A co-production approach to exploring an integrated service model in UK local authorities

IF 0.8 Q4 HEALTH POLICY & SERVICES Journal of Integrated Care Pub Date : 2023-01-09 DOI:10.1108/jica-06-2022-0031
Parisa Diba, Jonathan Bowden, Andrew Divers, Beth Taylor, D. Newbury-Birch, Jonathan Ling
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Abstract

PurposeIntegrated service models aim to simplify access, enable effective delivery, remove duplication and provide a holistic and person-centred approach. This project explored the development of integrated well-being services in two local authorities in North-East England. The purpose of this paper is to address this issue.Design/methodology/approachUnderpinned by public health and co-production approaches, the project utilised a mixed-methods approach. Data were collected via online surveys (n = 95), virtual interviews with members of the local population (n = 8) and practitioners and commissioners (n = 8) to explore needs for a new service. Thematic analysis was used to identify key themes and issues.FindingsSeveral benefits of an integrated service were highlighted by both staff and service users, with a central anticipated benefit being the provision of holistic care. Improvement in information sharing was also seen to increase the efficiency of services and communication barriers between services. Beneficial aspects and barriers related to the COVID-19 pandemic on current service provision were reported that have informed our future recommendations.Originality/valueThe authors’ findings provide a much deeper insight into function, care, social inclusion and ongoing support needs, from both the perspectives of staff and service users. Service users and staff saw value in an integrated model for themselves, as well as the wider community. The authors’ findings indicate that the integrated service model is a promising one for the development of services within local authorities.
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联合制作方法探索英国地方当局的综合服务模式
目的:综合服务模式旨在简化访问、有效提供服务、消除重复并提供全面和以人为本的方法。本项目探讨了英格兰东北部两个地方当局综合福利服务的发展。本文的目的就是要解决这个问题。设计/方法/方法在公共卫生和合作生产方法的基础上,该项目采用了混合方法。通过在线调查(n = 95)、与当地居民(n = 8)以及从业人员和专员(n = 8)的虚拟访谈收集数据,以探索对新服务的需求。专题分析用于确定关键主题和问题。调查结果工作人员和服务使用者都强调了综合服务的几个好处,其中一个主要的预期好处是提供整体护理。人们还认为,信息共享方面的改进提高了服务的效率,消除了服务之间的通信障碍。报告了COVID-19大流行对当前服务提供的有益方面和障碍,为我们今后的建议提供了依据。原创性/价值作者的研究结果从员工和服务使用者的角度,对功能、护理、社会包容和持续的支持需求提供了更深入的见解。服务使用者和工作人员看到了综合模式对他们自己以及更广泛的社区的价值。作者的研究结果表明,综合服务模式对于地方政府内部的服务发展是一种很有前途的模式。
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来源期刊
Journal of Integrated Care
Journal of Integrated Care HEALTH POLICY & SERVICES-
CiteScore
1.70
自引率
12.50%
发文量
34
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