Abstract

The detailed reviews, interviews and subsequent longitudinal case studies structured around a unifying realist analytical framework allowed us to establish a theory of commissioning for health care provision to care homes which proposes health services will work better when: staff are explicitly tasked to work with care homes at an institutional level as well as individual residents; healthcare and care home staff are empowered to co-design their working models; where explicit expertise in dementia care is available; the role of GP as a medical care provider is supported by access to a wider array of services; and they incorporate care management. There was no evidence from our study that a short term focus on avoiding admissions to acute hospitals from care homes added any value to service specification or care delivery.

Publication Type:	Article
Additional Information:	© The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. C. Goodman, A. Gordon, S. Davies, A. Mayrhofer, M. Zubair, T. Dening, J. Meyer; A SYNTHESIS: WHAT WORKS TO DELIVER OPTIMAL HEALTH OUTCOMES FOR UK CARE HOME RESIDENTS, Innovation in Aging, Volume 1, Issue suppl_1, 1 July 2017, Pages 1054, https://doi.org/10.1093/geroni/igx004.3851
Departments:	School of Health & Psychological Sciences > Nursing

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