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How effective and cost effective are innovative combinatorial technologies and practices for supporting older people with long-term conditions to remain well in the community?: An evaluation protocol for an NHS Test Bed in North West England

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@article{39f64e485e3d4b949bdf79b433bbb558,
title = "How effective and cost effective are innovative combinatorial technologies and practices for supporting older people with long-term conditions to remain well in the community?: An evaluation protocol for an NHS Test Bed in North West England",
abstract = "Introduction: The Lancashire and Cumbria Innovation Alliance (LCIA) Test Bed is a partnership between National Health Services in England (NHS), industry (led by Philips) and Lancaster University. Through the implementation of a combination of innovative health technologies and practices, it aims to determine the most effective and cost effective ways of supporting frail older people with long-term conditions to remain well in the community. Among the Test Bed{\textquoteright}s objectives are to: improve patient activation and the ability of older people to self-care at home; reduce healthcare system utilisation; and deliver increased workforce productivity. Methods and Analysis: Patients aged 55 years and over are recruited to four cohorts defined by their risk of hospital admission, with long-term conditions including COPD, dementia, diabetes and heart failure. The programme is determined on an individual basis, with a range of technologies available. The evaluation is adopting a two-phase approach: Phase 1 includes a bespoke patient survey and a mass matched control analysis; and Phase 2 is using observational interviews with patients, and weekly diaries, action learning meetings and focus groups with members of staff and other key stakeholders. Phase 1 data analysis consists of a statistical evaluation of the effectiveness of the programme. A health economic analysis of its costs and associated cost changes will be undertaken. Phase 2 data will be analysed thematically with the aid of Atlas.ti qualitative software. The evaluation is located within a logic model framework, to consider the processes, management and participation that may have implications for the Test Bed{\textquoteright}s success. Ethics and Dissemination: The LCIA Test Bed evaluation has received ethical approval from the Health Research Authority and Lancaster University{\textquoteright}s Faculty of Health and Medicine Research Ethics Committee. A range of dissemination methods are adopted including deliberative panels to validate findings and develop outcomes for policy and practice. ",
author = "Varey, {Sandra Elaine} and {Hernandez Huerta}, {Maria Alejandra} and Palmer, {Thomas Michael} and Ceu Mateus and Joann Wilkinson and Dixon, {Mandy Patricia} and Christine Milligan",
year = "2018",
month = feb,
day = "28",
doi = "10.1136/bmjopen-2017-017268",
language = "English",
volume = "8",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "BMJ Publishing Group Ltd",
number = "2",

}

RIS

TY - JOUR

T1 - How effective and cost effective are innovative combinatorial technologies and practices for supporting older people with long-term conditions to remain well in the community?

T2 - An evaluation protocol for an NHS Test Bed in North West England

AU - Varey, Sandra Elaine

AU - Hernandez Huerta, Maria Alejandra

AU - Palmer, Thomas Michael

AU - Mateus, Ceu

AU - Wilkinson, Joann

AU - Dixon, Mandy Patricia

AU - Milligan, Christine

PY - 2018/2/28

Y1 - 2018/2/28

N2 - Introduction: The Lancashire and Cumbria Innovation Alliance (LCIA) Test Bed is a partnership between National Health Services in England (NHS), industry (led by Philips) and Lancaster University. Through the implementation of a combination of innovative health technologies and practices, it aims to determine the most effective and cost effective ways of supporting frail older people with long-term conditions to remain well in the community. Among the Test Bed’s objectives are to: improve patient activation and the ability of older people to self-care at home; reduce healthcare system utilisation; and deliver increased workforce productivity. Methods and Analysis: Patients aged 55 years and over are recruited to four cohorts defined by their risk of hospital admission, with long-term conditions including COPD, dementia, diabetes and heart failure. The programme is determined on an individual basis, with a range of technologies available. The evaluation is adopting a two-phase approach: Phase 1 includes a bespoke patient survey and a mass matched control analysis; and Phase 2 is using observational interviews with patients, and weekly diaries, action learning meetings and focus groups with members of staff and other key stakeholders. Phase 1 data analysis consists of a statistical evaluation of the effectiveness of the programme. A health economic analysis of its costs and associated cost changes will be undertaken. Phase 2 data will be analysed thematically with the aid of Atlas.ti qualitative software. The evaluation is located within a logic model framework, to consider the processes, management and participation that may have implications for the Test Bed’s success. Ethics and Dissemination: The LCIA Test Bed evaluation has received ethical approval from the Health Research Authority and Lancaster University’s Faculty of Health and Medicine Research Ethics Committee. A range of dissemination methods are adopted including deliberative panels to validate findings and develop outcomes for policy and practice.

AB - Introduction: The Lancashire and Cumbria Innovation Alliance (LCIA) Test Bed is a partnership between National Health Services in England (NHS), industry (led by Philips) and Lancaster University. Through the implementation of a combination of innovative health technologies and practices, it aims to determine the most effective and cost effective ways of supporting frail older people with long-term conditions to remain well in the community. Among the Test Bed’s objectives are to: improve patient activation and the ability of older people to self-care at home; reduce healthcare system utilisation; and deliver increased workforce productivity. Methods and Analysis: Patients aged 55 years and over are recruited to four cohorts defined by their risk of hospital admission, with long-term conditions including COPD, dementia, diabetes and heart failure. The programme is determined on an individual basis, with a range of technologies available. The evaluation is adopting a two-phase approach: Phase 1 includes a bespoke patient survey and a mass matched control analysis; and Phase 2 is using observational interviews with patients, and weekly diaries, action learning meetings and focus groups with members of staff and other key stakeholders. Phase 1 data analysis consists of a statistical evaluation of the effectiveness of the programme. A health economic analysis of its costs and associated cost changes will be undertaken. Phase 2 data will be analysed thematically with the aid of Atlas.ti qualitative software. The evaluation is located within a logic model framework, to consider the processes, management and participation that may have implications for the Test Bed’s success. Ethics and Dissemination: The LCIA Test Bed evaluation has received ethical approval from the Health Research Authority and Lancaster University’s Faculty of Health and Medicine Research Ethics Committee. A range of dissemination methods are adopted including deliberative panels to validate findings and develop outcomes for policy and practice.

U2 - 10.1136/bmjopen-2017-017268

DO - 10.1136/bmjopen-2017-017268

M3 - Journal article

VL - 8

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

IS - 2

M1 - e017268

ER -