Understanding new models of care in local contexts: a systematic review using frameworks to examine pathways of change, applicability, and generalisability of the international research evidence

Baxter S, Johnson M, Chambers D, Sutton A, Goyder E, Booth A
Record ID 32016000920
Authors' objectives: Increased use of services and increasing costs are putting substantial pressures on the NHS. This has led people to suggest that major changes are needed to the way that NHS services are organised. It is suggested that services should be re-designed and that new models of care are required. The term "new models of care" means delivering services in new ways. For example services that used to be delivered in a hospital might be moved into health centres, or staff from health and social care might work more closely together. Local services have been asked to look at what would work best in their particular area. These new models of care might therefore need to be different in different places. The National Institute for Health Research asked research teams to apply for funding, to carry out studies to analyse what is already known about new models of care. The aim is to look at what has been done in the UK and elsewhere in the world, and to analyse how well it has worked. Our study will look for research papers, reports and articles in a systematic way. It will analyse what these studies have found out, and bring together the results in an overall summary. We will assess how well the studies have been carried out, and whether there may be problems or doubts regarding the findings. We will highlight what the results mean using description or statistics. The process of providing care for patients can be complex. Therefore, in order to try to make our results as clear as possible we will use a diagram called a logic model . This will provide a summary of what the different new models of care are, and what different sorts of effect they might have. The diagram will include factors that help new models to work, or things that might make it difficult. We want to highlight anything which might be a barrier to putting a model in place in different NHS settings. We will develop a checklist of these factors which might help, or might make it difficult. We will use the checklist to assess all the different models we find. The proposed research study will provide a summary of which new models of care might work best in different settings. It will also highlight factors that might be important when putting them in place. This work will help decision-makers in the NHS to select the most appropriate models of care for their local area. It will also help services who are introducing these new ways of working, to understand what the issues may be.
Project Status: Completed
Year Published: 2018
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Models, Organizational
  • Models, Theoretical
  • Delivery of Health Care
  • Health Care Evaluation Mechanisms
Organisation Name: NIHR Health Services and Delivery Research programme
Contact Address: NIHR Journals Library, National Institute for Health and Care Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK
Contact Name: journals.library@nihr.ac.uk
Contact Email: journals.library@nihr.ac.uk
Copyright: Queen's Printer and Controller of HMSO
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