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Integrating health and social care: implications for joint working and community care outcomes for older people


, : Integrating health and social care: implications for joint working and community care outcomes for older people. Journal of Interprofessional Care 19(1): 22-34

In England, the theme of promoting collaborative working between social and primary health care remains high on the policy agenda. The underlying assumption, largely untested, is that a greater degree of structural integration benefits service users. This paper reports the findings from a feasibility study comparing two models of joint working and examining the relative impact of personal characteristics, service use and co-location on the likelihood of older people remaining in the community. Baseline standardised interviews with 79 older people aged 75 + with complex needs in two social services departments were carried out following referral, covering social circumstances, physical and mental health and services received, with follow-up interviews after six months. Contacts between social workers and primary care were tracked. The findings suggest that co-location does not necessarily lead to substantially closer interprofessional working in terms of greater contact between social workers and GPs or social workers and community nurses. Factors affecting outcome were degree of cognitive impairment, intensity of home care received and whether the older person lived alone. Whatever the model of collaborative working, its effects on remaining in the community must be assessed in the wider context of the characteristics and services received by older people.

US$29.90

PMID: 15842078


Other references

Reinus J.F.; Schoen R.E.; Brandt L.J.; Bernstein L.H., 1991: Beta carotene does not protect against aspirin induced gastric or duodenal mucosal injury in humans. Gastroenterology 100(5 PART 2): A147

Robinson T.N.Jr; Zahn T.P., 1982: Effects of postural stress on 2 flash fusion and autonomic arousal measures. Psychophysiology 19(5): 582

Green J.D.; Lynn J.W.; Glas P.S., 1987: Structural and enzymatic analysis of sea urchin fertilization envelope elevation in chlorine deficient sea waters. Journal of Cell Biology 105(4 PART 2): 255A

Kamath, A.T.; Rochat, A-Françoise.; Valenti, M.P.; Agger, E.Marie.; Lingnau, K.; Andersen, P.; Lambert, P-Henri.; Siegrist, C-Anne., 2008: Adult-like anti-mycobacterial T cell and in vivo dendritic cell responses following neonatal immunization with Ag85B-ESAT-6 in the IC31 adjuvant. Plos One 3(11): E3683-E3683

Raj, B.; Prasad, B.G., 1970: Health status of the aged in India: a study in three villages. Geriatrics 25(6): 142-185

Merzenich, M.M.; Nahum, M.; Van Vleet, T.M., 2014: Neuroplasticity: introduction. Progress in Brain Research 207: Xxi-Xxvi

Appelbaum, P.S., 2002: Clarifying the ethics of clinical research: a path toward avoiding the therapeutic misconception. American Journal of Bioethics 2(2): 22-23

Kendell, R.E., 1969: The continuum model of depressive illness. Proceedings of the Royal Society of Medicine 62(4): 335-339

Knaus, Margaret Jane, 1995: The species of the Early Carboniferous fossil plant genus Genselia. Foliar compression plant fossils of highly variable pinnule shape and bipinnate organization, previously assigned to Triphyllopteris and reassigned to Genselia Knaus, are here assigned to four species, including Genselia lanceolata n.sp., based on...

Anthony, K.; Goodwin, R.; Laws, T., 1993: Exemplars. Contemporary Nurse 2(2): 83-86