% CI −0.173 to −0.031) QALYs and £1335.33 (95% CI £112.85 to £2557.81) higher costs after 18 months.ConclusionsParticipation in community assets by older people with long-term conditions is associated with improved quality of life and reduced costs of care. Sustaining that participation is important because there are considerable health changes associated with stopping. The results support the inclusion of community assets as part of an integrated care model for older patients.

scholarly journals Responding to the settlement needs of newcomers to Canada: the role of community organizations in the Greater Toronto area

2021 ◽  
Author(s):  
Erica Wright
Keyword(s):  
Thematic Analysis ◽  
Practical Knowledge ◽  
Community Organizations ◽  
Grassroots Organizations ◽  
Greater Toronto Area ◽  
Qualitative Thematic Analysis ◽  
Settlement Services ◽  
Direct Government

This study analyzes the role of grassroots organizations in the Greater Toronto Area who support newcomers to Canada. A qualitative thematic analysis was used, with staff from three grassroots organizations and two key informants participating. The study aims, first, to gather practical knowledge from these organizations about the actions needed to improve settlement outcomes for newcomers. Secondly, it seeks to learn what challenges grassroots organizations face in continuing and expanding their services, and how they can be supported in their work. The organizations of focus do not provide direct, government-funded settlement services, but work towards goals of long-term immigrant success and integration. Findings included the need for more responsive and culturally-relevant programming among settlement organizations, the challenges with attaining funding, and the importance of partnerships among related institutions. These actors have valuable insights on newcomers’ current settlement needs and can make important knowledge contributions to the settlement sector. Key words: immigrants; settlement and integration; public services; grassroots organizations; Canada

Sign in / Sign up

Export Citation Format

Share Document