The implementation and evaluation of a community rehabilitation team: A case study

Bernadette Ryan-Woolley, Kate Wilson, Ann Caress

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Purpose: In the UK, intermediate care schemes have been implemented with short-term funding, targeted at reducing pressures on hospitals/nursing homes. Many have lacked a reliable evidence-base and there are few publications on one form of intermediate care, the community rehabilitation team (CRT). This study was conducted to establish whether one specific CRT should gain recurrent funding. Methods: This qualitative case study took a multi-method, multi-perspective approach. Data sources included: three focus groups and 40 semi-structured interviews with patients, carers and health services/local authority/CRT staff, document review, and field notes. The resulting data were analysed thematically. Results: The CRT was designed without sufficient reference to reliable evidence and consultation with local health/social services, and implemented against a background of cultural divides between and within these services. It was also hampered by an ambitious remit and premature attempts at outcome evaluation. Patients/carers were satisfied with interventions, functional gains and social aspects of input but there was no reliable evidence of cost-effectiveness. Conclusions: The study highlighted problems related to service implementation, which exposed flaws within current policy of providing short-term funding for schemes that must demonstrate cost-effectiveness quickly, in order to gain recurrent funding.

LanguageEnglish
Pages817-826
Number of pages10
JournalDisability and Rehabilitation
Volume26
Issue number13
DOIs
Publication statusPublished - 8 Jul 2004
Externally publishedYes

Fingerprint

Rehabilitation
Caregivers
Health Services
Cost-Benefit Analysis
Information Storage and Retrieval
Nursing Homes
Focus Groups
Social Work
Publications
Referral and Consultation
Interviews
Pressure

Cite this

Ryan-Woolley, Bernadette ; Wilson, Kate ; Caress, Ann. / The implementation and evaluation of a community rehabilitation team : A case study. In: Disability and Rehabilitation. 2004 ; Vol. 26, No. 13. pp. 817-826.
@article{fc1ebf0dc00b4075ad8b3c37b83587cf,
title = "The implementation and evaluation of a community rehabilitation team: A case study",
abstract = "Purpose: In the UK, intermediate care schemes have been implemented with short-term funding, targeted at reducing pressures on hospitals/nursing homes. Many have lacked a reliable evidence-base and there are few publications on one form of intermediate care, the community rehabilitation team (CRT). This study was conducted to establish whether one specific CRT should gain recurrent funding. Methods: This qualitative case study took a multi-method, multi-perspective approach. Data sources included: three focus groups and 40 semi-structured interviews with patients, carers and health services/local authority/CRT staff, document review, and field notes. The resulting data were analysed thematically. Results: The CRT was designed without sufficient reference to reliable evidence and consultation with local health/social services, and implemented against a background of cultural divides between and within these services. It was also hampered by an ambitious remit and premature attempts at outcome evaluation. Patients/carers were satisfied with interventions, functional gains and social aspects of input but there was no reliable evidence of cost-effectiveness. Conclusions: The study highlighted problems related to service implementation, which exposed flaws within current policy of providing short-term funding for schemes that must demonstrate cost-effectiveness quickly, in order to gain recurrent funding.",
author = "Bernadette Ryan-Woolley and Kate Wilson and Ann Caress",
year = "2004",
month = "7",
day = "8",
doi = "10.1080/09638280410001696737",
language = "English",
volume = "26",
pages = "817--826",
journal = "Disability and Rehabilitation",
issn = "0963-8288",
publisher = "Informa Healthcare",
number = "13",

}

The implementation and evaluation of a community rehabilitation team : A case study. / Ryan-Woolley, Bernadette; Wilson, Kate; Caress, Ann.

In: Disability and Rehabilitation, Vol. 26, No. 13, 08.07.2004, p. 817-826.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The implementation and evaluation of a community rehabilitation team

T2 - Disability and Rehabilitation

AU - Ryan-Woolley, Bernadette

AU - Wilson, Kate

AU - Caress, Ann

PY - 2004/7/8

Y1 - 2004/7/8

N2 - Purpose: In the UK, intermediate care schemes have been implemented with short-term funding, targeted at reducing pressures on hospitals/nursing homes. Many have lacked a reliable evidence-base and there are few publications on one form of intermediate care, the community rehabilitation team (CRT). This study was conducted to establish whether one specific CRT should gain recurrent funding. Methods: This qualitative case study took a multi-method, multi-perspective approach. Data sources included: three focus groups and 40 semi-structured interviews with patients, carers and health services/local authority/CRT staff, document review, and field notes. The resulting data were analysed thematically. Results: The CRT was designed without sufficient reference to reliable evidence and consultation with local health/social services, and implemented against a background of cultural divides between and within these services. It was also hampered by an ambitious remit and premature attempts at outcome evaluation. Patients/carers were satisfied with interventions, functional gains and social aspects of input but there was no reliable evidence of cost-effectiveness. Conclusions: The study highlighted problems related to service implementation, which exposed flaws within current policy of providing short-term funding for schemes that must demonstrate cost-effectiveness quickly, in order to gain recurrent funding.

AB - Purpose: In the UK, intermediate care schemes have been implemented with short-term funding, targeted at reducing pressures on hospitals/nursing homes. Many have lacked a reliable evidence-base and there are few publications on one form of intermediate care, the community rehabilitation team (CRT). This study was conducted to establish whether one specific CRT should gain recurrent funding. Methods: This qualitative case study took a multi-method, multi-perspective approach. Data sources included: three focus groups and 40 semi-structured interviews with patients, carers and health services/local authority/CRT staff, document review, and field notes. The resulting data were analysed thematically. Results: The CRT was designed without sufficient reference to reliable evidence and consultation with local health/social services, and implemented against a background of cultural divides between and within these services. It was also hampered by an ambitious remit and premature attempts at outcome evaluation. Patients/carers were satisfied with interventions, functional gains and social aspects of input but there was no reliable evidence of cost-effectiveness. Conclusions: The study highlighted problems related to service implementation, which exposed flaws within current policy of providing short-term funding for schemes that must demonstrate cost-effectiveness quickly, in order to gain recurrent funding.

UR - http://www.scopus.com/inward/record.url?scp=4043152902&partnerID=8YFLogxK

U2 - 10.1080/09638280410001696737

DO - 10.1080/09638280410001696737

M3 - Article

VL - 26

SP - 817

EP - 826

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

SN - 0963-8288

IS - 13

ER -