A typology of integrated care policies in the care home sector: A policy document analysis

Frontiers in Public Health

Public Health

Andrea D. Short¹  Jonathan Stokes²  Marcello Morciano³  Charlotte Entwistle⁴  Glenn Simpson⁵ 

[1] Centre for Primary Care and Health Services Research, University of Manchester, Manchester, United Kingdom;Centre for Primary Care and Health Services Research, University of Manchester, Manchester, United Kingdom;MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom;Centre for Primary Care and Health Services Research, University of Manchester, Manchester, United Kingdom;Marco Biagi Department of Economics, University of Modena and Reggio Emilia, Modena, Italy;Research Centre for the Analysis of Public Policies, University of Modena and Reggio Emilia, Modena, Italy;Department of Psychology, Lancaster University, Lancaster, United Kingdom;Primary Care Research Centre, University of Southampton, Southampton, United Kingdom;

关键词: health policy;    integrated care;    care homes;    long-term care;    social care;   

DOI  :  10.3389/fpubh.2023.943351

 received in 2022-05-13, accepted in 2023-01-31,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundHealth and social care systems in many countries have begun to trial and adopt “integrated” approaches. Yet, the significant role care homes play within the health and social care system is often understated. A key first step to identifying the care home integration interventions that are most (cost-)effective is the ability to precisely identify and record what has been implemented, where, and when—a “policy map.”MethodsTo address gaps relating to the identification and recording of (cost-)effective integrated care home interventions, we developed a new typology tool. We conducted a policy mapping exercise in a devolved region of England—Greater Manchester (GM). Specifically, we carried out systematic policy documentary searches and extracted a range of qualitative data relating to integrated health and social care initiatives in the GM region for care homes. The data were then classified according to existing national ambitions for England as well as a generic health systems framework to illustrate gaps in existing recording tools and to iteratively develop a novel approach.ResultsA combined total of 124 policy documents were identified and screened, in which 131 specific care home integration initiatives were identified. Current initiatives emphasized monitoring quality in care homes, workforce training, and service delivery changes (such as multi-disciplinary teams). There was comparatively little emphasis on financing or other incentive changes to stimulate provider behavior for the care home setting. We present a novel typology for capturing and comparing care home integration policy initiatives, largely conceptualizing which part of the system or specific transition point the care home integration is targeting, or whether there is a broader cross-cutting system intervention being enacted, such as digital or financial interventions.ConclusionsOur typology builds on the gaps in current frameworks, including previous lack of specificity to care homes and lack of adaptability to new and evolving initiatives internationally. It could provide a useful tool for policymakers to identify gaps in the implementation of initiatives within their own areas, while also allowing researchers to evaluate what works most effectively and efficiently in future research based on a comprehensive policy map.

【 授权许可】

Unknown   
Copyright © 2023 Simpson, Entwistle, Short, Morciano and Stokes.