Joining the dots: Day to day challenges for practitioners in delivering integrated dementia care

Mike Chase, Lloyd, Christopher, Benjamin J. Peters, Elaine Chase and Kellyn Lee 2020. Joining the dots: Day to day challenges for practitioners in delivering integrated dementia care. Health & Social Care in the Community. 29 (4), pp. 1061-1071. https://doi.org/10.1111/hsc.13140

TitleJoining the dots: Day to day challenges for practitioners in delivering integrated dementia care
TypeJournal article
AuthorsMike Chase, Lloyd, Christopher, Benjamin J. Peters, Elaine Chase and Kellyn Lee
Abstract

Despite the increasing policy focus on integrated dementia care in the UK, little is known about the opportunities and challenges encountered by practitioners charged with implementing these policies on the ground. We undertook an extensive, mixed-methods analysis of how a contemporary multidisciplinary dementia pathway in the UK was experienced and negotiated by service providers. Our pragmatic mixed methods design incorporated three types of research interaction with practitioners: (a) Semi-structured interviews (n = 31) and focus group discussions (n = 4), (b) Practitioner ‘shadowing’ observations (n = 19), and (c) Service attendance and performance metrics reviews (n = 8). Through an abductive analysis of practitioner narratives and practice observations, we evidenced how inter-practitioner prejudices, restrictive and competitive commissioning frameworks, barriers to effective data sharing and other resource constraints, all challenged integrative dementia care and led to unintended consequences such as practice overlap and failure to identify and respond to people's needs. In order to more successfully realise integrated dementia pathways, we propose innovative commissioning frameworks which purposefully seek to diffuse power imbalances, encourage inter-provider respect and understanding, and determine clear lines of responsibility.

JournalHealth & Social Care in the Community
Journal citation29 (4), pp. 1061-1071
ISSN1365-2524
Year2020
PublisherWiley
Publisher's version
License
CC BY 4.0
File Access Level
Open (open metadata and files)
Digital Object Identifier (DOI)https://doi.org/10.1111/hsc.13140
Web address (URL)https://doi.org/10.1111/hsc.13140
Publication dates
Published18 Jul 2021

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