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Centre for Policy on Ageing | |
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Health benefits for health and social care clients attending an integrated Health and Social Care day unit (HSCDU)
— a before-and-after pilot study with a comparator group | | Author(s) | Fiona Murphy, Laura Hugman, Judith Bowen |
| Journal title | Health and Social Care in the Community, vol 25, no 2, March 2017 |
| Publisher | Wiley Blackwell, March 2017 |
| Pages | pp 492-504 |
| Source | wileyonlinelibrary.com/journal/hsc |
| Keywords | Day centres ; Services ; Health services ; Coordination ; Interaction [welfare services] ; Usage [services] ; Health [elderly] ; Well being ; Evaluation ; Pilot ; Wales. |
| Annotation | It is thought that integrating health and social care provision can improve services, yet few evaluations of integrated health and social care initiatives have focused on changes in clinical outcomes and used comparator groups. This pilot study in South Wales aimed to identify whether attendance at an integrated health and social care day unit (IHSCDU) affected selected outcomes of functional mobility, number of prescribed medications, and physical and psychological well-being. A secondary aim was to examine the utility of the tools to measure these outcomes in this context; the feasibility of the recruitment and retention strategy, and the utility of the comparator group. A before-and-after comparison design was used with non-randomised intervention and comparator arms. The intervention group comprised 30 service users attending the IHSCDU; the comparator group comprised 33 service users on a community nursing caseload. Measures of functional mobility (Barthel's Index) and physical and psychological well-being (Short Form Health Survey, SF-12r) were taken from all participants in both groups at three data collection points: baseline, 4 and 9 months later, between November 2010 and September 2012. No significant changes were noted in functional mobility and psychological well-being; and the number of medications prescribed increased in both groups. There was a trend towards a significant difference between study groups in the change in the SF-12r physical health outcome measure. This outcome measure could be usefully explored in future studies. The recruitment and retention strategy was feasible, although the comparator group had some limitations in not being closely matched in terms of age, functional mobility and mental well-being. (RH). |
| Accession Number | CPA-170224205 A |
| Classmark | NMC: I: L: QAJ: QK6: QLD: CC: D:F:5HH: 4C: 4UC: 9 |
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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