ArticleAge and ageing2023
Developing a list of core competencies for medical aspects of healthcare delivery in care homes: scoping review and Delphi process.
Article in Age and ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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Who cites it
8 citing papers in PubMed.
- Embedding onsite pharmacists in nursing home practice: qualitative findings from a pilot study.International journal of clinical pharmacy · 2026Article
- Establishing a transdisciplinary competency framework for interdisciplinary case management practice in long-term care: a participatory Delphi study.Human resources for health · 2026Article
- Towards a typology of medical care in European long-term care homes.European geriatric medicine · 2026Article
- Towards a typology of medical care in European long-term care homes.European geriatric medicine · 2026Article
- Exploring the organisation and delivery of falls management in care homes for older people in England.BMC geriatrics · 2025Article
- Development of a curriculum for interdisciplinary e-learning on delirium in nursing homes-a modified Delphi study.BMC medical education · 2025Article
- Developing a set of key principles for care planning within older adult care homes: study protocol for a modified Delphi survey.BMJ open · 2025Article
- We know the skills doctors need to work with care home residents: now we need to think about how to deliver them.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundCare home residents live with frailty and multiple long-term conditions. Their medical management is complex and specialised. We set out to develop a list of core competencies for doctors providing medical care in long-term care homes.
methodsA scoping review searched MEDLINE, EMBASE and CAB Abstracts, supplemented by grey literature from the Portal of Online Geriatrics Education and the International Association of Geriatrics and Gerontology, looking for core competencies for doctors working in care homes. These were mapped to the UK nationally mandated Generic Professional Competencies Framework. A Delphi exercise was conducted over three rounds using a panel of experts in care homes and medicine of older people. Competencies achieving 80% agreement for inclusion/exclusion were rejected/accepted, respectively.
resultsThe scoping review identified 22 articles for inclusion, yielding 124 competencies over 21 domains. The Delphi panel comprised 23 experts, including 6 geriatricians, 4 nurses, 3 general practitioners, 2 advanced clinical practitioners, 2 care home managers, and one each of a patient and public representative, palliative care specialist, psychiatrist, academic, physiotherapist and care home audit lead. At the end of three rounds, 109 competencies over 19 domains were agreed. Agreement was strongest for generic competencies around frailty and weaker for sub-specialist knowledge about specific conditions and competencies related to care home medical leadership and management.
conclusionThe resulting competencies provide the basis of a curriculum for doctors working in long-term care homes for older people. They are specialty agnostic and could be used to train general practitioners or medical specialty doctors.
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