Information was collected about a six month cohort of

Identifying alternatives to old age psychiatry inpatient admission

Measuring the patient experience in community mental health services for older people: A study of the Net Promoter Score using canada goose jacket outlet the Friends and Family Test in EnglandWilberforce, M. R., Poll, S., Langham, canada goose H., Worden, A. R., Challis, D., Davies, L., Kelly, M. P. R., Batten, E., Challis, D., Davies, L., Kelly, M. P. Roberts, C., 18 Jun 2018Article in BMC Health Services Research

Community mental health teams for uk canada goose outlet older people in England: Variations in ways of workingVerbeek, H., Worden, A., Wilberforce, M., Brand, C., Tucker, S., Abendstern, M. Challis, D., Mar 2018Article in International journal of canada goose black friday sale geriatric psychiatry

Provision and perceived quality of mental health services for older care home residents in England: A national surveyStewart, K., Hargreaves, C., Jasper, R., Challis, D., Tucker, S. canada goose uk black friday Wilberforce, M. R., 18 Jan 2018Article in International journal of geriatric psychiatry

“Struggling with practices” A qualitative study of factors influencing the implementation of clinical quality registries for cardiac rehabilitation in England cheap canada goose and DenmarkLindstrom Egholm, C., Helmark, canada goose outlet buy canada goose jacket cheap C., Doherty, P. J., Nilsen, P., Olsen Zwisler, A D. Bunkenborg, G., 6 Feb 2019Article in BMC Health Services Research

Using behaviour change theory to train health workers on tobacco cessation support for tuberculosis patients: a mixed methods study in Bangladesh, Nepal and PakistanWarsi, S., Elsey, H., Boeckmann, M., Noor, M., Khan, A., Barua, D., Nasreen, S., Huque, S., Huque, R., Khanal, S., Shrestha, P., Newell, J. canada goose outlet black friday N., Dogar, O. F. Siddiqi, K., 25 Jan 2019Article in BMC Health Services Research

To what extent is the variation in cardiac rehabilitation quality associated with patient characteristics?Salman, A. Doherty, P., 3 Jan 2019Article in BMC Health Services Research

A Reporting Framework for Describing and canada goose outlet sale a Typology for Categorizing and Analyzing the Designs of Health Care canada goose Canada Goose online outlet shop Pay for Performance canada goose outlet canada SchemesOgundeji, Y. K., Sheldon, T. canada goose outlet in usa A. Maynard, A. K., 4 Sep 2018Article in BMC Health Services Research

Development of an Occupational Advice Intervention for Patients Undergoing Lower LImb Arthroplasty (the OPAL study)Baker, P., Coole, C., Drummond, A. E., McDaid, C. M., Khan, S., Thomson, L., Hewitt, C. E., McNamara, I., McDonald, D., Fitch, J. Rangan, A., 28 Jun 2018Article in BMC canadian goose jacket Health Services ResearchPublication detailsJournalBMC Health Services ResearchDateAccepted/In press 5 Jun 2015DatePublished (current) 17 Jul 2015Issue number267Volume15Number of pages12Original languageEnglishAbstractBackground: Mental health problems in older people are common and costly, posing multiple challenges for commissioners. Against this backdrop, a series of initiatives have sought to shift resources from institutional to community care in the belief that this will save money and concurs with user preferences. However, most of this work has focused on the use of care home beds and general hospital admissions, and relatively little attention has been given to reducing the use of mental health inpatient beds, despite their very high cost. Methods: The study employed a ‘Balance of Care approach’ in three areas of North West England. This long standing strategic planning framework identifies people whose needs can be met in more than one setting, and compares the costs and consequences of the possible alternatives in a simulation modelling exercise. Information was collected about a six month cohort of admissions in 2010/11 (n=216). The sample was divided into groups of people with similar needs for care, and vignettes were formulated to canada goose outlet nyc represent the most prevalent groups. A range of key staff judged the appropriateness of these admissions and suggested alternative care for those considered least appropriate for hospital. A public sector costing approach was used to compare the estimated costs of the recommended care with that people currently receive. Results: The findings suggest that more than a sixth of old age psychiatry inpatient admissions could be more appropriately supported in other settings if enhanced community services were available. Such restructuring could involve the provision of intensive support from Care Home Outreach canada goose uk outlet and Community Mental Health Teams, rather than the development of crisis intervention and home treatment teams as currently advocated. Estimated savings were considerable, suggesting local agencies might release up to canada goose outlet 1,300,000 per annum. No obvious trade off between health and social care costs was predicted. Conclusions: There is considerable potential to change the mix of institutional and community services provided for older people with mental health problems. The conclusions would be strengthened by further studies and the incorporation of evidence about relative outcomes. However, the utility of the approach in challenging established patterns of resource allocation and building local ownership for change is canada goose outlet online uk apparent.

Research areasBalance of care, Commissioning, Community care, Health service planning, Hospital canada goose coats on sale admission, Mental health, Older people, Resource allocation, canada goose outlet toronto factory UK.

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