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The reconfiguration of clinical services : what is the evidence?

Schöpfer:

Imison, Candace, Ross, Shilpa, Sonola, Lara, The King's Fund, and Honeyman, Matthew

Publication date:

2014

Abstract:

This paper aims to help those planning and implementing major clinical service reconfigurations ensure that change is as evidence-based as possible. It investigates the five key drivers – quality, workforce, cost, access and technology – across 13 clinical service areas, and summarises the research evidence and professional guidance available in ...
Older people and emergency bed use : exploring variation.

Schöpfer:

Imison, Candace, The King's Fund, Poteliakoff, Emmi, and Thompson, James

Publication date:

2012

Abstract:

This paper explores factors that might be driving the significant variation in use of hospital beds by patients over 65 admitted as an emergency. It considers the contribution made by patient-based (demand-side) factors, hospital (supply-side) factors, the availability of community services and resources, and broader system relationships (how care systems ...