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Care homes and primary care in England working together: A multi-method qualitative study
Krystal Warmoth1, Alex Aylward2, Claire Goodman3
1Senior Research Fellow, Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK.
Journal of Health Services Research & Policy
|December 13, 2024
Summary
Improving collaboration between care homes and primary care requires dedicated time, staff, and funding. Building on existing successes can foster better relationships and ensure high-quality, equitable care for older adults with complex needs.
Area of Science:
- Gerontology
- Health Services Research
- Qualitative Research
Background:
- Private care homes in England provide most long-term care for older adults with complex health needs.
- Care homes depend on primary care for medical and specialist healthcare access.
- Understanding and improving care home-primary care working relationships is crucial for service delivery.
Purpose of the Study:
- To explore working relationships between care homes and primary care in England.
- To inform a theory of change for enhancing these inter-sectoral relationships.
- To identify factors supporting effective collaboration in aged care.
Main Methods:
- A multi-method qualitative study using appreciative inquiry.
- Thematic analysis of data from surveys, interviews, and workshops.
- Involved care home staff, primary care professionals, family carers, and community specialists.
Main Results:
- Activities fostering role understanding, communication, and joint learning improved staff well-being, relationships, and service quality.
- COVID-19 pandemic experiences highlighted needs for sustained cross-sector collaboration.
- Essential inputs included time, staff, funding, adaptability to diverse settings, and addressing resident needs.
Conclusions:
- A theory of change identified dimensions of good practice for service design.
- Organizational changes should leverage existing strengths to improve care home-primary care relationships.
- Enhanced collaboration can lead to high-quality care and equitable service access for care home residents.
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