Effective health care for older people living and dying in care homes: a realist review

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Effective health care for older people living and dying in care homes: a realist review

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 how different service delivery models for care home residents support and/or improve wellbeing and health-related outcomes in older people living and ...

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Effective health care for older people resident in care homes: the optimal study protocol for realist review

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 variability is also evident in the commissioning and organisation of care home-specific services that range from the payment of incentives to general p...

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Time in Care for Older People Living in Nursing Homes

In order to measure actual care needs in relation to resources required to fulfill these needs, an instrument (Time in Care) with which to evaluate care needs and determine the time needed for various care activities has been developed with the aim of assessing nursing intensity in municipal care for older people. Interreliability (ICC = 0.854) of time measurements (n = 10'546) of 32 nursing ac...

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Living arrangements, relationship to people in the household and admission to care homes for older people.

OBJECTIVE to assess the separate contributions of marital status, living arrangements and the presence of children to subsequent admission to a care home. DESIGN AND METHODS a longitudinal study derived from the health card registration system and linked to the 2001 Census, comprising 28% of the Northern Ireland population was analysed using Cox regression to assess the likelihood of admissio...

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Older people in care homes and the primary care nursing contribution: a review of relevant research

In the UK, older people who are resident in care homes because of their needs for social support and personal care receive their health care from primary health care. Although there is increasing input from district nurses in care homes (Audit Commission, 1999), there is little knowledge or recognition of the primary care nursing contribution. This paper reviews two types of research literature...

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ژورنال

عنوان ژورنال: BMC Health Services Research

سال: 2016

ISSN: 1472-6963

DOI: 10.1186/s12913-016-1493-4