Evidence map›Paper›PMID 25687930›Full record

ArticleJournal of the American Medical Directors Association2015

Relationships, expertise, incentives, and governance: supporting care home residents' access to health care. An interview study from England.

Claire Goodman, Sue L Davies, Adam L Gordon, Julienne Meyer, Tom Dening, John R F Gladman, Steve Iliffe, Maria Zubair, Clive Bowman, Christina Victor and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Medical Directors Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Relationship-Centered Care for Older Adults in Long-Term Care Homes: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Claire GoodmanCentre for Research in Primary and Community Care, University of Hertfordshire, Hertfordshire, UK. Electronic address: c.goodman@herts.ac.uk.
Sue L DaviesCentre for Research in Primary and Community Care, University of Hertfordshire, Hertfordshire, UK.
Adam L GordonDivision of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK.
Julienne MeyerSchool of Health Sciences, City University, London, UK.
Tom DeningCentre for Dementia, Institute of Mental Health, University of Nottingham, Nottingham, UK.
John R F GladmanDivision of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK.
Steve IliffeDepartment of Primary Care and Population Health, University College London, London, UK.
Maria ZubairCentre for Dementia, Institute of Mental Health, University of Nottingham, Nottingham, UK; School of Sociology and Social Policy, University of Nottingham, Nottingham, UK.
Clive BowmanSchool of Health Sciences, City University, London, UK.
Christina VictorDepartment of Community Health Nursing and Health Studies, Brunel University, London, UK.
Finbarr C MartinDivision of Health and Social Care Research, Kings College London, London, UK.

Funding

Department of Health 11/1021/02
6 · The paper itself

Abstract

objectivesTo explore what commissioners of care, regulators, providers, and care home residents in England identify as the key mechanisms or components of different service delivery models that support the provision of National Health Service (NHS) provision to independent care homes.

methodsQualitative, semistructured interviews with a purposive sample of people with direct experience of commissioning, providing, and regulating health care provision in care homes and care home residents. Data from interviews were augmented by a secondary analysis of previous interviews with care home residents on their personal experience of and priorities for access to health care. Analysis was framed by the assumptions of realist evaluation and drew on the constant comparative method to identify key themes about what is required to achieve quality health care provision to care homes and resident health.

resultsParticipants identified 3 overlapping approaches to the provision of NHS that they believed supported access to health care for older people in care homes: (1) Investment in relational working that fostered continuity and shared learning between visiting NHS staff and care home staff, (2) the provision of age-appropriate clinical services, and (3) governance arrangements that used contractual and financial incentives to specify a minimum service that care homes should receive.

conclusionThe 3 approaches, and how they were typified as working, provide a rich picture of the stakeholder perspectives and the underlying assumptions about how service delivery models should work with care homes. The findings inform how evidence on effective working in care homes will be interrogated to identify how different approaches, or specifically key elements of those approaches, achieve different health-related outcomes in different situations for residents and associated health and social care organizations.

Indexed as

AgedAged, 80 and overDelivery of Health Care, IntegratedEnglandFemaleHealth Services AccessibilityHealth Services for the AgedHealth Services Needs and DemandHealth Services ResearchHomes for the AgedHumansMaleMiddle AgedNursing HomesPatient Care TeamState MedicineCare homesfrailtyhealth carehealth servicesolder peoplerealist review

Identifiers

PMID25687930
PMCPMC4415475

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.