Impact of integrated care on trends in the rate of emergency department visits among older persons in Stockholm County: an interrupted time series analysis.

ABSTRACT:

Objective

To investigate the association between the implementation of an integrated care (IC) system in Norrtälje municipality and changes in trends of the rate of emergency department (ED) visits.

Design

Interrupted time series analysis from 2000 to 2015.

Setting

Stockholm County.

Participants

All inhabitants 65+ years in Stockholm County on 31 December of each study year.

Intervention

IC was established by combining the funding, administration and delivery of health and social care for older persons in Norrtälje municipality, within Stockholm County.

Outcome

Rates of hospital-based ED visits.

Results

IC was associated with a decrease in the rate of ED visits (incidence rate ratio: 0.997, 95% CI 0.995 to 0.998) among inhabitants 65+ years

SUBMITTER: Doheny M 

PROVIDER: S-EPMC7279653 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature