Care coordination for older people: an exploratory framework. (14th September 2015)

• Record Type: Journal Article
• Authors: Hughes, Jane; Chester, Helen; Sutcliffe, Caroline; Xie, Chengqiu; Challis, David
• Is Part Of: Quality in ageing and older adults. Volume 16:Number 3(2015)
• Page Start: 130
• Page End: 139
• Publication Date: 2015-09-14
• Subjects: Social care -- Audit -- Older people -- Framework -- Care coordination -- Care management; Older people -- Periodicals; Aging -- Periodicals; 305.2605
• DOI: 10.1108/QAOA-11-2014-0043
• Languages: English
• ISSNs: 2044-1827

Abstract

Abstract : Purpose: – The purpose of this paper is to present a framework for examining variation in care coordination arrangements for older people. Design/methodology/approach: – A multi-method approach was adopted combining analysis of secondary data and primary data. There were two stages: the development of the framework and its constituent attributes and indicators; and its validation from two perspectives: a meeting with managers and focus groups with practitioners. It was informed by an existing generic framework; subsequent policy guidance; data from an English national survey; previous research; and international literature. Findings: – The framework comprises 19 attributes each with indicators measuring performance relating to: organisational arrangements influencing service delivery; the performance of core tasks of care coordination; and differentiation within the process to distinguish between responses to different levels of need. Originality/value: – Care coordination arrangements in England are characterised by diversity. This paper provides a framework for evaluating local arrangements thereby highlighting strengths and where improvements are needed. It offers a means to promote programme fidelity. As such it has utility for both service commissioners and providers.