scholarly journals Interdisciplinarity of research in nursing: the crossing of health, biomedical and social sciences

2019 ◽  
Vol 18 (3) ◽  
pp. 169-173
Author(s):  
Nevenka Kregar Velikonja
Keyword(s):  
Social Sciences ◽  
Social Services ◽  
Nursing Care ◽  
Social Care ◽  
Developed Countries ◽  
Research Projects ◽  
Scientific Publications ◽  
Care Services ◽  
Pubmed Database ◽  
Health And Social Care

AbstractIntroduction. Interdisciplinarity and interprofessional networking are important basis for a successful, recognizable and innovative research. Nursing research is at the intersection of health, biomedical and social sciences. Demographic trends in developed countries require integration of health and social services.Aim. To examine the trend of interdisciplinary approach in terms of addressing social care in connection with nursing care and especially in the field of nursing care of the elderly, we analyzed scientific publications in this field over the period 1998-2018 in the PubMed database.Discussion. The analysis showed that the number of scientific publications considering social care aspect is growing relatively faster in comparison to those addressing nursing care, especially when addressing elderly population. Development of study programmes should follow the needs of the society so that universities will educate professionals that will be able to tackle emerging problems and issues. Involvement of students in the research projects, dealing with relevant health and social care issues can significantly contribute to gaining required competences.Conclusions. The obtained publication data are reflecting the current trends of integration of health and social care services in practice and research. Interdisciplinary study programmes as well as engagement of students into relevant research projects are important for the efficient and quality development of care services.

scholarly journals A review of integrated heart failure care

2018 ◽  
Vol 20 ◽  
Author(s):  
Julie MacInnes ◽  
Liz Williams
Keyword(s):  
Heart Failure ◽  
Professional Education ◽  
Social Care ◽  
Symptom Control ◽  
Developed Countries ◽  
Integrative Review ◽  
Cochrane Library ◽  
Long Term Conditions ◽  
Care Services ◽  
Health And Social Care

Abstract Aim The aim of this integrative review is to determine the effectiveness of integrated heart failure (HF) care in terms of patient-, service- and resource-related outcomes, and to determine what model or characteristics of integrated care work best, for whom and in what contexts. Background Integration of health and social care services is a significant driver in the development of better and more cost-effective health and social care systems in Europe and developed countries. As high users of health and social care services, considerable attention has been paid to the care of people with long-term conditions. HF is a progressive, prevalent and disabling condition, requiring complex management involving multiple health and social care agencies. Methods An integrative review was conducted according to a framework by Whittemore and Knafl (2005). A literature search was undertaken using the databases: Medline, CINAHL, Embase, PsychINFO and the Cochrane Library, using key words of ‘heart failure’ OR ‘cardiac failure’ AND ‘integrated’ OR ‘multidisciplinary’ OR ‘interdisciplinary’ OR ‘multiprofessional’ OR ‘interprofessional’ OR ‘collaborative care’. Application of the inclusion and exclusion criteria resulted in 17 articles being included in the review. Articles were screened and coded for methodological quality according to a two-point criteria. Data were extracted using a template and analysed thematically. Findings Integrated HF care results in enhanced quality of life (QoL), and improved symptom control and self-management. Reduced admission rates, reduced length of hospital stay, improved prescribing practices and better care co-ordination are also reported. There is more limited evidence for improved efficiency although overall costs may be reduced. Although findings are highly context dependent, key features of integrated HF models are: liaison between primary and secondary care services to facilitate planned discharge, early and medium term follow-up, multidisciplinary patient education and team working including shared professional education, and the development and implementation of comprehensive care pathways.

Resource Allocation Modelling for Home-Based Health and Social Care Services in Areas Having Differential Population Density Levels: A Case Study in Northern Ireland

2000 ◽  
Vol 13 (3) ◽  
pp. 164-169 ◽  
Author(s):  
Tony Hindle ◽  
Adam Hindle ◽  
Martin Spollen
Keyword(s):  
Resource Allocation ◽  
Northern Ireland ◽  
Social Services ◽  
Social Care ◽  
Geographical Information ◽  
Population Densities ◽  
Relative Population ◽  
Care Services ◽  
Home Based ◽  
Health And Social Care

This project arose from deliberations within the Department of Health and Social Services (DHSS) in Northern Ireland concerning the acceptability of the revenue resource allocation methodology they were using. One problem with the method being used had been the absence of a component that adequately reflected the relative costs associated with the differential population densities of the four health boards into which the Province is divided. This study investigates a particular element of this issue, viz differences in the travelling distances and times of those health and social service professionals who provide visiting services to patients in their own homes. A modelling approach has been developed and used in conjunction with a comprehensive spatial and geographical information system for Northern Ireland. An important outcome of the study has been estimates of the targets that should be set for the annual health and social care travelling distances and times per head of population in the boards, for a range of home-based services. Also, the project has contributed to decisions made by the DHSS in Northern Ireland concerning the annual financial compensations required by boards for costs associated with their relative population densities.

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.

scholarly journals The Use of Internet-Based Health and Care Services by Elderly People in Europe and the Importance of the Country Context: Multilevel Study (Preprint)

2019 ◽  
Author(s):  
Sebastian Merkel ◽  
Moritz Hess
Keyword(s):  
Digital Divide ◽  
Elderly People ◽  
Social Services ◽  
Social Care ◽  
The Internet ◽  
Health And Social Services ◽  
Care Services ◽  
Country Level ◽  
Health And Social Care ◽  
Use Of Internet

BACKGROUND Digital health care is becoming increasingly important, but it has the risk of further increasing the digital divide, as not all individuals have the opportunity, skills, and knowledge to fully benefit from potential advantages. In particular, elderly people have less experience with the internet, and hence, they are in danger of being excluded. Knowledge on the influences of the adoption of internet-based health and care services by elderly people will help to develop and promote strategies for decreasing the digital divide. OBJECTIVE This study examined if and how elderly people are using digital services to access health and social care. Moreover, it examined what personal characteristics are associated with using these services and if there are country differences. METHODS Data for this study were obtained from the Special Eurobarometer 460 (SB 460), which collected data on Europeans’ handling of and attitudes toward digital technologies, robots, and artificial intelligence, including data on the use of internet-based health and social care services, among 27,901 EU citizens aged 15 years or older. Multilevel logistic regression models were adopted to analyze the association of using the internet for health and social care services with several individual and country-level variables. RESULTS At the individual level, young age, high education, high social class, and living in an urban area were positively associated with a high probability of using internet-based health and social services. At the country level, the proportion of elderly people who participated in any training activity within the last month was positively associated with the proportion of elderly people using these services. CONCLUSIONS The probability of using internet-based health and social services and their accompanying advantages strongly depend on the socioeconomic background. Training and educational programs might be helpful to mitigate these differences.

Public Reporting on Health and Social Care Services

2020 ◽  
pp. 33-53
Author(s):  
Reima Suomi ◽  
Elorm Damalie
Keyword(s):  
Social Care ◽  
Service Providers ◽  
Developed Countries ◽  
Public Reporting ◽  
Information Services ◽  
Healthcare Sector ◽  
Care Services ◽  
Health And Social Care ◽  
Reporting Systems ◽  
The Rich

The growth of the healthcare sector has led to innovative ways to cater to consumers' needs, with some of the rich, developed countries at the forefront. An in-depth understanding of them enables a successfully implemented and useful system for consumers. Public reporting is developed mainly for and around consumers. In this chapter, the authors take a general look at public reporting on health and social care services. They examine the existing reporting systems and the issues they encounter. There are significant benefits of public reporting on health and social care services, but we currently do not know the limits of such reporting. Citizens need such information services when deciding from there to acquire health and social care services for themselves or their families and relatives. Service providers need these information services for benchmarking purposes and for the development of their service offerings.

Integrated Care

2020 ◽  
pp. 166-191
Keyword(s):  
Integrated Care ◽  
Social Services ◽  
Social Care ◽  
Care Services ◽  
Health And Social Care ◽  
Governance Challenges ◽  
Quality Health ◽  
The Uk ◽  
Local Levels

Delivering high quality health and social care is considered to be one of the key governance challenges in the UK. People are living longer, and chronic diseases are more prevalent, which puts ever more pressure on health and social services to deliver. In order to better co-ordinate these services and deal with increased demand and funding pressures, authorities at both national and local levels are moving towards integrated care services. However, the integration of these services is plagued with difficulties. This chapter will explore the complexities of joining-up health and social care. It includes a case study of Continuing Healthcare (CHC), which is a package of care provided by the National Health Service (NHS) and which involves a number of providers across the health and social care sectors. While much of the chapter focuses on health and social care challenges in England, it will finish with analysis of Scotland's progress towards integrated services.

Public Reporting on Health and Social Care Services

2021 ◽  
pp. 378-398
Author(s):  
Reima Suomi ◽  
Elorm Damalie
Keyword(s):  
Social Care ◽  
Service Providers ◽  
Developed Countries ◽  
Public Reporting ◽  
Information Services ◽  
Healthcare Sector ◽  
Care Services ◽  
Health And Social Care ◽  
Reporting Systems ◽  
The Rich

The growth of the healthcare sector has led to innovative ways to cater to consumers' needs, with some of the rich, developed countries at the forefront. An in-depth understanding of them enables a successfully implemented and useful system for consumers. Public reporting is developed mainly for and around consumers. In this chapter, the authors take a general look at public reporting on health and social care services. They examine the existing reporting systems and the issues they encounter. There are significant benefits of public reporting on health and social care services, but we currently do not know the limits of such reporting. Citizens need such information services when deciding from there to acquire health and social care services for themselves or their families and relatives. Service providers need these information services for benchmarking purposes and for the development of their service offerings.

Progress Towards Partnership? The Development of Relations between Primary Care Organisations and Social Services Concerning Older People's Services in the UK

2004 ◽  
Vol 3 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Kirstein Rummery
Keyword(s):  
Primary Care ◽  
Older People ◽  
Social Services ◽  
Large Scale ◽  
Social Care ◽  
Theoretical Work ◽  
Care Services ◽  
Care Groups ◽  
Health And Social Care ◽  
The Uk

This paper will present evidence from the interim results of a large scale longitudinal project designed to track the development of partnership working between the new primary care organisations (Primary Care Groups and Trusts) entrusted with the commissioning and in some cases provision of health care, and local authority social services departments, regarding health and social care services for older people in the UK. Drawing on theoretical work concerning the role of partnership working in the governance of welfare, the author uses a framework originally devised by the Nuffield Centre for Health at the University of Leeds to analyse the interim data, and to draw conclusions about the feasibility of current policy pushes towards partnership working and service integration around health and social care for older people.

scholarly journals Association between receipt of social care and multimorbidity: evidence from a population-sized cohort in Scotland

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
David Henderson ◽  
Iain Atherton ◽  
Nick Bailey ◽  
Colin McCowan ◽  
Stewart Mercer
Keyword(s):  
Social Care ◽  
Developed Countries ◽  
Societal Implications ◽  
Term Care ◽  
Long Term Conditions ◽  
Care Services ◽  
Health And Social Care ◽  
Care Survey ◽  
The Relationship

Multimorbidity, the presence of two or more long-term conditions, is associated with numerous negative outcomes. Little is known, however, about the relationship between multimorbidity and social care use (also known as long-term care). This is important as many developed countries seek to integrate health and social care services as a means of improving quality of services at the same time as making efficiency savings. The aim of the study was to assess the relationship between receipt of formal social care services, sociodemographic variables, and two proxy measures of multimorbidity. For this retrospective population-based observational study including all individuals over the age of 65 in Scotland in financial years 2014/15 and 2015/16 (n= 975,265), we linked the Scottish Social Care Survey (which holds information on those receiving social care from local authorities) to administrative NHS community prescribing and demographic records. The main outcome binary measure was presence or not in the social care survey. Two proxy measures of multimorbidity were derived from prescribing data. We used logistic regression models and report Average Marginal Effects (AME). Fifteen percent of all individuals received formal social care services. After adjustment for other modelled factors, multimorbidity showed an increasing magnitude of effect on receipt of social care (AME 16.4% (95% CI 16.2-16.6%) increased probability for 9+ medicines compared to 0-2 medicines, AME 18.8% (95% CI 18.5-19.1%) increased probability for 6+ BNF chapters compared to 0 BNF chapters). The magnitude of effect of deprivation on social care receipt was lower (AME 5.1% (95% CI 4.8-5.4%) increased probability in the most deprived area decile compared to the most affluent) after adjusting for multimorbidity and other demographic factors. This is one of the first studies to demonstrate an association between multimorbidity and receipt of social care. Increasing prevalence of multimorbidity has greater societal implications than previously described.

scholarly journals How do health care workers manage a patient with multiple care needs from both health and social care services? – A vignette study

2017 ◽  
Vol 21 (1-2) ◽  
pp. 5-14 ◽  
Author(s):  
Tuulikki Vehko ◽  
Outi Jolanki ◽  
Anna-Mari Aalto ◽  
Timo Sinervo
Keyword(s):  
Health Care ◽  
Registered Nurses ◽  
Social Services ◽  
General Practitioners ◽  
Social Care ◽  
Treatment Plan ◽  
Care Process ◽  
Care Services ◽  
Health And Social Care ◽  
Management Of Care

Introduction To assess how health care professionals outline the management of care and explore which health or social care professionals were involved in the patient's treatment. Methods A survey with a patient vignette for general practitioners (n = 31) and registered nurses (n = 31) working daily in Finnish health centres located in four cities. Respondents answered structural questions and explained in detail the care process that they tailored for the patient. The care process was examined using content analysis. Results A physician–nurse working pair was declared to be in charge of the care process by 27% of respondents, a registered nurse by 9% and a general practitioner by 11%. However, 53% reported that no single person or working pair was in charge of the care process (response rate 72%). The concluding result of the analyses of the presented process was that both treatment practices and the professionals participating in the patient's treatment varied. Collaboration with social services was occasional, and few care processes included referrals to social services. Conclusion For the patient who needs both health and social care services, the management of care is a challenge. To improve the chances of patients being actively involved in making treatment plans at least three factors need to be addressed. Firstly, a written treatment plan should explicate the care process. Second, collaboration and interaction between health and social care services should be strengthened, and third, a contact person should be named to avoid care gaps in primary health care. Next-step data from patients need to be collected to get their views on care management and compare these with those from general practitioners and registered nurses.

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