@article{a4cdbfa53c7148deae28135db73dcb81,
title = "Hospital admissions and place of death of residents of care homes receiving specialist healthcare services: protocol for a systematic review.",
abstract = "Aim: To synthesize the evidence relating to the ability of specialist care home support services to prevent the hospital admission of older care home residents, including hospital admission at the end-of-life. Design: Systematic review and narrative synthesis. Methods: Ten electronic databases will be searched from 2010 – 31 December 2018 using predetermined search terms. All studies of specialist healthcare services to meet care home residents{\textquoteright} physical healthcare needs which provide outcome data on hospital admission or place of death compared with usual care will be included. Two reviewers will independently assess studies{\textquoteright} eligibility and methodological quality using the Effective Public Health Practice Project Quality Assessment Tool. Data will be extracted by one reviewer and checked by a second according to predetermined categories. Data will be synthesized in evidence tables and narrative. Funder: National Institute for Health Research School for Social Care Research, November 2016. Discussion: Care of older people in care home settings is a key aspect of nursing nationally and internationally. This review will increase understanding of the extent to which different models of specialist healthcare support for care homes are associated with key resident outcomes. Impact: Standard healthcare support for care home residents is often inadequate, resulting in avoidable hospital admissions and lack of resident choice as to place of death. Although a range of specialist healthcare services are emerging, little is known about their relative effectiveness. This paper marshalls evidence of relevance to commissioners investing in healthcare provision to care homes to meet NHS targets.",
keywords = "care homes, hospital admissions, long-term care facilities, nursing homes, older people, outcomes, place of death, specialist health services, systematic review",
author = "Sue Tucker and Deborah Buck and Brenda Roe and Jane Hughes and David Challis",
note = "Funding Information: This article presents independent research funded by the National Institute for Health Research (NIHR) School for Social Care Research (SSCR) (Funding reference number C088/CM/UMDC-P113: Effective Healthcare Support to Care Homes). The views expressed in this article are those of the authors and not necessarily those of the NIHR SSCR or the Department of Health, NIHR or NHS. Funding Information: Funding informationThis article presents independent research funded by the National Institute for Health Research (NIHR) School for Social Care Research (SSCR) (Funding reference number C088/CM/UMDC-P113: Effective Healthcare Support to Care Homes). The views expressed in this article are those of the authors and not necessarily those of the NIHR SSCR or the Department of Health, NIHR or NHS. We thank Rebecca Hays and Paul Clarkson for establishing the search strategy for the earlier review on which the current review builds. We also thank Vincent Gillan for his administrative support of the study. Funding Information: This review builds on an earlier systematic review of the organization, activities and responsibilities of specialist healthcare services to care homes. Services were classified into different models of support and examples were given of their relative effectiveness with respect to a wide range of resident and process outcomes (Clarkson et al., 2018). The current review updates the earlier review and develops it further by systematically identifying, appraising and synthesizing the available evidence on two specific outcomes — the ability of specialist care home services to prevent the inappropriate hospital admission of older, long‐term care home residents and to enable them to remain in the care home at the end‐of‐life (as compared with “usual care”). The secondary aims are to establish whether identifiable subgroups of services produce different resident outcomes; to explore the extent to which descriptions of “usual” or “standard” care vary; and to identify service costs. This work forms part of a wider study of the effective provision of healthcare support to care homes funded by the National Institute for Health Research School for Social Care Research (Grant ref C088/CM/UMDC‐P113). Publisher Copyright: {\textcopyright} 2018 John Wiley & Sons Ltd",
year = "2019",
month = feb,
day = "1",
doi = "10.1111/jan.13866",
language = "English",
volume = "75",
pages = "443--451",
journal = "Journal of Advanced Nursing",
issn = "1365-2648",
publisher = "Blackwell Publishing",
number = "2",
}