Evaluation of complex integrated care programmes: the approach in North West London

2.50
Hdl Handle:
http://hdl.handle.net/10547/582869
Title:
Evaluation of complex integrated care programmes: the approach in North West London
Authors:
Greaves, Felix; Pappas, Yannis; Bardsley, Martin; Harris, Matthew; Curry, Natasha; Holder, Holly; Blunt, Ian; Soljak, Michael; Gunn, Laura; Majeed, Azeem; Car, Josip
Abstract:
Background: Several local attempts to introduce integrated care in the English National Health Service have been tried, with limited success. The Northwest London Integrated Care Pilot attempts to improve the quality of care of the elderly and people with diabetes by providing a novel integration process across primary, secondary and social care organisations. It involves predictive risk modelling, care planning, multidisciplinary management of complex cases and an information technology tool to support information sharing. This paper sets out the evaluation approach adopted to measure its effect. Study design: We present a mixed methods evaluation methodology. It includes a quantitative approach measuring changes in service utilization, costs, clinical outcomes and quality of care using routine primary and secondary data sources. It also contains a qualitative component, involving observations, interviews and focus groups with patients and professionals, to understand participant experiences and to understand the pilot within the national policy context. Theory and discussion: This study considers the complexity of evaluating a large, multi-organisational intervention in a changing healthcare economy. We locate the evaluation within the theory of evaluation of complex interventions. We present the specific challenges faced by evaluating an intervention of this sort, and the responses made to mitigate against them. Conclusions: We hope this broad, dynamic and responsive evaluation will allow us to clarify the contribution of the pilot, and provide a potential model for evaluation of other similar interventions. Because of the priority given to the integrated agenda by governments internationally, the need to develop and improve strong evaluation methodologies remains strikingly important.
Affiliation:
Imperial College London; Nuffield Trust; City University
Citation:
Greaves, F., Pappas, Y., Bardsley, M., Harris, M., Curry, N., Holder, H., Blunt, I., Soljak, M., Gunn, L., Majeed, A., Car, J. (2013) Evaluation of complex integrated care programmes: the approach in North West London. International Journal of Integrated Care. 13.
Publisher:
Igitur Publishing
Journal:
International Journal of Integrated Care
Issue Date:
2013
URI:
http://hdl.handle.net/10547/582869
DOI:
http://doi.org/10.5334/ijic.974
PubMed ID:
23687478
PubMed Central ID:
PMC3653284
Additional Links:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3653284/pdf/ijic2013-2013006.pdf
Type:
Article
Language:
en
ISSN:
1568-4156
Sponsors:
The evaluation of the NWL ICP is funded by the Imperial College Healthcare Charity.
Appears in Collections:
IHR Institute for Health Research

Full metadata record

DC FieldValue Language
dc.contributor.authorGreaves, Felixen
dc.contributor.authorPappas, Yannisen
dc.contributor.authorBardsley, Martinen
dc.contributor.authorHarris, Matthewen
dc.contributor.authorCurry, Natashaen
dc.contributor.authorHolder, Hollyen
dc.contributor.authorBlunt, Ianen
dc.contributor.authorSoljak, Michaelen
dc.contributor.authorGunn, Lauraen
dc.contributor.authorMajeed, Azeemen
dc.contributor.authorCar, Josipen
dc.date.accessioned2015-11-30T10:32:37Zen
dc.date.available2015-11-30T10:32:37Zen
dc.date.issued2013en
dc.identifier.citationGreaves, F., Pappas, Y., Bardsley, M., Harris, M., Curry, N., Holder, H., Blunt, I., Soljak, M., Gunn, L., Majeed, A., Car, J. (2013) Evaluation of complex integrated care programmes: the approach in North West London. International Journal of Integrated Care. 13.en
dc.identifier.issn1568-4156en
dc.identifier.pmid23687478en
dc.identifier.doihttp://doi.org/10.5334/ijic.974en
dc.identifier.urihttp://hdl.handle.net/10547/582869en
dc.description.abstractBackground: Several local attempts to introduce integrated care in the English National Health Service have been tried, with limited success. The Northwest London Integrated Care Pilot attempts to improve the quality of care of the elderly and people with diabetes by providing a novel integration process across primary, secondary and social care organisations. It involves predictive risk modelling, care planning, multidisciplinary management of complex cases and an information technology tool to support information sharing. This paper sets out the evaluation approach adopted to measure its effect. Study design: We present a mixed methods evaluation methodology. It includes a quantitative approach measuring changes in service utilization, costs, clinical outcomes and quality of care using routine primary and secondary data sources. It also contains a qualitative component, involving observations, interviews and focus groups with patients and professionals, to understand participant experiences and to understand the pilot within the national policy context. Theory and discussion: This study considers the complexity of evaluating a large, multi-organisational intervention in a changing healthcare economy. We locate the evaluation within the theory of evaluation of complex interventions. We present the specific challenges faced by evaluating an intervention of this sort, and the responses made to mitigate against them. Conclusions: We hope this broad, dynamic and responsive evaluation will allow us to clarify the contribution of the pilot, and provide a potential model for evaluation of other similar interventions. Because of the priority given to the integrated agenda by governments internationally, the need to develop and improve strong evaluation methodologies remains strikingly important.en
dc.description.sponsorshipThe evaluation of the NWL ICP is funded by the Imperial College Healthcare Charity.en
dc.language.isoenen
dc.publisherIgitur Publishingen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3653284/pdf/ijic2013-2013006.pdfen
dc.subjectintegrateden
dc.subjectevaluationen
dc.subjectdeliveryen
dc.subjectcomplexityen
dc.subjectL510 Health & Welfareen
dc.subjectintegrated careen
dc.subjectintegrated health care systemsen
dc.titleEvaluation of complex integrated care programmes: the approach in North West Londonen
dc.typeArticleen
dc.contributor.departmentImperial College Londonen
dc.contributor.departmentNuffield Trusten
dc.contributor.departmentCity Universityen
dc.identifier.journalInternational Journal of Integrated Careen
dc.identifier.pmcidPMC3653284en
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