Care closer to home for children and young people who are ill:developing and testing a model of service delivery and organization

Parker, Gillian and Spiers, Gemma and Cusworth, Linda and Birks, Yvonne and Gridley, Kate and Mukherjee, Suzanne (2012) Care closer to home for children and young people who are ill:developing and testing a model of service delivery and organization. Journal of Advanced Nursing, 68 (9). pp. 2034-2046. ISSN 0309-2402

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Abstract

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.

Item Type:
Journal Article
Journal or Publication Title:
Journal of Advanced Nursing
Additional Information:
© 2011 Blackwell Publishing Ltd.
Uncontrolled Keywords:
/dk/atira/pure/subjectarea/asjc/2900
Subjects:
?? ADOLESCENTADOLESCENT HEALTH SERVICESCHILDCHILD HEALTH SERVICESCOMMUNITY HEALTH SERVICESDELIVERY OF HEALTH CAREENGLANDGEOGRAPHYHOME CARE SERVICESHUMANSMODELS, ORGANIZATIONALNURSING CAREPEDIATRIC NURSINGPRIMARY HEALTH CARESURVEYS AND QUESTIONNAIRESJOURNAL A ??
ID Code:
123550
Deposited By:
Deposited On:
20 Feb 2018 17:50
Refereed?:
Yes
Published?:
Published
Last Modified:
19 Sep 2023 01:52