Tod, A.M., Kennedy, F., Stocks, A. et al. (4 more authors) (2016) Good-quality social care for people with Parkinson’s disease: a qualitative study. BMJ Open, 6. e006813 . ISSN 2044-6055
Abstract
Objectives: This study examines the meaning of good quality social care for people with Parkinson's and their carers. It identifies from their perspective the impact of good quality social care on health and wellbeing. Design: Qualitative case study methodology, interview and Framework Analysis techniques were used. Setting: Community locations in the North and Midlands of England Participants: Data were collected from 43 participants including individual interviews with people with Parkinson’s (n=4), formal and informal social care providers (n=13), two focus groups, one with people with Parkinson's and their carers (n=17), and one with professionals (n=8) plus a telephone interview with a former commissioner. Findings: Good quality social care, delivered in a timely fashion were reported to have a positive impact on health. Furthermore there is an indication that good quality social care can prevent untoward events such as infections, symptom deterioration, and deterioration in mental health. The concept of the ‘Impact Gap’ developed from the findings, illustrates how the costs of care may be reduced by delivering good quality social care. Control, choice and maintaining independence emerged as indicators of good quality social care, irrespective of clinical condition. Participants identified criteria indicative of good quality social care specific to Parkinson's including understanding Parkinson’s, appropriate administration of medication, timing of care and reassessment. "Parkinson's aware" social care was seen to generate psychological, physical and social benefits that were interrelated. Conclusions: The findings indicate how maximising quality in social care delivery for people with Parkinson's can impact on health and wellbeing. Long or short-term benefits may result in prevented events and reductions in health and social care resource. Health professionals can be instrumental in early detection of and signposting to social care.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Nursing and Midwifery (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 19 Apr 2016 10:57 |
Last Modified: | 19 Apr 2016 10:57 |
Published Version: | http://dx.doi.org/10.1136/bmjopen-2014-006813 |
Status: | Published |
Publisher: | BMJ Publishing Group |
Refereed: | Yes |
Identification Number: | 10.1136/bmjopen-2014-006813 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:93407 |