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Article
Publication date: 25 November 2021

Juliana Thompson, Michael Hill, Lesley Bainbridge, Daniel Cowie and Emma Flewers

This paper aims to provide an evidence assessment and narrative synthesis of literature regarding the key characteristics of older people living in service-integrated housing…

Abstract

Purpose

This paper aims to provide an evidence assessment and narrative synthesis of literature regarding the key characteristics of older people living in service-integrated housing (SIH) facilities and their “accommodation journey”.

Design/methodology/approach

A rapid evidence assessment was conducted: 22 research publications met the inclusion criteria and were analysed using narrative synthesis.

Findings

The quality of studies in this area is low, but consistency across components of the results of studies included in the review is apparent. Results suggest key characteristics of older people that drive moves into SIH are a decline in health, increased dependency, increased health service use and carer burden. Suggested key characteristics of SIH residents are high levels of health problems, dependency and health service use, but high self-reported health and well-being. Results indicate that the key driver for older people leaving SIH is a lack of workforce competency to manage further declines in health and dependency status.

Research limitations/implications

Current policy may not realise or account for the complex health and care needs of SIH residents. Investment into integrated care, robust community health services and workforce development to facilitate a comprehensive assessment approach may be required to support residents to remain in SIH and live well. Further longitudinal studies are required to map the progression of SIH residents’ health status in detail over time to provide an understanding of preventative and enablement support, development of care pathways and workforce planning and development requirements.

Originality/value

This evidence assessment is the first to consider the accommodation journey of older people residing in SIH.

Article
Publication date: 11 November 2021

Juliana Thompson, Glenda Cook, Claire Masterman, Mark Parkinson and Lesley Bainbridge

Different pathways of frailty care to prevent or delay progression of frailty and enable people to live well with frailty are emerging in primary and community care in the UK. The…

Abstract

Purpose

Different pathways of frailty care to prevent or delay progression of frailty and enable people to live well with frailty are emerging in primary and community care in the UK. The purpose of the study is to understand effective frailty care pathways and their components to inform future service development and pathway evaluation in primary- and community-care services.

Design/methodology/approach

A rapid evidence review was conducted: 11 research publications met the inclusion criteria and were analysed using narrative thematic synthesis.

Findings

There is strong evidence that resistance-based exercise, self-management support, community geriatric services and hospital at home (HAH) improve patient health and function. In general, evaluation and comparison of frailty care pathways, components and pathway operations is challenging due to weaknesses, inconsistencies and differences in evaluation, but it is essential to include consideration of process, determinant and implementation of pathways in evaluations.

Originality/value

To achieve meaningful evaluations and facilitate comparisons of frailty pathways, a standardised evaluation toolkit that incorporates evaluation of how pathways are operated is required for evaluating the impact of frailty pathways of care.

Details

International Journal of Health Governance, vol. 27 no. 1
Type: Research Article
ISSN: 2059-4631

Keywords

Article
Publication date: 11 December 2017

Desiree Chachula, Cathy Grant, Prado Antolino, Jenna Davis, Desiree Hanson, Lesley Harris, Venessa Rivera-Colon and B. Lee Green

The purpose of this paper is to provide a case study of a multifaceted institutional approach to minimizing cancer health disparities, presenting a novel organizational framework…

Abstract

Purpose

The purpose of this paper is to provide a case study of a multifaceted institutional approach to minimizing cancer health disparities, presenting a novel organizational framework entitled, “A.C.C.E.S.S.” to guide those efforts.

Design/methodology/approach

This paper presents a case study of an organization that operates under the theory that cancer health disparities are a result of the cumulative incongruence of differences that exist between people in various contexts and interactions over time. Consequently, the A.C.C.E.S.S. framework is used to demonstrate the range of opportunities within an organization to intervene and mitigate gaps that result in inequality.

Findings

Addressing A.C.C.E.S.S. in various interactions and contexts over a sustained period of time results in a continuous improvement cycle that attenuates cancer health disparity.

Originality/value

The antecedents and impacts of cancer health disparities are well documented. However, there is a dearth of directionality for institutions and organizations in achieving equality in cancer treatment and care. This paper provides a framework to consider in organizing such endeavors.

Details

International Journal of Human Rights in Healthcare, vol. 10 no. 5
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 29 April 2022

Julia Anwar-McHenry, Lesley Murray, Catherine F. Drane, Julie Owen, Amberlee Nicholas and Robert J. Donovan

Indigenous Australians report mental health problems at a much higher rate than non-Indigenous Australians. However, rather than more services, it has been proposed that there…

1173

Abstract

Purpose

Indigenous Australians report mental health problems at a much higher rate than non-Indigenous Australians. However, rather than more services, it has been proposed that there should be a positive, socially based approach to improving mental health in Indigenous communities. The population-wide Western Australian Act-Belong-Commit mental health promotion campaign appeared to be consistent with such an approach. Hence, after consultation with Indigenous community members, a culturally adapted version of the campaign was developed and launched in a largely Indigenous remote Australian community. A survey of Indigenous community members was conducted two years later to assess campaign impact. The aim of this paper is to report on the impact on community members of this cultural adaptation.

Design/methodology/approach

Intercept interviews were conducted with Indigenous community members (n = 31) to assess respondents’ awareness of the campaign elements and activities, understanding of campaign messages and whether respondents had undertaken activities to improve their own or their family’s social and emotional well-being as a result of the campaign.

Findings

There was universal awareness of the adapted campaign in this sample, with 81% reporting doing something for their own social and emotional well-being, 74% reporting doing something for the social and emotional well-being of their family or friends and 48% reporting doing something for community well-being, as a result of campaign exposure.

Originality/value

The cultural adaptation of the Act-Belong-Commit campaign in the Australian Roebourne community is the first reported Indigenous adaptation of a population-wide mental health promotion campaign.

Details

Journal of Public Mental Health, vol. 21 no. 2
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 31 August 2012

Neil Moore and Peter Stokes

Elite individuals and groups constitute a distinctive, upper echelon and social grouping. In various shapes and forms, elites have been an enduring feature of many societies and…

2186

Abstract

Purpose

Elite individuals and groups constitute a distinctive, upper echelon and social grouping. In various shapes and forms, elites have been an enduring feature of many societies and in the contemporary era, the concept of elites and the related notion of celebrity have seen fresh interconnected developments. The purpose of the paper is to consider the literature on elite interviewing both generally and more specifically against a backdrop of an organization and management disciplinary setting. Importantly the paper examines and surfaces the role of context in relation to elite interviewing. In order to consider and illustrate this phenomenon the argument engages with the organizational environment and behaviours of the English professional football industry with the intention of offering fresh perspectives into the form and function of context in elite interviewing.

Design/methodology/approach

The paper's examination of the literature feeds into the fieldwork stage which employs an inductive and interpretivistic methodology. The key method employed within the methodology is semi‐structured interviews tailored for elites and conjoined with participant observation. The approach is applied within an elite interviewing process in the specific organizational context of the professional football industry.

Findings

The paper concludes that in relation to elite interviewing, there is scope to consider a contextualisation and recontextualisation of elite interviewing processes through the development of a potential range of novel conceptual and theoretical models. By engaging with interview frameworks, the paper draws heightened attention to the possibility of generating typologies for, and categorising elites operating within, those given contexts. The paper underlines the established notion of inter‐differences between elites in different sectors, and, more importantly, surfaces intra‐differences in elites within sectors. This issue of diversity of elites is currently not a factor that is clearly acknowledged or addressed in the extant literature. In the case of the present study this novel analysis and illustration are undertaken within the English professional football industry. Therein, the argument exemplifies how elites and elite interviewing may be understood in this specific context through the concepts of process, power and “positionality” and “knownness” identifying, for example, issues of arrogance, amateurism and the phenomenon of insider‐outsider.

Social implications

Elites and celebrities constitute longstanding phenomena that have endured into the twenty‐first century and, as a consequence, merit on‐going close analysis. Equally replete in contemporary life are the multifarious organizational and managerial domains and contexts in which given elites reside and operate. Given the potential impact of elites and their actions on people, it would seem worthwhile and important to seek heightened understanding of them. The professional football industry is one particular instance for study given that it is high profile, represents a substantial business sector in its own right, and, plays a central role in the lives of many members of the public.

Originality/value

The work is an original study of the contextual issues surrounding interviewing elites in the organizational and management setting of the English professional football industry. In a more specific sense, the paper contributes insights into the issue of typologies within elite interviewing, the role of elites in English professional football and makes progress in redressing a general paucity of commentary on elite in the overall business and management research methodology literature.

Details

Qualitative Market Research: An International Journal, vol. 15 no. 4
Type: Research Article
ISSN: 1352-2752

Keywords

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