References
-
1
Department of Health Our health, our care, our say: a new direction for community services 2006 London The Stationery Office -
2
Department of Health High quality care for all: NHS next stage review final report 2008 London The Stationery Office -
3
Department of Health Transforming community services: enabling new patterns of provision 2009 London The Stationery Office -
4
Department of Health Equity and excellence: liberating the NHS 2010 London Department of Health -
5
Shaw S Rosen R Rumbold B What is integrated care? 2011 London Nuffield Trust -
6
Lewis RQ Rosen R Goodwin N Dixon J Where next for integrated care organisations in the English NHS? 2010 London The Nuffield Trust -
7
Ham C Imison C Goodwin N Dixon A South P Where next for the NHS reforms? The case for integrated care 2011 London King's Fund -
8
Naylor M Transitional care of older adults. Annual review of nursing research 2002 New York Springer Publishing Co -
9
Hanratty B Holmes L Lowson E Grande G Addington-Hall J Payne S Older adults’ experiences of transitions between care settings at the end of life in England: a qualitative interview study Journal of Pain and Symptom Management 2012 44 1 74 83 -
10
Williams S Nolan M Keady J Relational practice as the key to ensuring quality care for frail older people: discharge planning as a case example Quality in Ageing 2009 10 3 44 55 -
11
Ellins J Glasby J Tanner D McIver S Davidson D Littlechild R Snelling I Understanding and improving transitions of older people: a user and carer centred approach. Final report 2012 NIHR Service Delivery and Organisation programme [Cited 2013 Dec 17]. Available from: http://www.birmingham.ac.uk/Documents/news/SDOTransitions-Report.pdf -
12
Aaltonen M Rissanen P Forma L Raitanen J Jylhä M The impact of dementia on care transitions during the last two years of life Age and Ageing 2012 41 52 7 -
13
Manthorpe J Commentary on Bauer M, Fitzgerald L, Haesler E, Manfrin M. Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence Journal of Clinical Nursing 2009 18 2539 46 [Journal of Clinical Nursing 2008; 18: 2676–7] -
14
Pickard S Frail bodies: geriatric medicine and the constitution of the fourth age Sociology of Health & Illness 2013 1 15 10.111/1467-9566.12084 -
15
Bauer M Response to commentary by Manthorpe J Commentary on Bauer M, Fitzgerald L, Haesler E & Manfrin M Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence Journal Clinical Nursing 2009 18 2539 46 [Journal of Clinical Nursing 2010; 19:1173–4] -
16
Clegg A Young M The frailty syndrome Clinical Medicine 2011 11 1 72 5 -
17
Royal College of Physicians Hospitals on the edge? The time for action A report by the Royal College of Physicians 2012 [Cited 2013 Dec 17]. Available from: http://www.rcplondon.ac.uk/sites/default/files/documents/hospitals-on-the-edge-report.pdf -
18
Clegg A Young J Iliffe S Frailty in elderly people The Lancet 2013 381 9868 752 62 -
19
Care Quality Commission The state of health care and adult social care in England in 2011/12 2012 CQC [Cited 2013 Dec 17]. Available from: http://www.cqc.org.uk/sites/default/files/media/documents/cqc__soc_201112_final_tag.pdf -
20
Fuji KT Abbott AA Norris JF Exploring care transitions from patient, caregiver, and health-care provider perspectives Clinical Nursing Research 2012 22 3 258 74 -
21
Meleis AI Sawyer LM Im EO Hilfinger Messias DAK Schumacher K Experiencing transitions: an emerging middle-range theory Advances in Nursing Science 2000 23 1 12 -
22
Coleman EA Boult CE Improving the quality of transitional care for persons with complex care needs Journal of the American Geriatrics Society 2003 51 556 7 -
23
Naylor MD Keating SA Transitional care American Journal of Nursing 2008 108 9 58 63 -
24
Davis MM Devoe M Kansagara D Nicolaidis C Englander H “Did I Do as Best as the System Would Let Me?” Healthcare professional views on hospital to home care transitions Journal of General Internal Medicine 2012 27 1649 56 -
25
Foust JB Vuckovic N Henriquez E Hospital to home healthcare transition: patient, caregiver, and clinician perspectives Western Journal of Nursing Research 2012 34 194 212 -
26
Bauer M Fitzgerald L Haesler E Manfrin M Hospital discharge planning for frail older people and their family. Are we delivering best practice? A review of the evidence Journal of Clinical Nursing 2009 18 2539 46 -
27
Bryan K Policies for reducing delayed discharge from hospital British Medical Bulletin 2010 95 33 46 -
28
Jasinarachchi KH Ibrahim IR Keegan BC Mathialagan R McGourty JC Phillips J Delayed transfer of care from NHS secondary care to primary care in England: its determinants, effect on hospital bed days, prevalence of acute medical conditions and deaths during delay, in older adults aged 65 years and over BMC Geriatrics 2009 9 4 10.1186/1471-2318-9-4 -
29
Vetter N Inappropriately delayed discharge from hospital: what do we know? British Journal of Medicine 2003 326 927 8 -
30
Department of Health Services for older people- 2002–3 data definitions 2002 London Department of Health -
31
Glasby J Littlechild R Pryce K Show me the way to go home: delayed hospital discharges and older people final report 2004 Health Services Management Centre and Institute of Applied Social Studies, University of Birmingham [Cited 2013 December 17]. Available from: http://www.bhamlive.bham.ac.uk/Documents/college-social-sciences/social-policy/HSMC/research/delayed-hospital-discharges.pdf -
32
Guerin M Grimmer K Kumar S Community services' involvement in the discharge of older adults from hospital into the community International Journal of Integrated Care 2013 13 URN:NBN:NL:UI:10-1-114740 -
33
Sims-Gould J Byrne K Hicks E Khan K Stolee P Examining “success” in post-hip fracture care transitions: a strengths-based approach Journal of Interprofessional Care 2012 26 205 11 -
34
Kripalani S LeFevre F Phillips CO Williams MV Basaviah P Baker DW Deficits in communication and information transfer between hospital based and primary care physicians: implications for patient safety and continuity of care Journal of the American Medical Association 2007 297 831 41 -
35
Johnson JK Farnan JM Barach P Hesselink G Wollersheim H Pijnenborg L Searching for the missing pieces between hospital and primary care: mapping the patient process during care transitions BMJ Quality & Safety 2012 21 1 i97 105 -
36
Graham CL Neuhauser L Ivey SL From hospital to home: assessing the transitional care needs of vulnerable seniors The Gerontologist 2009 49 1 23 33 -
37
Schoenborn NL Arbaje AI Eubank KJ Maynor K Carrese JA Clinician roles and responsibilities during care transitions of older adults Journal of the American Geriatrics Society 2013 61 2 231 6 -
38
Dossa A Bokhour B Hoenig H Care transitions from the hospital to home for patients with mobility impairments: patient and family caregiver experiences Rehabilitation Nursing 2012 37 6 277 85 -
39
Toles MP Abbott KM Hirschman KP Naylor MD Transitions in care among older adults receiving long-term services and supports Journal of Gerontological Nursing 2012 38 11 40 7 -
40
Yin RK Case study research: design and methods 2009 4th ed Thousand Oaks Sage Publications -
41
Stake RE The art of case study research 1995 Thousand Oaks Sage publications -
42
Kitzinger J The methodology of focus groups: the importance of interaction between research participants Sociology of Health and Illness 1994 16 1 103 21 -
43
Great Britain Mental capacity act 2005 [Cited 2013 Oct 17]. Available from: http://www.legislation.gov.uk/ukpga/2005/9/section/22 -
44
Ritchie J Spencer L Bryman A Burgess RG Qualitative data analysis for applied policy research Analyzing qualitative data 1994 London Routledge 173 94 -
45
Lincoln YS Guba EG Naturalistic enquiry 1985 Thousand Oaks, CA Sage Publications -
46
Baumann M Evans S Perkins M Curtis L Netten A Fernandez JL Organisation and features of hospital, intermediate care and social services in English sites with low rates of delayed discharge Health & Social Care in the Community 2007 15 4 295 305 -
47
Department of Health People will see health and social care fully joined-up by 2018 Press release. [Cited 2013 Dec 17]. Available from: https://www.gov.uk/government/news/people-will-see-health-and-social-care-fully-joined-up-by-2018 -
48
Howarth M Holland K Grant MJ Education needs for integrated care: a literature review Journal of Advanced Nursing 2006 56 2 144 56 -
49
Ramsey A Fulop N Edwards N The evidence base for vertical integration in health care Journal of Integrated Care 2009 17 2 3 12 -
50
Coleman EA Berenson RA Lost in translation: challenges and opportunities for improving the quality of transitional care Annals of Internal Medicine 2004 140 533 6 -
51
RAND Europe, Ernst & Young LLP National Evaluation of the Department of Health's Integrated Care Pilots 2012 Santa Monica RAND Corporation [Cited 2013 Dec 17]. Available from: http://www.rand.org/content/dam/rand/pubs/technical_reports/2012/RAND_TR1164.pdf -
52
Billings JR What do we mean by integrated care? A European Interpretation Journal of Integrated Care 2005 13 5 13 20 -
53
Fabbre VD Buffington AS Altfeld SJ Shier GE Golden RL Social work and transitions of care: observations from an intervention for older adults Journal of Gerontological Social Work 2011 54 6 615 26 -
54
Cornwell J Levenson R Sonola L Poteliakhoff E Continuity of care for older hospital patients: a call for action 2012 London King's Fund -
55
Goodrich J Cornwall J Seeing the person in the patient: the point of care review paper 2008 London The King's Fund -
56
Kydd A The patient experience of being a delayed discharge Journal of Nursing Management 2008 16 121 6 -
57
Bauer M Fitzgerald L Koch S Hospital discharge as experienced by family carers of people with dementia: a case for quality improvement Journal for Healthcare Quality: Promoting Excellence in Healthcare 2011 33 6 9 16 -
58
Johnson A Gaughwin B Moore N Crane R Long-stay views from the hospital bed: patient perspectives of organisation of care and impact of hospitalisation Australian Health Review 2005 29 2 235 40
