Impact of the Southwark and Lambeth Integrated Care Older People's Programme on hospital utilisation and costs: controlled time series and cost-consequence analysis.

ABSTRACT:

Objectives

To estimate the impact on hospital utilisation and costs of a multi-faceted primary care intervention for older people identified as being at risk of avoidable hospitalisation.

Design

Observational study: controlled time series analysis and estimation of costs and cost consequences of the Programme. General practitioner (GP)'s practice level data were analysed from 2009 to 2016 (intervention operated from 2012 to 2016). Mixed-effect Poisson regression models of hospital utilisation included comparisons with control practices and background trends in addition to within-practice comparisons. Cost estimation used standard tariff values.

Setting

94 practices in Southwark and Lambeth and 263 control practices from other parts of England.

Main outcome measures

SUBMITTER: Exley J 

PROVIDER: S-EPMC6443075 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature