Joining the dots: day to day challenges for practitioners in delivering integrated dementia care
Despite the increasing policy focus on integrated dementia care in the UK, little is known about the opportunities and challenges encountered by practitioners charged with implementing these policies on the ground. We undertook an extensive, mixed-methods analysis of how a contemporary multidiscipli...
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| Format: | Article |
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Wiley
2020
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| _version_ | 1804072557486276608 |
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| author | Chase, Mike Lloyd, Christopher E. M. Peters, Benjamin J. Chase, Elaine Lee, Kellyn |
| author_facet | Chase, Mike Lloyd, Christopher E. M. Peters, Benjamin J. Chase, Elaine Lee, Kellyn |
| author_sort | Chase, Mike |
| collection | LMU |
| description | Despite the increasing policy focus on integrated dementia care in the UK, little is known about the opportunities and challenges encountered by practitioners charged with implementing these policies on the ground. We undertook an extensive, mixed-methods analysis of how a contemporary multidisciplinary dementia pathway in the UK was experienced and negotiated by service providers. Our pragmatic mixed methods design incorporated three types of research interaction with practitioners: (a) Semi-structured interviews (n = 31) and focus group discussions (n = 4), (b) Practitioner 'shadowing' observations (n = 19), and (c) Service attendance and performance metrics reviews (n = 8). Through an abductive analysis of practitioner narratives and practice observations, we evidenced how inter-practitioner prejudices, restrictive and competitive commissioning frameworks, barriers to effective data sharing and other resource constraints, all challenged integrative dementia care and led to unintended consequences such as practice overlap and failure to identify and respond to people's needs. In order to more successfully realise integrated dementia pathways, we propose innovative commissioning frameworks which purposefully seek to diffuse power imbalances, encourage inter-provider respect and understanding, and determine clear lines of responsibility. [Abstract copyright: © 2020 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.] |
| first_indexed | 2024-07-09T04:01:02Z |
| format | Article |
| id | oai:repository.londonmet.ac.uk:6025 |
| institution | London Metropolitan University |
| last_indexed | 2024-07-09T04:01:02Z |
| publishDate | 2020 |
| publisher | Wiley |
| record_format | eprints |
| spelling | oai:repository.londonmet.ac.uk:60252021-07-20T11:47:18Z http://repository.londonmet.ac.uk/6025/ Joining the dots: day to day challenges for practitioners in delivering integrated dementia care Chase, Mike Lloyd, Christopher E. M. Peters, Benjamin J. Chase, Elaine Lee, Kellyn 360 Social problems & services; associations 610 Medicine & health Despite the increasing policy focus on integrated dementia care in the UK, little is known about the opportunities and challenges encountered by practitioners charged with implementing these policies on the ground. We undertook an extensive, mixed-methods analysis of how a contemporary multidisciplinary dementia pathway in the UK was experienced and negotiated by service providers. Our pragmatic mixed methods design incorporated three types of research interaction with practitioners: (a) Semi-structured interviews (n = 31) and focus group discussions (n = 4), (b) Practitioner 'shadowing' observations (n = 19), and (c) Service attendance and performance metrics reviews (n = 8). Through an abductive analysis of practitioner narratives and practice observations, we evidenced how inter-practitioner prejudices, restrictive and competitive commissioning frameworks, barriers to effective data sharing and other resource constraints, all challenged integrative dementia care and led to unintended consequences such as practice overlap and failure to identify and respond to people's needs. In order to more successfully realise integrated dementia pathways, we propose innovative commissioning frameworks which purposefully seek to diffuse power imbalances, encourage inter-provider respect and understanding, and determine clear lines of responsibility. [Abstract copyright: © 2020 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.] Wiley 2020-08-18 Article PeerReviewed Chase, Mike, Lloyd, Christopher E. M., Peters, Benjamin J., Chase, Elaine and Lee, Kellyn (2020) Joining the dots: day to day challenges for practitioners in delivering integrated dementia care. Health & social care in the community, 29 (4). pp. 1061-1071. ISSN 1365-2524 https://doi.org/10.1111/hsc.13140 10.1111/hsc.13140 |
| spellingShingle | 360 Social problems & services; associations 610 Medicine & health Chase, Mike Lloyd, Christopher E. M. Peters, Benjamin J. Chase, Elaine Lee, Kellyn Joining the dots: day to day challenges for practitioners in delivering integrated dementia care |
| title | Joining the dots: day to day challenges for practitioners in delivering integrated dementia care |
| title_full | Joining the dots: day to day challenges for practitioners in delivering integrated dementia care |
| title_fullStr | Joining the dots: day to day challenges for practitioners in delivering integrated dementia care |
| title_full_unstemmed | Joining the dots: day to day challenges for practitioners in delivering integrated dementia care |
| title_short | Joining the dots: day to day challenges for practitioners in delivering integrated dementia care |
| title_sort | joining the dots day to day challenges for practitioners in delivering integrated dementia care |
| topic | 360 Social problems & services; associations 610 Medicine & health |
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