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Evaluating integrated care for people with complex needs

Kasteridis, Panagiotis, Mason, Anne and Street, Andrew ORCID: 0000-0002-2540-0364 (2021) Evaluating integrated care for people with complex needs. Journal of Health Services Research and Policy, 26 (1). 46 - 53. ISSN 1355-8196

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Identification Number: 10.1177/1355819620931872


Objectives: As part of the Vanguard programme, two integrated care models were introduced in South Somerset for people with complex care needs: the Complex Care Team and Enhanced Primary Care. We assessed their impact on a range of utilization measures and mortality. Methods: We used monthly individual-level linked primary and secondary care data from April 2014 to March 2018 to assess outcomes before and after the introduction of the care models. The analysis sample included 564 Complex Care Team and 841 Enhanced Primary Care cases that met specific criteria. We employed propensity score methods to identify out-of-area control patients and difference-in-differences analysis to isolate the care models’ impact. Results: We found no evidence of significantly reduced utilization in any of the Complex Care Team or Enhanced Primary Care cohorts. The death rate was significantly lower only for those in the first Enhanced Primary Care cohort. Conclusions: The integrated care models did not significantly reduce utilization nor consistently reduce mortality. Future research should test longer-term outcomes associated with the new models of care and quantify their contribution in the context of broader initiatives.

Item Type: Article
Official URL:
Additional Information: © 2020 The Authors
Divisions: Health Policy
Subjects: R Medicine > RA Public aspects of medicine
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Date Deposited: 03 Aug 2020 11:03
Last Modified: 20 Oct 2021 01:03

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