scholarly journals Care transitions for frail, older people from acute hospital wards within an integrated healthcare system in England: a qualitative case study

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Lesley Baillie ◽  
Andrew Gallini ◽  
Rachael Corser ◽  
Gina Elworthy ◽  
Ann Scotcher ◽  
...  
Keyword(s):  
Older People ◽  
Healthcare System ◽  
Qualitative Case Study ◽  
Care Transitions ◽  
Acute Hospital ◽  
Frail Older People ◽  
Integrated Healthcare ◽  
Hospital Wards

scholarly journals Effective health service planning and delivery: A qualitative case study exploring health service users perspectives

2021 ◽  
Author(s):  
Gigil Marme
Keyword(s):  
Health Service ◽  
Health Services ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Qualitative Case Study ◽  
Service Users ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Delivery Of Health Services

Abstract Introduction: Healthcare service is an essential determinant to population health. This qualitative case study aims to explore health service users’ perspective of effective health services delivery and the current challenges affecting the management and delivery of health services at a primary healthcare facility in Madang Province, Papua New Guinea (PNG). Methods: Qualitative data were collected using semi-structured interviews with key informants (KI) representing academics, undergraduate students, administration staff, patients and healthcare workers. The interviews covered three main areas: users’ views of effective health services, current challenges affecting effective planning and management of primary healthcare services, and interventions to improve health services planning and delivery. Results: The services users associated effective health services delivery with increased availability, accessibility, acceptability, and quality healthcare. Many factors exist to influence the effective planning and delivery of health services. The results show that health systems and personal factors have a major influence on the planning and health services delivery. Conclusion: The findings from this study call for an evaluation of the current healthcare system, particularly at the primary healthcare level, as the primary point of contact to the formal healthcare system, and the need for developing a contextual model of healthcare that meet the needs of the service users. We concluded that if health services users’ perspectives are considered in health policy, the local community may experience significant improvement in health status.

Teaming up for more comprehensive care: case study of the Geriatric flying squad and emergency responders (Ambulance, Police, Fire and Rescue)

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lynda Elias ◽  
Genevieve Maiden ◽  
Julie Manger ◽  
Patricia Reyes
Keyword(s):  
Older People ◽  
Community Dwelling ◽  
Rapid Response ◽  
Initial Evaluation ◽  
Local Health ◽  
Model Of Care ◽  
Frail Older People ◽  
Content Type ◽  
Emergency Responders

PurposeThe purpose of this paper is to describe the development, implementation and initial evaluation of the Geriatric Flying Squad's reciprocal referral pathways with emergency responders including New South Wales Ambulance, Police and Fire and Rescue. These innovative pathways and model of care were developed to improve access to multidisciplinary services for vulnerable community dwelling frail older people with the intent of improving health and quality of life outcomes by providing an alternative to hospital admission.Design/methodology/approachThis is a case study describing the review of the Geriatric Flying Squad's referral database and quality improvement initiative to streamline referrals amongst the various emergency responders in the local health district. The implementation and initial evaluation of the project through online survey are further described.FindingsSustainable cross-sector collaboration can be achieved through building reciprocal pathways between an existing rapid response geriatric outreach service and emergency responders including Ambulance, Police, Fire and Rescue. Historically, emergency services would have transferred this group to the emergency department. These pathways exemplify person-centred care, underpinned by a multidisciplinary, rapid response team, providing an alternative referral pathway for first responders, with the aim of improving whole of health outcomes for frail older people.Practical implicationsEnablers of these pathways include a single point of contact for agencies, extended hours to support referral pathways, education to increase capacity and awareness, comprehensive and timely comprehensive assessment and ongoing case management where required and contemporaneous cross-sector collaboration to meet the medical and psychosocial needs of the client.Originality/valueThe Geriatric Flying Squad reciprocal pathways are a unique model of care with a multi-agency approach to addressing frail older people's whole of health needs.

scholarly journals Acute hospital care for frail older people

2006 ◽  
Vol 35 (6) ◽  
pp. 551-552 ◽  
Author(s):  
Stuart G. Parker ◽  
Reza Fadayevatan ◽  
Simon D. Lee
Keyword(s):  
Older People ◽  
Hospital Care ◽  
Acute Hospital ◽  
Frail Older People ◽  
Acute Hospital Care

scholarly journals CARING FOR FRAIL OR SERIOUSLY ILL OLDER PEOPLE DYING ON ACUTE HOSPITAL WARDS

2014 ◽  
Vol 4 (Suppl 1) ◽  
pp. A20.2-A20 ◽  
Author(s):  
Kristian Pollock ◽  
Glenys Caswell ◽  
Rowan Harwood ◽  
Davina Porock
Keyword(s):  
Older People ◽  
Acute Hospital ◽  
Hospital Wards ◽  
Seriously Ill

scholarly journals Care transition types across acute, sub-acute and primary care

2018 ◽  
Vol 26 (3) ◽  
pp. 189-198 ◽  
Author(s):  
Desley Harvey ◽  
Michele Foster ◽  
Rachel Quigley ◽  
Edward Strivens
Keyword(s):  
Primary Care ◽  
Older People ◽  
Service Use ◽  
Care Transitions ◽  
Care Transition ◽  
Longitudinal Case Study ◽  
Structured Interviews ◽  
Content Type ◽  
Systemic Factors

PurposeThe purpose of the paper is to examine the care transitions of older people who transfer between home, acute and sub-acute care to determine if there were common transition types and areas for improvements.Design/methodology/approachA longitudinal case study design was used to examine care transitions of 19 older people and their carers as a series of transitions and a whole-of-system experience. Case study accounts synthesising semi-structured interviews with function and service use data from medical records were compared.FindingsThree types of care transitions were derived from the analysis: manageable, unstable and disrupted. Each type had distinguishing characteristics and older people could experience elements of all types across the system. Transition types varied according to personal and systemic factors.Originality/valueThis study identifies types of care transition experiences across acute, sub-acute and primary care from the perspective of older people and their carers. Understanding transition types and their features can assist health professionals to better target strategies within and across the system and improve patient experiences as a whole.

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