Evidence map›Paper›PMID 30297434›Full record

Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2018

Reducing emergency hospital admissions: a population health complex intervention of an enhanced model of primary care and compassionate communities.

Julian Abel, Helen Kingston, Andrew Scally, Jenny Hartnoll, Gareth Hannam, Alexandra Thomson-Moore, Allan Kellehear

Abstract readObservational Study
In one paragraph

Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
–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

50 citing papers in PubMed.

  1. Article
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  8. Detection of Frailty in Primary Care.Aging medicine (Milton (N.S.W)) · 2025
    Article
  9. Article
  10. Connecting communities across the globe: Atlas protocol.Palliative care and social practice · 2025
    Article
  11. Article
  12. Population health management of human phenotype ontology.Frontiers in artificial intelligence · 2025
    Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Julian AbelCompassionate Communities UK, Helston, Cornwall, and honorary senior researcher, University of Bradford, Bradford.
Helen KingstonFrome Medical Practice, Frome, Somerset.
Andrew ScallySchool of Allied Health Professions and Midwifery.
Jenny HartnollFrome Medical Practice, Health Connections Mendip, Frome, Somerset.
Gareth HannamFrome Medical Practice, Frome, Somerset.
Alexandra Thomson-MooreSands End Health Centre, Fulham, London.
Allan KellehearUniversity of Bradford, Bradford.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReducing emergency admissions to hospital has been a cornerstone of healthcare policy. Little evidence exists to show that systematic interventions across a population have achieved this aim. The authors report the impact of a complex intervention over a 44-month period in Frome, Somerset, on unplanned admissions to hospital.

aimTo evaluate a population health complex intervention of an enhanced model of primary care and compassionate communities on population health improvement and reduction of emergency admissions to hospital. DESIGN AND

settingA cohort retrospective study of a complex intervention on all emergency admissions in Frome Medical Practice, Somerset, compared with the remainder of Somerset, from April 2013 to December 2017.

methodPatients were identified using broad criteria, including anyone giving cause for concern. Patient-centred goal setting and care planning combined with a compassionate community social approach was implemented broadly across the population of Frome.

resultsThere was a progressive reduction, by 7.9 cases per quarter (95% confidence interval [CI] = 2.8 to 13.1,

conclusionThe complex intervention in Frome was associated with highly significant reductions in unplanned admissions to hospital, with a decrease in healthcare costs across the whole population of Frome.

Indexed as

Community Health ServicesCost-Benefit AnalysisEmergency Service, HospitalHealth Services ResearchHospitalizationHumansPatient Acceptance of Health CarePrimary Health CareReproducibility of ResultsRetrospective StudiesSocial Supportcohort studiescommunity developmentgeneral practicepatient care planningprimary care

Identifiers

PMID30297434
PMCPMC6193793

What OpenQuestion holds

Textmetadata
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.