How effective and cost-effective are innovative combinatorial technologies and practices for supporting older people with long-term conditions to remain well in the community? An evaluation protocol for an NHS Test Bed in North West England

BMJ Open
Sandra VareyChristine Milligan

Abstract

The Lancashire and Cumbria Innovation Alliance (LCIA) Test Bed is a partnership between the National Health Service in England, industry (led by Philips) and Lancaster University. Through the implementation of a combination of innovative health technologies and practices, it aims to determine the most effective and cost-effective ways of supporting frail older people with long-term conditions to remain well in the community. Among the Test Bed's objectives are to improve patient activation and the ability of older people to self-care at home, reduce healthcare system utilisation, and deliver increased workforce productivity. Patients aged 55 years and over are recruited to four cohorts defined by their risk of hospital admission, with long-term conditions including chronic obstructive pulmonary disease, dementia, diabetes and heart failure. The programme is determined on an individual basis, with a range of technologies available. The evaluation is adopting a two-phase approach: phase 1 includes a bespoke patient survey and a mass matched control analysis; and phase 2 is using observational interviews with patients, and weekly diaries, action learning meetings and focus groups with members of staff and other key stakeholders. P...Continue Reading

References

Jul 26, 2012·Administration and Policy in Mental Health·Anna BrownMiranda Wolpert
Dec 3, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Mahiben MaruthappuBruce Keogh
Jan 20, 2016·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Kaylen J PfistererHeather H Keller
Apr 6, 2017·BMJ : British Medical Journal·Chris Ham

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Citations

Jul 14, 2021·Applied Health Economics and Health Policy·Emily LeckenbyPáll Jónsson

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