The York Research Database

TY - JOUR

T1 - Care closer to home for children and young people who are ill

T2 - developing and testing a model of service delivery and organization

AU - Parker, Gillian Mary

AU - Spiers, Gemma Frances

AU - Cusworth, Linda

AU - Birks, Yvonne Frances

AU - Gridley, Kate

AU - Mukherjee, Suzanne Kathleen Mary

PY - 2012/9

Y1 - 2012/9

N2 - 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.

AB - 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.

KW - Paediatric nursing

KW - home care services

KW - health care survey

KW - child

KW - ADOLESCENT

KW - ill children and young people

UR - http://www.scopus.com/inward/record.url?scp=84864318374&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2648.2011.05893.x

DO - 10.1111/j.1365-2648.2011.05893.x

M3 - Article

VL - 68

SP - 2034

EP - 2046

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 9

ER -