Evaluating a Model of Service Integration for Older People with Complex Health Needs

Abstract

Background Older people with multiple chronic conditions and complex health care needs require a comprehensive, accessible and well-coordinated system of services. To address this growing problem, a consortium of acute and community-based health care organisations implemented a ‘Patients First’ model of service integration for the target population. The project evaluation utilised a combination of quantitative and qualitative methods in an action research framework. Findings The evaluation process not only demonstrated the benefits of the project to patients and the health care system, but also contributed to the identification of pivotal components in the model, aspects requiring attention and consequently their refinement. It was also a vehicle for the development of a sense of ownership amongst staff and has evolved into an integral part of the model.

Electrically Activated UV-A Filters Based on Electrochromic MoO3–x

“…The general design of the evaluation and analysis of the outcome measures of the project were similar to those used in the coordinated care trials (Smith et al, 2002) and other HARP projects (Bird et al, 2005(Bird et al, , 2007(Bird et al, , 2010. Hospital demand data were analysed for patients who were offered participation in the project between For the PAQOL and PACQOL data the group was divided into the age groups (< 5 years, 5 -12 years, and >12 years), and their pre-intervention data (Ax1) compared using ANOVA to determine whether any pre-intervention differences were evident.…”

Integrated Care Facilitation Model Reduces Use of Hospital Resources by Patients with Pediatric Asthma

“…The general design of the evaluation and analysis of the outcome measures of the project were similar to those used in the coordinated care trials (Smith et al, ) and other HARP projects (Bird, Kurowski, & Dickman, ; Bird, Kurowski, Dickman, & Kronborg, ; Bird, Noronha, Kurowski, & Sinnott, ). Hospital demand data were analyzed for patients who were offered participation in the project between February 2004 and October 1, 2007 and, who had been recruited to the project for a minimum of 90 days.…”