Clarkson, Paul, Hughes, Jane, Abendstern, Michele, Sutcliffe, Caroline, Tucker, Sue, Philp, Ian and Challis, David. (2011) Involving specialist clinicians in policies for integrated care. Journal of Integrated Care, 19 (6). pp. 14-22. ISSN 1476-9018

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Abstract

Purpose - The purpose of this paper is to raise issues around the involvement of clinicians relevant to current policies for integrated care by reviewing a previous policy to integrate assessments. Design/methodology/approach - This paper is a review of data from a survey of specialist clinicians' involvement in the single assessment process for older people. Findings - The paper finds that clinician involvement was limited, with assessments not changing to a discernable degree and little involvement of older people. Changes to assessment were predominantly related to paperwork. However, the use of standardised tools by clinicians did increase. The use of shared record systems with social services was significantly associated with involvement. Practical implications - Clinicians have previously not been engaged in policies around integrated assessments. Factors that can help engagement include development of a shared vision, drawing on the traditions of particular groups of clinicians in informing integrated assessment policies, and appropriate IT systems to promote information sharing. Factors hindering engagement include national policy implementation, viewed as inimical to clinical practice and low involvement by service users/patients. Originality/value - Reviewing such previously implemented polices around integration, particularly at the assessment stage, offers lessons to learn in terms of the factors that may help or hinder the achievement of integrated practice, particularly regarding current policies around clinical leadership.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School
Journal or Publication Title:	Journal of Integrated Care
Publisher:	Pier Professional Ltd.
ISSN:	1476-9018
Date:	2011
Volume:	19
Number:	6
Page Range:	pp. 14-22
Identification Number:	10.1108/14769011111191421
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
URI:	http://wrap.warwick.ac.uk/id/eprint/42110

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