Department of Women's and Children's Health, Kings College London, London, UK.
Department of Health Service and Population Research, Kings College London, London, UK.
BMJ Open. 2019 Sep 3;9(8):e027302. doi: 10.1136/bmjopen-2018-027302.
Children and young people (CYP) in the UK have poor health outcomes, and there is increasing emergency department and hospital outpatient use. To address these problems in Lambeth and Southwark (two boroughs of London, UK), the local Clinical Commissioning Groups, Local Authorities and Healthcare Providers formed The Children and Young People's Health Partnership (CYPHP), a clinical-academic programme for improving child health. The Partnership has developed the CYPHP Evelina London model, an integrated healthcare model that aims to deliver effective, coordinated care in primary and community settings and promote better self-management to over approximately 90 000 CYP in Lambeth and Southwark. This protocol is for the process evaluation of this model of care.
Alongside an impact evaluation, an in-depth, mixed-methods process evaluation will be used to understand the barriers and facilitators to implementing the model of care. The data collected mapped onto a logic model of how CYPHP is expected to improve child health outcomes. Data collection and analysis include qualitative interviews and focus groups with stakeholders, a policy review and a quantitative analysis of routine clinical and administrative data and questionnaire data. Information relating to the context of the trial that may affect implementation and/or outcomes of the CYPHP model of care will be documented.
The study has been reviewed by NHS REC Cornwall & Plymouth (17/SW/0275). The findings of this process evaluation will guide the scaling up and implementation of the CYPHP Evelina London Model of Care across the UK. Findings will be disseminated through publications and conferences, and implementation manuals and guidance for others working to improve child health through strengthening health systems.
NCT03461848.
英国儿童和年轻人的健康状况不佳，且他们越来越多地前往急诊部和医院门诊部就诊。为了解决伦敦兰贝斯区和南华克区（英国伦敦的两个行政区）的这些问题，当地的临床委托团体、地方当局和医疗保健提供者成立了儿童和年轻人健康伙伴关系（CYPHP），这是一个旨在改善儿童健康的临床学术项目。该伙伴关系开发了 CYPHP 伊夫林伦敦模式，这是一种综合医疗模式，旨在在初级和社区环境中提供有效的、协调的护理，并促进更好的自我管理，以覆盖兰贝斯区和南华克区的大约 90000 名儿童和年轻人。本方案是对该护理模式的过程评估。
除了进行影响评估外，还将采用深入的混合方法过程评估来了解实施该护理模式的障碍和促进因素。收集的数据与 CYPHP 预期如何改善儿童健康结果的逻辑模型相匹配。数据收集和分析包括对利益相关者进行定性访谈和焦点小组讨论、政策审查以及对常规临床和管理数据和问卷调查数据的定量分析。与试验背景相关的信息可能会影响 CYPHP 护理模式的实施和/或结果，这些信息也将被记录下来。
该研究已由 NHS REC 康沃尔和普利茅斯（17/SW/0275）进行审查。本过程评估的结果将指导 CYPHP 伊夫林伦敦护理模式在英国的扩大和实施。研究结果将通过出版物和会议、实施手册以及为通过加强卫生系统改善儿童健康而努力的其他人提供的指导进行传播。
NCT03461848。
