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a systematic review of integrated working between care homes and health care services系统回顾之间的集成工作照顾家庭和卫生保健服务
Davies et al. BMC Health Services Research 2011, 11:320
/1472-6963/11/320
RESEARCH ARTICLE Open Access
A systematic review of integrated working
between care homes and health care services
1 1* 1 2 1 3 4
Sue L Davies , Claire Goodman , Frances Bunn , Christina Victor , Angela Dickinson , Steve Iliffe , Heather Gage ,
Wendy Martin2 and Katherine Froggatt5
Abstract
Background: In the UK there are almost three times as many beds in care homes as in National Health Service (NHS)
hospitals. Care homes rely on primary health care for access to medical care and specialist services. Repeated policy
documents and government reviews register concern about how health care works with independent providers, and
the need to increase the equity, continuity and quality of medical care for care homes. Despite multiple initiatives, it is
not known if some approaches to service delivery are more effective in promoting integrated working between the
NHS and care homes. This study aims to evaluate the different integrated approaches to health care services supporting
older people in care homes, and identify barriers and facilitators to integrated working.
Methods: A systematic review was conducted using Medline (PubMed), CINAHL, BNI, EMBASE, PsycInfo, DH Data,
Kings Fund, Web of Science (WoS incl. SCI, SSCI, HCI) and the Cochrane Library incl. DARE. Studies were included if
they evaluated the effectiveness of integrated working between primary health care professionals and care homes,
or identified barriers and facilitators to integrated working. Studies were quality assessed; data was extracted on
health, service use, cost and process related outcomes. A modified narrative synthesis approach was used to
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