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Evaluation of an Innovation in the Continuing Care of Very Frail Elderly People

Published online by Cambridge University Press:  14 November 2008

John Bond
Affiliation:
Health Care Research Unit, The University, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, UK.
Senga Bond
Affiliation:
Health Care Research Unit, The University, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, UK.
Cam Donaldson
Affiliation:
Department of Public Health, A27 Fisher Road, University of Sydney, NSW 2006, Australia.
Barbara Gregson
Affiliation:
Health Care Research Unit, The University, 21 Claremont Place, Newcastle upon Tyne NE2 4AA, UK.
Ann Atkinson
Affiliation:
Policy Services Unit, Newcastle City Council, Civic Centre, Newcastle upon Tyne NE1 8QN, UK.

Abstract

This paper describes the theoretical and methodological perspectives adopted by a multidisciplinary research group undertaking a government-funded evaluation of a United Kingdom innovation in the continuing care of elderly people. In 1983 three experimental National Health Service (NHS) nursing homes were set up to care for patients usually cared for in NHS geriatric hospitals. Drawing on different approaches to the evaluation of health-care innovations, this paper delineates an evaluation model which identifies four types of variables: structure, process, intermediate outcome and final outcome. The relationship of this model to the design of an evaluation comprising seven complementary research activities is described, emphasising the need for multiple perspectives and multiple methods in policy-oriented health-care evaluations.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1989

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References

NOTES

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