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RESPOND: Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis to inform emerging models of health and care

Purpose

This study aims to fill a need to establish the mechanisms that preserve and foster shared decision making (SDM) between providers, older people, and carers and how they achieve improvements in patient safety, effectiveness and user experiences.

Timescale

2016 – 2017

Research team

Jill Manthorpe (SCWRU), Greta Rait (UCL), Frances Bunn  (PI), Marie-Anne Durand,  Claire Goodman, Paul Millac (University of Hertfordshire),  Patricia Wilson (University of Kent), Isabel Hodkinson (Tower Hamlets Clinical Commissioning Group).

Funding

National Institute for Health Research (NIHR) Health Services Research & Development

Methods

This literature review and synthesis draw on the principles of realist inquiry to explain how, in what contexts, and for whom, interventions that aim to strengthen relationships, and shared decision making, between older people, carers and practitioners, are effective.  The focus of the synthesis is on horizontal integration of community and primary health and social care for older people but it is also considering vertical integration as necessary.  The review is testing the evidence through the lens of prevailing theories in order to provide the Vanguard sites with markers of good practice and possible links of outcomes to patient involvement.

Findings

The study started in 2016. Findings from the literature review were discussed at workshops in Autumn 2016.

Outputs

We will publish a range of outputs, an early article was submitted in 2016 summarising the study’s objectives.

Impact

To be developed.

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