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Development and preliminary testing of a framework for quantifying local service provision for people with dementia

Hughes, Jane; Ahmed, Saima; Clarkson, Paul; Davies, Sue; Stewart, Karen; Challis, David

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Authors

Jane Hughes

Saima Ahmed

Paul Clarkson

Sue Davies

Karen Stewart



Abstract

© 2020, Emerald Publishing Limited. Purpose: It was hypothesised that there were variations in health and social care services available for older people with dementia and their carers, and that measurement of this between localities was possible. The purpose of this paper is to present a framework for examining this. Design/methodology/approach: Using a case study approach, data from national surveys of local authorities providing social care and National Health Services Trusts providing old age mental health services conducted in 2014/2015 in England were used. From these, indicators of variation in services for people with dementia and their carers in different geographical areas were created. Measurement of the presence/absence of each service permitted the creation of a service mix score for each area. Findings: The framework comprised 16 attributes each with indicators describing the characteristics of the organisations providing the services; the skill mix of community mental health teams for older people; and the health care and social care services available in localities. Variation was evident, confirmed by quartile analysis and exemplars, suggesting that older people with dementia and their carers in different localities are likely to experience differences in the range of provision available, particularly social care services. Originality/value: The case study approach used achieved its objectives, and the resultant framework has potential for generalisability and utility, given acceptable ecological validity and discriminant validity in identifying variations in service mix. It could be used in both research and practice.

Citation

Hughes, J., Ahmed, S., Clarkson, P., Davies, S., Stewart, K., & Challis, D. (2020). Development and preliminary testing of a framework for quantifying local service provision for people with dementia. Quality in Ageing and Older Adults, 21(3), 193-202. https://doi.org/10.1108/QAOA-03-2020-0010

Journal Article Type Article
Acceptance Date Oct 9, 2020
Online Publication Date Nov 23, 2020
Publication Date Nov 23, 2020
Deposit Date Oct 23, 2020
Publicly Available Date Mar 29, 2024
Journal Quality in Ageing and Older Adults
Print ISSN 1471-7794
Electronic ISSN 2042-8766
Publisher Emerald
Peer Reviewed Peer Reviewed
Volume 21
Issue 3
Pages 193-202
DOI https://doi.org/10.1108/QAOA-03-2020-0010
Keywords Survey, Social care, Healthcare, Framework, Older people with mental health problems, Carers
Public URL https://nottingham-repository.worktribe.com/output/4985131
Publisher URL https://www.emerald.com/insight/content/doi/10.1108/QAOA-03-2020-0010/full/html

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