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Good intentions, increased inequities
 — developing social care services in Emergency Departments in the UK
Author(s)Paul Bywaters, Eileen McLeod, Joanne Fisher
Journal titleHealth and Social Care in the Community, vol 19, no 5, September 2011
Pagespp 460-467
Sourcehttp://www.ingentaconnect.com/content/bsc/hscc
KeywordsAccident & emergency depts ; Services ; Multi disciplinary ; Management [care] ; Quality.
AnnotationHospital Emergency Departments (EDs) constitute a critical boundary between the community and the hospital and a key point for the identification of social care needs. As such, they have become the focus for a variety of service developments such as the establishment of multidisciplinary teams aimed at preventing re-attendance or admission, re-directing patients to other services, or speeding patients to provide improved quality of care. This survey of social care initiatives based in EDs determined the objectives, organisation, extent, functions, funding and evidence of outcomes of such interventions. Approximately, one-third of EDs had embedded social care teams, with two-thirds relying on referrals to external social care services. These teams varied in their focus, size and composition, leadership, availability, funding and permanence. As a result, the effect has been to increase inequities in access to social care services provided through EDs. This research adds to international evidence pointing to the benefits of a variety of social care interventions based in EDs. (JL).
Accession NumberCPA-111124005 A
ClassmarkLD6: I: 3DM: QA: 59

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