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Centre for Policy on Ageing | |
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The effectiveness of inter-professional working for older people living in the community
— a systematic review | | Author(s) | Daksha Trivedi, Claire Goodman, Heather Gage |
| Journal title | Health and Social Care in the Community, vol 21, no 2, March 2013 |
| Publisher | Wiley, March 2013 |
| Pages | pp 113-128 |
| Source | www.wileyonlinelibrary.com/journals/hsc |
| Keywords | Living in the community ; Health services ; Community care ; Interaction [welfare services] ; Coordination ; Performance ; Evaluation. |
| Annotation | Health and social care policy in the UK advocates inter-professional working (IPW) to support older people with complex and multiple needs. Whilst there is a growing understanding of what supports IPW, there is a lack of evidence linking IPW to explicit outcomes for older people living in the community. This review aimed to identify the models of IPW that provide the strongest evidence base for practice with community dwelling older people. A range of electronic databases were searched from 1990 through to 2010. Papers were then selected describing interventions that involved IPW for community dwelling older people and randomised controlled trials (RCT) reporting user-relevant outcomes. Included studies were classified by IPW models (Case Management, Collaboration and Integrated Team) and assessed for risk of bias. The authors conducted a narrative synthesis of the evidence according to the type of care (interventions delivering acute, chronic, palliative and preventive care) identified within each model of IPW. They retrieved 3,211 records and included 37 RCTs which were mapped onto the IPW models. Overall there was weak evidence of effectiveness and cost-effectiveness for IPW, although well-integrated and shared care models improved processes of care and had the potential to reduce hospital or nursing/care home use. Study quality varied considerably and high quality evaluations as well as observational studies are needed to identify the key components of effective IPW in relation to user-defined outcomes. Differences in local contexts raise questions about the applicability of the findings and their implications for practice. More information is needed on the outcomes of the process of IPW and evaluations of the effectiveness of different configurations of health and social care professionals for the care of community dwelling older people. (JL). |
| Accession Number | CPA-130201205 A |
| Classmark | K4: L: PA: QK6: QAJ: 5H: 4C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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