title: Good-quality social care for people with Parkinson's disease: a qualitative study.
abstract: OBJECTIVE
  The study examines the meaning of good-quality social care for people with Parkinson's disease and their carers. It identifies, from their perspective, the impact of good-quality social care on health and well-being.
  
  
  METHODS
  Qualitative case study methodology, interview and framework analysis techniques were used.
  
  
  METHODS
  community locations in the north and midlands of England.
  
  
  METHODS
  Data were collected from 43 participants including individual interviews with people with Parkinson's disease (n=4), formal and informal social care providers (n=13), 2 focus groups, 1 with people with Parkinson's disease and their carers (n=17), and 1 with professionals (n=8), plus a telephone interview with a former commissioner.
  
  
  RESULTS
  Good-quality social care, delivered in a timely fashion, was reported to have a positive impact on health. Furthermore, there is an indication that good-quality social care can prevent untoward events, such as infections, symptom deterioration and deterioration in mental health. The concept of the 'Impact Gap' developed from the findings, illustrates how the costs of care may be reduced by delivering good-quality social care. Control, choice and maintaining independence emerged as indicators of good-quality social care, irrespective of clinical condition. Participants identified characteristics indicative of good-quality social care specific to Parkinson's disease, including understanding Parkinson's disease, appropriate administration of medication, timing of care and reassessment. 'Parkinson's aware' social care was seen to generate psychological, physical and social benefits that were inter-related.
  
  
  CONCLUSIONS
  The findings indicate how maximising quality in social care delivery for people with Parkinson's disease can impact on health and well-being. Long-term or short-term benefits may result in prevented events and reductions in health and social care resource. Health professionals can be instrumental in early detection of and signposting to social care.
authors.affiliation: School of Nursing and Midwifery, The University of Sheffield, Sheffield, UK.
authors.forename: Angela Mary
authors.identifier: http://orcid.org/0000-0001-6336-3747
authors.initials: AM
authors.lastname: Tod
authors.affiliation: Psychosocial Oncology & Clinical Practice Research Group, University of Leeds, Leeds, UK.
authors.forename: Fiona
authors.initials: F
authors.lastname: Kennedy
authors.affiliation: AJ Stocks Limited, Wakefield, UK.
authors.forename: Amanda-Jayne
authors.initials: AJ
authors.lastname: Stocks
authors.affiliation: Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, UK.
authors.forename: Ann
authors.initials: A
authors.lastname: McDonnell
authors.affiliation: Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, UK.
authors.forename: Bhanu
authors.initials: B
authors.lastname: Ramaswamy
authors.affiliation: Department of Social Work, Social Care and Community, Sheffield Hallam University, Sheffield, UK.
authors.forename: Brendan
authors.initials: B
authors.lastname: Wood
authors.affiliation: Centre for Health and Social Care Research, Sheffield Hallam University, Sheffield, UK.
authors.forename: Malcolm
authors.initials: M
authors.lastname: Whitfield
mesh_terms: D000368:Aged; D017028:Caregivers / Q000523:psychology*; D004739:England; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000523:psychology* / Q000628:therapy*; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D012944:Social Support
keywords: QUALITATIVE RESEARCH