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New integrated care models in England associated with small reduction in hospital admissions in longer-term: A difference-in-differences analysis

Author

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  • Morciano, Marcello
  • Checkland, Katherine
  • Billings, Jenny
  • Coleman, Anna
  • Stokes, Jonathan
  • Tallack, Charles
  • Sutton, Matt

Abstract

Closer integration of health and social care services has become a cornerstone policy in many developed countries, but there is still debate over what population and service level is best to target. In England, the 2019 Long Term Plan for the National Health Service included a commitment to spread the integration prototypes piloted under the Vanguard `New Care Models’ programme. The programme, running from 2015 to 2018, was one of the largest pilots in English history, covering around 9 % of the population. It was largely intended to design prototypes aimed at reducing hospital utilisation by moving specialist care out of hospital into the community and by fostering coordination of health, care and rehabilitation services for (i) the whole population (‘population-based sites’), or (ii) care home residents (‘care home sites’).

Suggested Citation

  • Morciano, Marcello & Checkland, Katherine & Billings, Jenny & Coleman, Anna & Stokes, Jonathan & Tallack, Charles & Sutton, Matt, 2020. "New integrated care models in England associated with small reduction in hospital admissions in longer-term: A difference-in-differences analysis," Health Policy, Elsevier, vol. 124(8), pages 826-833.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:8:p:826-833
    DOI: 10.1016/j.healthpol.2020.06.004
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    Citations

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    Cited by:

    1. Ferran Espuny Pujol & Ruth Hancock & Morten Hviid & Marcello Morciano & Stephen Pudney, 2021. "Market concentration, supply, quality and prices paid by local authorities in the English care home market," Health Economics, John Wiley & Sons, Ltd., vol. 30(8), pages 1886-1909, August.
    2. Francesco Longo & Karl Claxton & Stephen Martin & James Lomas, 2023. "More long‐term care for better healthcare and vice versa: investigating the mortality effects of interactions between these public sectors," Fiscal Studies, John Wiley & Sons, vol. 44(2), pages 189-216, June.
    3. Wattal, Vasudha & Checkland, Katherine & Sutton, Matt & Morciano, Marcello, 2024. "What remains after the money ends? Evidence on whether admission reductions continued following the largest health and social care integration programme in England," LSE Research Online Documents on Economics 123604, London School of Economics and Political Science, LSE Library.
    4. Dormont, Brigitte & Dottin, Alexis, 2024. "Does the opening of an emergency department influence hospital admissions? Evidence from French private hospitals," Social Science & Medicine, Elsevier, vol. 340(C).
    5. Almorox, Eduardo Gonzalo & Stokes, Jonathan & Morciano, Marcello, 2022. "Has COVID-19 changed carer's views of health and care integration in care homes? A sentiment difference-in-difference analysis of on-line service reviews," Health Policy, Elsevier, vol. 126(11), pages 1117-1123.
    6. Brekke, Kurt R. & Siciliani, Luigi & Straume, Odd Rune, 2024. "Competition, quality and integrated health care," Journal of Health Economics, Elsevier, vol. 95(C).
    7. Alonso, José M. & Andrews, Rhys, 2022. "Does vertical integration of health and social care organizations work? Evidence from Scotland," Social Science & Medicine, Elsevier, vol. 307(C).
    8. Piroddi, Roberta & Downing, Jennifer & Duckworth, Helen & Barr, Benjamin, 2022. "The impact of an integrated care intervention on mortality and unplanned hospital admissions in a disadvantaged community in England: A difference-in-differences study," Health Policy, Elsevier, vol. 126(6), pages 549-557.
    9. David G. Lugo‐Palacios & Jonathan M. Clarke & Søren Rud Kristensen, 2023. "Back to basics: A mediation analysis approach to addressing the fundamental questions of integrated care evaluations," Health Economics, John Wiley & Sons, Ltd., vol. 32(9), pages 2080-2097, September.
    10. Gaillard, Aurélie & García-Lorenzo, Borja & Renaud, Thomas & Wittwer, Jérôme, 2022. "Does integrated care mean fewer hospitalizations? An evaluation of a French field experiment," Health Policy, Elsevier, vol. 126(8), pages 786-794.
    11. Léontine Goldzahl & Jonathan Stokes & Matt Sutton, 2022. "The effects of multi‐disciplinary integrated care on healthcare utilization: Evidence from a natural experiment in the UK," Health Economics, John Wiley & Sons, Ltd., vol. 31(10), pages 2142-2169, October.
    12. Yiu-Shing Lau & Gintare Malisauskaite & Nadia Brookes & Shereen Hussein & Matt Sutton, 2021. "Complements or substitutes? Associations between volumes of care provided in the community and hospitals," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(8), pages 1167-1181, November.
    13. Vasudha Wattal & Katherine Checkland & Matt Sutton & Marcello Morciano, 2024. "What remains after the money ends? Evidence on whether admission reductions continued following the largest health and social care integration programme in England," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(9), pages 1485-1504, December.

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