Care coordination for older people: an exploratory framework

Abstract

Purpose

The purpose of this paper is to present a framework for examining variation in care coordination arrangements for older people.

Design/methodology/approach

A multi-method approach was adopted combining analysis of secondary data and primary data. There were two stages: the development of the framework and its constituent attributes and indicators; and its validation from two perspectives: a meeting with managers and focus groups with practitioners. It was informed by an existing generic framework; subsequent policy guidance; data from an English national survey; previous research; and international literature.

Findings

The framework comprises 19 attributes each with indicators measuring performance relating to: organisational arrangements influencing service delivery; the performance of core tasks of care coordination; and differentiation within the process to distinguish between responses to different levels of need.

Originality/value

Care coordination arrangements in England are characterised by diversity. This paper provides a framework for evaluating local arrangements thereby highlighting strengths and where improvements are needed. It offers a means to promote programme fidelity. As such it has utility for both service commissioners and providers.

Citation

Hughes, J., Chester, H., Sutcliffe, C., Xie, C. and Challis, D. (2015), "Care coordination for older people: an exploratory framework", Quality in Ageing and Older Adults, Vol. 16 No. 3, pp. 130-139. https://doi.org/10.1108/QAOA-11-2014-0043