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Older people's views of quality of care: a randomised controlled study of continuum of care
University of Gothenburg, Sweden .
Swedish Institute Health Science, Sweden .
Swedish Institute Health Science, Sweden .
Swedish Institute Health Science, Sweden .
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2013 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 19-20, 2934-2944 p.Article in journal (Refereed) Published
Abstract [en]

Aims and objectives To analyse frail older peoples views of quality of care when receiving a comprehensive continuum of care intervention, compared with those of people receiving the usual care (control group). The intervention included early geriatric assessment, case management, interprofessional collaboration, support for relatives and organising of care-planning meetings in older peoples own homes. less thanbrgreater than less thanbrgreater thanBackground Prior studies indicate that tailored/individualised care planning conducted by a case manager/coordinator often led to greater satisfaction with care planning among older people. However, there is no obvious evidence of any effects of continuum of care interventions on older peoples views of quality of care. less thanbrgreater than less thanbrgreater thanDesign Randomised controlled study. less thanbrgreater than less thanbrgreater thanMethods Items based on a validated questionnaire were used in face-to-face interviews to assess older peoples views of quality of care at three, six and 12months after baseline. less thanbrgreater than less thanbrgreater thanResults Older people receiving a comprehensive continuum of care intervention perceived higher quality of care on items about care planning (p0005), compared with those receiving the usual care. In addition, they had increased knowledge of whom to contact about care/service, after three and 12months (pandlt;003). less thanbrgreater than less thanbrgreater thanConclusions The study gives evidence of the advantages of a combination of components such as organising care-planning meetings in older peoples own homes, case management and interprofessional teamwork. less thanbrgreater than less thanbrgreater thanRelevance to clinical practice The results have implications for policymakers, managers and professionals in the area of health and social care for older people to meet individual needs of frail older people.

Place, publisher, year, edition, pages
Wiley-Blackwell , 2013. Vol. 22, no 19-20, 2934-2944 p.
Keyword [en]
care planning, continuum of care, interprofessional collaboration, older people, quality of care, randomised controlled study
National Category
Engineering and Technology
Identifiers
URN: urn:nbn:se:liu:diva-98218DOI: 10.1111/jocn.12276ISI: 000323901600029OAI: oai:DiVA.org:liu-98218DiVA: diva2:653221
Available from: 2013-10-03 Created: 2013-10-03 Last updated: 2017-12-06

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Kjellgren, Karin

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