The development of an evaluation framework for a Hospital at Home service

2.50
Hdl Handle:
http://hdl.handle.net/2436/620883
Title:
The development of an evaluation framework for a Hospital at Home service
Authors:
Jester, Rebecca; Titchener, Karen; Doyle-Blunden, Janet; Caldwell, Christine
Abstract:
Purpose – The purpose of this paper is to share good practice with interested professionals, commissioners and health service managers regarding the development of an evidence-based approach to evaluation of an integrated care service providing acute level care for patients in their own homes in South London called the Guys and St Thomas’ @home service. Design/methodology/approach – A literature review related to Hospital at Home (HH) schemes was carried out with an aim of scoping approaches used during previous evaluations of HH type interventions to inform the development of an evaluation strategy for @home. The results of the review were then applied to the Donabedian (1988) conceptual model: Structure; Process; and Outcome and contextualised to the population being served by the scheme to ensure a robust, practical and comprehensive approach to evaluation. Findings – Due to the heterogeneity of the studies it was not possible to conduct a systematic review or meta-analysis. In total, 28 studies were identified that met the inclusion criteria and included both HH to facilitate early discharge and admission prevention across a wide range of conditions. The key finding was there is a dearth of literature evaluating staff preparation to work on HH, models of delivery, specifically integrated care and trans-disciplinary working and few studies included the experiences of family carers. Originality/value – This paper will be of value to those involved in the commissioning and delivery of HH and other models of integrated care services type services and will help to inform evaluation strategies that are practical, evidence based and include all stakeholder perspectives.
Citation:
The development of an evaluation framework for a Hospital at Home service 2015, 23 (6):336 Journal of Integrated Care
Publisher:
Emerald Group Publishing Limited
Journal:
Journal of Integrated Care
Issue Date:
21-Dec-2015
DOI:
10.1108/JICA-09-2015-0038
Additional Links:
http://www.emeraldinsight.com/doi/10.1108/JICA-09-2015-0038
Type:
Article
Language:
en
ISSN:
1476-9018
Sponsors:
Guy's and St Thomas' NHS Foundation Trust, London, UK
Appears in Collections:
FEHW

Full metadata record

DC FieldValue Language
dc.contributor.authorJester, Rebeccaen
dc.contributor.authorTitchener, Karenen
dc.contributor.authorDoyle-Blunden, Janeten
dc.contributor.authorCaldwell, Christineen
dc.date.accessioned2017-11-22T10:52:30Z-
dc.date.available2017-11-22T10:52:30Z-
dc.date.issued2015-12-21-
dc.identifier.citationThe development of an evaluation framework for a Hospital at Home service 2015, 23 (6):336 Journal of Integrated Careen
dc.identifier.issn1476-9018-
dc.identifier.doi10.1108/JICA-09-2015-0038-
dc.description.abstractPurpose – The purpose of this paper is to share good practice with interested professionals, commissioners and health service managers regarding the development of an evidence-based approach to evaluation of an integrated care service providing acute level care for patients in their own homes in South London called the Guys and St Thomas’ @home service. Design/methodology/approach – A literature review related to Hospital at Home (HH) schemes was carried out with an aim of scoping approaches used during previous evaluations of HH type interventions to inform the development of an evaluation strategy for @home. The results of the review were then applied to the Donabedian (1988) conceptual model: Structure; Process; and Outcome and contextualised to the population being served by the scheme to ensure a robust, practical and comprehensive approach to evaluation. Findings – Due to the heterogeneity of the studies it was not possible to conduct a systematic review or meta-analysis. In total, 28 studies were identified that met the inclusion criteria and included both HH to facilitate early discharge and admission prevention across a wide range of conditions. The key finding was there is a dearth of literature evaluating staff preparation to work on HH, models of delivery, specifically integrated care and trans-disciplinary working and few studies included the experiences of family carers. Originality/value – This paper will be of value to those involved in the commissioning and delivery of HH and other models of integrated care services type services and will help to inform evaluation strategies that are practical, evidence based and include all stakeholder perspectives.en
dc.description.sponsorshipGuy's and St Thomas' NHS Foundation Trust, London, UKen
dc.language.isoenen
dc.publisherEmerald Group Publishing Limiteden
dc.relation.urlhttp://www.emeraldinsight.com/doi/10.1108/JICA-09-2015-0038en
dc.rightsArchived with thanks to Journal of Integrated Careen
dc.subjectHealth serviceen
dc.subjectLiterature reviewen
dc.subjectIntegrated careen
dc.subjectAcute care in the homeen
dc.subjectHospital at Homeen
dc.titleThe development of an evaluation framework for a Hospital at Home serviceen
dc.typeArticleen
dc.identifier.journalJournal of Integrated Careen
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