Impact of prevention in primary care on costs in primary and secondary care for people with serious mental illness.

ABSTRACT: A largely unexplored part of the financial incentive for physicians to participate in preventive care is the degree to which they are the residual claimant from any resulting cost savings. We examine the impact of two preventive activities for people with serious mental illness (care plans and annual reviews of physical health) by English primary care practices on costs in these practices and in secondary care. Using panel two-part models to analyze patient-level data linked across primary and secondary care, we find that these preventive activities in the previous year are associated with cost reductions in the current quarter both in primary and secondary care. We estimate that there are large beneficial externalities for which the primary care physician is not the residual claimant: the

SUBMITTER: Ride J 

PROVIDER: S-EPMC10092448 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature