Outputs (18)

Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings (2017)
Journal Article
Goodman, C., Davies, S. L., Gordon, A. L., Dening, T., Gage, H., Meyer, J., Schneider, J. M., Bell, B., Jordan, J., Martin, F. C., Iliffe, S., Bowman, C., Gladman, J. R., Victor, C., Mayrhofer, A., Handley, M., & Zubair, M. (2017). Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings. Health Services and Delivery Research, 5(29), https://doi.org/10.3310/hsdr05290

Background: Care homes are the institutional providers of long-term care for older people. The OPTIMAL study argued that it is probable that there are key activities within different models of health-care provision that are important for residents’ h... Read More about Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings.

Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study (2017)
Journal Article
Zubair, M., Chadborn, N., Gladman, J. R., Dening, T., Gordon, A. L., & Goodman, C. (2017). Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study. BMJ Open, 7(10), Article e017270. https://doi.org/10.1136/bmjopen-2017-017270

Introduction

Care home residents are relatively high users of healthcare resources and may have complex needs. Comprehensive geriatric assessment (CGA) may benefit care home residents and improve efficiency of care delivery. This is an approach t... Read More about Using comprehensive geriatric assessment for quality improvements in healthcare of older people in UK care homes: protocol for realist review within Proactive Healthcare of Older People in Care Homes (PEACH) study.

New horizons: the management of hypertension in people with dementia (2016)
Journal Article
Harrison, J. K., Van Der Wardt, V., Conroy, S. P., Stott, D. J., Dening, T., Gordon, A. L., Logan, P., Welsh, T. J., Taggar, J., Harwood, R., & Gladman, J. R. (2016). New horizons: the management of hypertension in people with dementia. Age and Ageing, 45(6), 740-746. https://doi.org/10.1093/ageing/afw155

The optimal management of hypertension in people with dementia is uncertain. This review explores if people with dementia experience greater adverse effects from antihypertensive medications, if cognitive function is protected or worsened by controll... Read More about New horizons: the management of hypertension in people with dementia.

Effective health care for older people living and dying in care homes: a realist review (2016)
Journal Article
Goodman, C., Dening, T., Gordon, A. L., Davies, S. L., Meyer, J., Martin, F. C., Gladman, J. R., Bowman, C., Victor, C., Handley, M., Gage, H., Iliffe, S., & Zubair, M. (in press). Effective health care for older people living and dying in care homes: a realist review. BMC Health Services Research, 16(269), https://doi.org/10.1186/s12913-016-1493-4

Background: Care home residents in England have variable access to health care services. There is currently no coherent policy or consensus about the best arrangements to meet these needs. The purpose of this review was to explore the evidence for ho... Read More about Effective health care for older people living and dying in care homes: a realist review.

Provision of NHS generalist and specialist services to care homes in England: review of surveys (2015)
Journal Article
Iliffe, S., Davies, S. L., Gordon, A. L., Schneider, J., Dening, T., Bowman, C., Gage, H., Martin, F. C., Gladman, J. R., Victor, C., Meyer, J., & Goodman, C. (2016). Provision of NHS generalist and specialist services to care homes in England: review of surveys. Primary Health Care Research and Development, 17(2), 122-137. https://doi.org/10.1017/S1463423615000250

Background: The number of beds in care homes (with and without nurses) in the United Kingdom is three times greater than the number of beds in National Health Service (NHS) hospitals. Care homes are predominantly owned by a range of commercial, not-f... Read More about Provision of NHS generalist and specialist services to care homes in England: review of surveys.

Relationships, expertise, incentives, and governance: supporting care home residents' access to health care: an interview study from England (2015)
Journal Article
Goodman, C., Davies, S. L., Gordon, A. L., Meyer, J., Dening, T., Gladman, J. R., Iliffe, S., Zubair, M., Bowman, C., Victor, C., & Martin, F. C. (2015). Relationships, expertise, incentives, and governance: supporting care home residents' access to health care: an interview study from England. Journal of the American Medical Directors Association, 16(5), https://doi.org/10.1016/j.jamda.2015.01.072

Objectives
To explore what commissioners of care, regulators, providers, and care home residents in England identify as the key mechanisms or components of different service delivery models that support the provision of National Health Service (NHS)... Read More about Relationships, expertise, incentives, and governance: supporting care home residents' access to health care: an interview study from England.

The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol (2014)
Journal Article
Gordon, A. L., Goodman, C., Dening, T., Davies, S., Gladman, J. R., Bell, B. G., Zubair, M., Handley, M. J., Meyer, J., Bowman, C., Gage, H., Iliffe, S. R., Martin, F. C., Schneider, J., & Victor, C. (2014). The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol. Journal of the American Medical Directors Association, 15(9), https://doi.org/10.1016/j.jamda.2014.06.011

Long term institutional care in the UK is provided by care homes. Residents have prevalent cognitive impairment and disability, have multiple diagnoses and are subject to polypharmacy. Prevailing models of healthcare provision - ad hoc, reactive and... Read More about The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol.

Effective health care for older people resident in care homes: the optimal study protocol for realist review (2014)
Journal Article
Goodman, C., Gordon, A. L., Martin, F., Davies, S. L., Iliffe, S., Bowman, C., Schneider, J., Meyer, J., Victor, C., Gage, H., Gladman, J. R., & Dening, T. (2014). Effective health care for older people resident in care homes: the optimal study protocol for realist review. Systematic Reviews, 3(1), Article 49. https://doi.org/10.1186/2046-4053-3-49

Background
Care homes in the UK rely on general practice for access to specialist medical and nursing care as well as referral to therapists and secondary care. Service delivery to care homes is highly variable in both quantity and quality. This var... Read More about Effective health care for older people resident in care homes: the optimal study protocol for realist review.