Evidence map›Paper›PMID 30247573›Full record

SynthesisAge and ageing2019

Impact of social care supply on healthcare utilisation by older adults: a systematic review and meta-analysis.

G Spiers, F E Matthews, S Moffatt, R O Barker, H Jarvis, D Stow, A Kingston, B Hanratty

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Age and ageing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Is the integration of health and social care meeting the growing demand?British journal of health care management · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Decoding the persistence of delayed hospital discharge: An in-depth scoping review and insights from two decades.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  12. Review
  13. Article
  14. Article
  15. Value-Based Health Care: Long-Term Care Insurance for Out-of-Pocket Medical Expenses and Self-Rated Health.International journal of environmental research and public health · 2022
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

G SpiersInstitute of Health & Society, Newcastle University, Newcastle Biomedical Research Building, Campus for Ageing & Vitality, Newcastle upon Tyne, UK.
F E MatthewsInstitute of Health & Society, Newcastle University, Newcastle Biomedical Research Building, Campus for Ageing & Vitality, Newcastle upon Tyne, UK.
S MoffattInstitute for Health & Society, Newcastle University, Sir James Spence Institute, Royal Victoria Infirmary, Newcastle University, Newcastle upon Tyne, UK.
R O BarkerInstitute of Health & Society, Newcastle University, Newcastle Biomedical Research Building, Campus for Ageing & Vitality, Newcastle upon Tyne, UK.
H JarvisInstitute of Health & Society, Newcastle University, Newcastle Biomedical Research Building, Campus for Ageing & Vitality, Newcastle upon Tyne, UK.
D StowInstitute of Health & Society, Newcastle University, Newcastle Biomedical Research Building, Campus for Ageing & Vitality, Newcastle upon Tyne, UK.
A KingstonInstitute of Health & Society, Newcastle University, Newcastle Biomedical Research Building, Campus for Ageing & Vitality, Newcastle upon Tyne, UK.
B HanrattyInstitute of Health & Society, Newcastle University, Newcastle Biomedical Research Building, Campus for Ageing & Vitality, Newcastle upon Tyne, UK.

Funding

Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

Objective: to investigate the impact of the availability and supply of social care on healthcare utilisation (HCU) by older adults in high income countries. Design: systematic review and meta-analysis. Data sources: medline, EMBASE, Scopus, Health Management Information Consortium, Cochrane Database of Systematic Reviews, NIHR Health Technology Assessment, NHS Economic Evaluation Database, Database of Abstracts of Reviews of Effectiveness, SCIE Online and ASSIA. Searches were carried out October 2016 (updated April 2017 and May 2018). (PROSPERO CRD42016050772). Study selection: observational studies from high income countries, published after 2000 examining the relationship between the availability of social care (support at home or in care homes with or without nursing) and healthcare utilisation by adults >60 years. Studies were quality assessed. Results: twelve studies were included from 11,757 citations; ten were eligible for meta-analysis. Most studies (7/12) were from the UK. All reported analysis of administrative data. Seven studies were rated good in quality, one fair and four poor. Higher social care expenditure and greater availability of nursing and residential care were associated with fewer hospital readmissions, fewer delayed discharges, reduced length of stay and expenditure on secondary healthcare services. The overall direction of evidence was consistent, but effect sizes could not be confidently quantified. Little evidence examined the influence of home-based social care, and no data was found on primary care use. Conclusions: adequate availability of social care has the potential to reduce demand on secondary health services. At a time of financial stringencies, this is an important message for policy-makers.

Indexed as

AgedHealth Services for the AgedHumansPatient Acceptance of Health CareSocial Work

Identifiers

PMID30247573
PMCPMC6322507

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.