Imperial College London
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Dr Thomas Woodcock

Faculty of Medicine, School of Public Health

Senior Research Fellow
 
 
 
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Contact

 

+44 (0)20 7594 1838thomas.woodcock99

 
 
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Location

 

328Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Blair:2016:10.1136/archdischild-2016-310863.302,
author = {Blair, M and Watson, M and klaber, R and woodcock, T},
doi = {10.1136/archdischild-2016-310863.302},
journal = {Archives of Disease in Childhood},
pages = {A178--A179},
title = {G311 How exactly does integrated paediatric care work? A theoretical research framework},
url = {http://dx.doi.org/10.1136/archdischild-2016-310863.302},
volume = {101},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background Many areas in the UK are experimenting with different models of care delivery to improve integration of services and experiences of children young people and their carers. One such initiative “Connecting Care for Children” (CC4C) is based on three key components:- specialist outreach to a number of GP “hubs”, open access for advice and referrals and public and patient engagement. Robust evaluation of such health system change is desirable but often complex to conceptualise and achieve.Aim To develop an agreed conceptual framework to facilitate measurement of the quality of health system delivery in a defined population and to support research on proposed mediating factors.Methods A number of methods were used including stakeholder mapping, experiential “word cloud” capture, and “Action Effect Diagram” (AED) development.1 Engagement of staff, patients and young people at a number of collaborative events over a two year period. A joint workshop with academics from a number of institutions helped to refine specific measures and identify gaps in current knowledge. Over 100 individuals have been involved in drawing up the final model.Results Word cloud highlighted clinical and organisational issues (See Figure 1). There was considerable consistency across populations. An AED was developed over a series of iterations which elucidated the possible theoretical mechanisms for cause and effect of the three key components of the CC4C model. This was subsequently redrawn in a standardised logic model format to aid understanding (Figure 2). We have highlighted those elements which we believe are common to all such developments in integrated care and those which are for local determination and adaptation. Potential metrics for each of these segments are highlighted in Table 1.Conclusions We found a high degree of agreement for a conceptual framework which explains how integrated care processes might be mediated. Local aca
AU  - Blair,M
AU  - Watson,M
AU  - klaber,R
AU  - woodcock,T
DO  - 10.1136/archdischild-2016-310863.302
EP  - 179
PY  - 2016///
SN  - 1468-2044
SP  - 178
TI  - G311 How exactly does integrated paediatric care work? A theoretical research framework
T2  - Archives of Disease in Childhood
UR  - http://dx.doi.org/10.1136/archdischild-2016-310863.302
VL  - 101
ER  -
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