Journal
JOURNAL OF HEALTH SERVICES RESEARCH & POLICY
Volume 25, Issue 3, Pages 142-150Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1355819619868506
Keywords
clinical commissioning groups; community care; nurses; quality indicators
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Funding
- National Institute for Health Research (NIHR) HSDR Programme [HSDR 12/209/02]
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Objectives To establish how quality indicators used in English community nursing are selected and applied, and their perceived usefulness to service users, commissioners and service providers. Methods A qualitative multi-site case study was conducted with five commissioning organizations and their service providers. Participants included commissioners, provider organization managers, nurses and service users. Results Indicator selection and application often entail complex processes influenced by wider health system and cross-organizational factors. All participants felt that current indicators, while useful for accountability and management purposes, fail to reflect the true quality of community nursing care and may sometimes indirectly compromise care. Conclusions Valuable resources may be better used for comprehensive system redesign, to ensure that patient, carer and nurse priorities are given equivalence with those of other stakeholders.
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