NARRATE: Needs And RuRAl communiTy servicEs Wales
Research type
Research Study
Full title
A Grounded Theory mixed methods Qualitative and Quantitative study exploring patterns in reductionistic / complex systems approaches to meeting older people’s needs in community services in rural Wales using Bayesian Analysis
IRAS ID
286134
Contact name
Vic Ellis
Contact email
Sponsor organisation
University of Wales Trinity Saint David
Clinicaltrials.gov Identifier
1811586, PhD Student Vic Ellis
Duration of Study in the UK
1 years, 4 months, 1 days
Research summary
Greater integration of Health and Social Care services, and improved management of older people with multiple long term conditions, has become a key priority in Wales. The drive is towards developing community services which meet older people’s needs in community settings and avoid preventable hospital admissions. However, no consistent measures are in use to evaluate whether needs and demands are perceived to be met, patients feel satisfied, and about patterns of unscheduled care usage. There is also a paucity of research, particularly in rural settings, about community service design related to older people’s needs. The traditional reductionistic paradigm of Western medicine and health services is increasingly questioned in existing literature, and the application of systems thinking, complexity science, and holism, are presented as alternative philosophies. An initial complex systems / reductionism conceptual framework will be refined and tested in this study. Data will be gathered from health and Social Care records and patient interviews, to investigate community-dwelling older people’s needs as they reach a tipping point and seek help. This Grounded Theory study explores the philosophy of how needs are interpreted and met, patient satisfaction, and patterns in subsequent use of unplanned Health and Social Care services using Bayesian Analysis. The aim is to inform future community service design for older people in rural Wales.
REC name
South Central - Hampshire B Research Ethics Committee
REC reference
22/SC/0058
Date of REC Opinion
9 Mar 2022
REC opinion
Further Information Favourable Opinion