Abstract
AbstractWe aimed to develop a programme theory of health care delivery to UK care homes. A review of 15 surveys of care home health services completed since 2008 found working relationships lacking in structure and purpose and wide variation in provision of healthcare services. 58 stakeholder interviews with health and social care managers, providers, commissioners and regulators identified 3 overlapping approaches to health care in care homes: investment in relational working to foster continuity; provision of age-appropriate clinical services; and governance arrangements using incentives. A realist literature review identified important contextual factors as: care home readiness to work with health care staff; availability of structured assessment and care plans; involvement of health care staff to support learning; organisational endorsement of collaborative working; financial remuneration; and staff incentives. These findings acted as the focus of case studies in phase 2 of the study.
Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
