A5052989253- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Intergenerational Family Dynamics and Caregiving
- Chronic Disease Management Strategies
- Frailty in Older Adults
- Dementia and Cognitive Impairment Research
- COVID-19 and healthcare impacts
- Healthcare innovation and challenges
- Trauma and Emergency Care Studies
- Primary Care and Health Outcomes
- Emergency and Acute Care Studies
- Migration, Aging, and Tourism Studies
- Healthcare Systems and Challenges
- Global Health Care Issues
- Hip and Femur Fractures
Health Foundation
2019-2023
Abstract Background We developed a prototype minimum data set (MDS) for English care homes, assessing feasibility of extracting directly from digital records (DCRs) with linkage to health and social data. Methods Through stakeholder development workshops, literature reviews, surveys public consultation, we an aspirational MDS. identified ways extract this existing sources, including DCRs routine datasets. To address gaps, added validated measures delirium, cognitive impairment, functional...
Introduction Health and care data are routinely collected about home residents in England, yet there is no way to collate these inform benchmarking improvement. The Developing research resources And minimum set for Care Homes’ Adoption use study has developed a prototype (MDS) piloting. Methods analysis A mixed-methods longitudinal pilot will be conducted 60 homes (approximately 960 residents) 3 regions of using resident from cloud-based digital records at two-time points. These linked level...
Abstract Background We developed a prototype minimum data set (MDS) for English care homes, assessing feasibility of extracting directly from digital records (DCRs) with linkage to health and social data. Methods Through stakeholder development workshops, literature reviews, surveys public consultation we an aspirational MDS. identified ways extract this existing sources including DCRs routine datasets. To address gaps added validated measures delirium, cognitive impairment, functional...
Care home residents have complex healthcare needs but may faced barriers to accessing hospital treatment during the first wave of COVID-19 pandemic.
Objectives To assess the effects of an integrated care pathway on use primary and secondary healthcare by patients at high risk emergency inpatient admission. Design Observational study a real-life deployment care, using patient-level administrative data. Regression analysis was used to compare with matched controls. Setting A deprived, inner city London borough (Tower Hamlets). Participants 1720 aged 50+ years registered general practitioner in Tower Hamlets admission enrolled onto during...
To derive two household context factors - living alone and in a two-person with person who is frail from routine administrative health data to assess their association emergency hospital use people aged 65 or over.Retrospective cohort study using national pseudonymised address derived minimised version of the Master Patient Index, central database all patient registrations England.England-wide.4 876 285 years older registered at GP practices England on 16 December 2018 were up six people,...
Background: Care home residents have complex healthcare needs but may faced barriers to accessing hospital treatment during the first wave of COVID-19 pandemic. Objective: To examine trends in number admissions for care months outbreak. Methods: Retrospective analysis a national linked dataset on residential and nursing England (257,843 residents, 45% homes) between 20 January 2020 28 June 2020, compared corresponding period 2019 (252,432 homes). Elective emergency admission rates,...
Hip fracture is a leading cause of disability and mortality among older people. During the COVID-19 pandemic, orthopaedic care pathways in National Health Service England were restructured to manage pressures on hospital capacity. We examined indirect consequences pandemic for patients with hip fracture, admitted from homes or community.Retrospective analysis linked home inpatient data aged 65 years over hospitals during first year (1 March 2020 28 February 2021) previous year. performed...
Background: Care home residents have complex healthcare needs but may faced barriers to accessing hospital treatment during the first wave of COVID-19 pandemic. Objective: To examine trends in number admissions for care months outbreak. Methods: Retrospective analysis a national linked dataset on residential and nursing England between 20 January 2020 28 June 2020, compared corresponding period 2019. Elective emergency admission rates, normalised time spent homes across all residents, were...
Objective and ApproachResearch on social care services requires large, comprehensive, routine datasets. Launched in November 2019, Developing resources And minimum data set for Care Homes’ Adoption (DACHA) study aims to develop a prototype dataset as proof of concept propose implementation. We describe our experience since 2021 identifying, applying for, linking home, local, integrated system (ICS) national datasets, including direct-care software-provider data, GP NHS England (NHSE)...
ObjectiveDeveloping resources And minimum data set for Care Homes’ Adoption (DACHA) is a four-year NIHR-funded project to establish what need be in place support research, service development and innovation uptake care homes older people. An aspirational (MDS) specification was identified, which included from several sources pilot variables. Approach767 home residents (with valid NHS number recorded) across three integrated systems consented linkage of their record with administrative health...