Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Care closer to home for children and young people who are ill
T2 - developing and testing a model of service delivery and organization
AU - Parker, Gillian
AU - Spiers, Gemma
AU - Cusworth, Linda
AU - Birks, Yvonne
AU - Gridley, Kate
AU - Mukherjee, Suzanne
N1 - © 2011 Blackwell Publishing Ltd.
PY - 2012/9
Y1 - 2012/9
N2 - AIMS: To report findings of a national survey of care closer to home services for children and young people and a typology based on these findings.BACKGROUND: Providing care closer to home for children is a policy and practice aspiration internationally. While the main model of such services is children's community nursing, other models have also developed. Past research has proposed a relatively static typology of services, determined by where they are based, whether they are generic or specialist and whether they provide short- or longer-term input. As services develop, however, this typology needs further elaboration.METHODS: A two-stage national survey of all primary care and hospital trusts in England, in mid-2008.RESULTS: In all, 67% of trusts responded to the screening questionnaire and 75% of relevant services to the main stage questionnaire. Thirteen distinct types of services were identified initially. Cluster analysis of delivery and organization characteristics then identified a three-model typology: hospital-based, condition-specific services (36%); children's community nurses and other community services (45%) and other (mainly therapy-based) services (19%). The models differed in staffing, costs, functions, type of care provided and geographical coverage. Only a third of nurses in teams were paediatric-trained.CONCLUSION: Care closer to home services are an established part of care for children and young people who are ill. They deal with complex and technical care and can prevent or reduce the length of acute hospital admission. Lack of readily available information about caseloads, case mix and costs may hamper their further development.
AB - AIMS: To report findings of a national survey of care closer to home services for children and young people and a typology based on these findings.BACKGROUND: Providing care closer to home for children is a policy and practice aspiration internationally. While the main model of such services is children's community nursing, other models have also developed. Past research has proposed a relatively static typology of services, determined by where they are based, whether they are generic or specialist and whether they provide short- or longer-term input. As services develop, however, this typology needs further elaboration.METHODS: A two-stage national survey of all primary care and hospital trusts in England, in mid-2008.RESULTS: In all, 67% of trusts responded to the screening questionnaire and 75% of relevant services to the main stage questionnaire. Thirteen distinct types of services were identified initially. Cluster analysis of delivery and organization characteristics then identified a three-model typology: hospital-based, condition-specific services (36%); children's community nurses and other community services (45%) and other (mainly therapy-based) services (19%). The models differed in staffing, costs, functions, type of care provided and geographical coverage. Only a third of nurses in teams were paediatric-trained.CONCLUSION: Care closer to home services are an established part of care for children and young people who are ill. They deal with complex and technical care and can prevent or reduce the length of acute hospital admission. Lack of readily available information about caseloads, case mix and costs may hamper their further development.
KW - Adolescent
KW - Adolescent Health Services
KW - Child
KW - Child Health Services
KW - Community Health Services
KW - Delivery of Health Care
KW - England
KW - Geography
KW - Home Care Services
KW - Humans
KW - Models, Organizational
KW - Nursing Care
KW - Pediatric Nursing
KW - Primary Health Care
KW - Surveys and Questionnaires
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1111/j.1365-2648.2011.05893.x
DO - 10.1111/j.1365-2648.2011.05893.x
M3 - Journal article
C2 - 22141330
VL - 68
SP - 2034
EP - 2046
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
SN - 0309-2402
IS - 9
ER -