Park, S;
Abrams, R;
(2018)
Do early visiting services improve quality of care in primary care?
Presented at: SPCR Research Showcase 2018, London, UK.
Preview |
Text
Final_Abrams et al_SPCR_ESWG.pdf - Supplemental Material Download (354kB) | Preview |
Abstract
Introduction: Early visiting services (EVS) have been proposed as a recent intervention to reduce both GP workload and hospital admissions amongst housebound individuals experiencing a healthcare need. EVS involve the delegation of patient home visits to other staff groups such as paramedics or nursing staff. However, it remains unclear how different contexts (such as patient conditions) and the mechanisms underlying EVS influence care outcomes. This review aims to improve our understanding of the ways in which (i.e. how, why and in what contexts) EVS impact (or not) on hospital admissions, GP workload and patient healthcare within primary care settings. / Methods: Given the complex nature of EVS, evidence will be consolidated through realist review- a theory-driven approach to synthesis. We anticipate synthesising a range of relevant data such as qualitative, quantitative and mixed-methods research in addition to grey literature. Following the systematic realist review stages advocated by Pawson, causal explanations will be made visible through the articulation of the interconnectedness of contexts and mechanisms in relation to outcomes regarding EVS. / Results: The process of undertaking a realist review will be presented along with preliminary findings from our review. We will present our emerging analysis, including findings from stakeholder engagement. Methodological challenges and insights will also be shared. / Conclusion: Our ‘live’ programme theory will illustrate our findings and causal explanations. We anticipate our review findings will help to inform the development of future EVS policy and practice.
Archive Staff Only
 |
View Item |
