The development of an evaluation framework for a Hospital at Home service

Author:

Jester Rebecca,Titchener Karen,Doyle-Blunden Janet,Caldwell Christine

Abstract

Purpose – The purpose of this paper is to share good practice with interested professionals, commissioners and health service managers regarding the development of an evidence-based approach to evaluation of an integrated care service providing acute level care for patients in their own homes in South London called the Guys and St Thomas’ @home service. Design/methodology/approach – A literature review related to Hospital at Home (HH) schemes was carried out with an aim of scoping approaches used during previous evaluations of HH type interventions to inform the development of an evaluation strategy for @home. The results of the review were then applied to the Donabedian conceptual model: Structure; Process; and Outcome and contextualised to the population being served by the scheme to ensure a robust, practical and comprehensive approach to evaluation. Findings – Due to the heterogeneity of the studies it was not possible to conduct a systematic review or meta-analysis. In total, 28 studies were identified that met the inclusion criteria and included both HH to facilitate early discharge and admission prevention across a wide range of conditions. The key finding was there is a dearth of literature evaluating staff preparation to work on HH, models of delivery, specifically integrated care and trans-disciplinary working and few studies included the experiences of family carers. Originality/value – This paper will be of value to those involved in the commissioning and delivery of HH and other models of integrated care services type services and will help to inform evaluation strategies that are practical, evidence based and include all stakeholder perspectives.

Publisher

Emerald

Subject

Public Administration,Sociology and Political Science,Health(social science)

Reference39 articles.

1. Angus, R. , Davies, L. , Wilkinson, M. , Bonner, S. and Calverley, P. (2000), “Hospital at home versus hospital care in patients with exacerbations of chronic obstructive pulmonary disease: prospective randomised controlled trial”, British Medical Journal , Vol. 321, p. 1265.

2. Bowling, A. (2001), Measuring Disease , 2nd ed., Open University Press, Buckingham.

3. Caress, A. , Luker, K. , Chalmers, K. , Salmon, M. and Carter, D. (2009), “A review of the information and support needs of family carers of patients with chronic obstructive pulmonary disease”, Journal of Clinical Nursing , Vol. 18 No. 4, pp. 479-491.

4. Chetty, M. , MacKenzie, M. , Douglas, G. and Currie, G. (2006), “Immediate and early discharge for patients with exacerbations of chronic obstructive pulmonary disease: is there a role in real life?”, International Journal of Chronic Obstructive Pulmonary Disease , Vol. 1 No. 4, pp. 401-407.

5. Cotton, M. , Bucknall, C. and Dagg, K. (2000), “Early discharge for patients with exacerbations of chronic obstructive pulmonary disease: a randomized controlled trial”, Thorax , Vol. 55, pp. 902-906.

Cited by 6 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3