The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol
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 co-ordinated by general practitioners - result in...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
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Elsevier
2014
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| Online Access: | https://eprints.nottingham.ac.uk/40881/ |
| _version_ | 1848796154221821952 |
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| author | Gordon, Adam L. Goodman, Claire Dening, Tom Davies, Sue Gladman, John R.F. Bell, Brian G. Zubair, Maria Handley, Melanie J. Meyer, Julienne Bowman, Clive Gage, Heather Iliffe, Steve R. Martin, Finbarr C. Schneider, Justine Victor, Christina |
| author_facet | Gordon, Adam L. Goodman, Claire Dening, Tom Davies, Sue Gladman, John R.F. Bell, Brian G. Zubair, Maria Handley, Melanie J. Meyer, Julienne Bowman, Clive Gage, Heather Iliffe, Steve R. Martin, Finbarr C. Schneider, Justine Victor, Christina |
| author_sort | Gordon, Adam L. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | 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 co-ordinated by general practitioners - result in unacceptable variability of care. A number of innovative responses to improve health care for care homes have been commissioned. The organisation of health and social care in the UK is such that it is unlikely that a single solution to the problem of providing quality healthcare for care homes will be identified that can be used nationwide.
Realist evaluation is a methodology which uses both qualitative and quantitative data to establish an in depth understanding of what works, for whom, in what settings. In this paper we describe a protocol for using realist evaluation to understand the context, mechanisms and outcomes which shape effective health care delivery to care home residents in the UK. By describing this novel approach, we hope to inform international discourse about research methodologies in long-term care settings internationally. |
| first_indexed | 2025-11-14T19:43:28Z |
| format | Article |
| id | nottingham-40881 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:43:28Z |
| publishDate | 2014 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-408812020-05-04T16:50:21Z https://eprints.nottingham.ac.uk/40881/ The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol Gordon, Adam L. Goodman, Claire Dening, Tom Davies, Sue Gladman, John R.F. Bell, Brian G. Zubair, Maria Handley, Melanie J. Meyer, Julienne Bowman, Clive Gage, Heather Iliffe, Steve R. Martin, Finbarr C. Schneider, Justine Victor, Christina 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 co-ordinated by general practitioners - result in unacceptable variability of care. A number of innovative responses to improve health care for care homes have been commissioned. The organisation of health and social care in the UK is such that it is unlikely that a single solution to the problem of providing quality healthcare for care homes will be identified that can be used nationwide. Realist evaluation is a methodology which uses both qualitative and quantitative data to establish an in depth understanding of what works, for whom, in what settings. In this paper we describe a protocol for using realist evaluation to understand the context, mechanisms and outcomes which shape effective health care delivery to care home residents in the UK. By describing this novel approach, we hope to inform international discourse about research methodologies in long-term care settings internationally. Elsevier 2014-07-30 Article PeerReviewed Gordon, Adam L., Goodman, Claire, Dening, Tom, Davies, Sue, Gladman, John R.F., Bell, Brian G., Zubair, Maria, Handley, Melanie J., Meyer, Julienne, Bowman, Clive, Gage, Heather, Iliffe, Steve R., Martin, Finbarr C., Schneider, Justine and Victor, Christina (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). pp. 681-686. ISSN 1538-9375 Nursing homes homes for the aged delivery of health care frail older adults research design http://www.sciencedirect.com/science/article/pii/S1525861014003910 doi:10.1016/j.jamda.2014.06.011 doi:10.1016/j.jamda.2014.06.011 |
| spellingShingle | Nursing homes homes for the aged delivery of health care frail older adults research design Gordon, Adam L. Goodman, Claire Dening, Tom Davies, Sue Gladman, John R.F. Bell, Brian G. Zubair, Maria Handley, Melanie J. Meyer, Julienne Bowman, Clive Gage, Heather Iliffe, Steve R. Martin, Finbarr C. Schneider, Justine Victor, Christina The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol |
| title | The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol |
| title_full | The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol |
| title_fullStr | The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol |
| title_full_unstemmed | The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol |
| title_short | The Optimal Study: describing the key components of optimal health care delivery to UK care home residents: a research protocol |
| title_sort | optimal study: describing the key components of optimal health care delivery to uk care home residents: a research protocol |
| topic | Nursing homes homes for the aged delivery of health care frail older adults research design |
| url | https://eprints.nottingham.ac.uk/40881/ https://eprints.nottingham.ac.uk/40881/ https://eprints.nottingham.ac.uk/40881/ |