Implementation of geriatric assessment and decision support in residential care homes: facilitating and impeding factors during initial and maintenance phase.

ABSTRACT:

Background

Successfully introducing and maintaining care innovations may depend on the interplay between care setting, the intervention and specific circumstances. We studied the factors influencing the introduction and maintenance of a Multidisciplinary Integrated Care model in 10 Dutch residential care homes.

Methods

Facilitating and impeding factors were studied and compared at the time of introduction of the interRAI-LTCF assessment method in residential care homes as well as three years later, by surveys and semi structured interviews among nurse staff, managers, and physicians.

Results

Facilitating factors at introduction were positive opinions of staff and family physicians about the changes of the process of care and the anticipated improvement of quality of c

SUBMITTER: Boorsma M 

PROVIDER: S-EPMC3601009 | biostudies-literature | 2013 Jan

REPOSITORIES: biostudies-literature