Protocol for a realist review of General Practitioners' Role in Advancing Practice in Care Homes (GRAPE study).

ABSTRACT:

Introduction

Older people who live in care homes have a high level of need with complex health conditions. In addition to providing medical care to residents, general practitioners (GPs) play a role as gatekeeper for access to services, as well as leadership within healthcare provision. This review will describe how GPs were involved in initiatives to change arrangements of healthcare services in order to improve quality and experience of care.

Methods and analysis

Following RAMESES quality and publication guidelines standards, we will proceed with realist review to develop theories of how GPs work with care home staff to bring about improvements. We identify when improvement in outcomes does not occur and why this may be the case. The first stage will include interviews wit

SUBMITTER: Gordon AL 

PROVIDER: S-EPMC7299033 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature