ArticleBMJ open2019
Area level impacts on emergency hospital admissions of the integrated care and support pioneer programme in England: difference-in-differences analysis.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The impact and legacy of COVID-19 on community-based multidisciplinary teams organising integrated health and social care for older people with long-term conditions: Findings from the evaluation of the integrated care and support Pioneers.Journal of health services research & policy · 2025Article
- Evaluating the role of community-based multi-disciplinary teams in England's Pioneer integrated health and social care programme: Setting the scene.Journal of health services research & policy · 2025Article
- Frontline staff perspectives on multi-disciplinary team working and the effectiveness of integrated service delivery: Findings from the evaluation of the Integrated Care and Support Pioneers in England.Journal of health services research & policy · 2025Article
- Can family doctor system improve health service utilization for patients with hypertension and diabetes in China? A difference-in-differences study.BMC health services research · 2024Article
- Comparison of the impact of two national health and social care integration programmes on emergency hospital admissions.BMC health services research · 2021Article
- Integrated Care in England - what can we Learn from a Decade of National Pilot Programmes?International journal of integrated careArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether any differential change in emergency admissions could be attributed to integrated care by comparing pioneer and non-pioneer populations from a pre-pioneer baseline period (April 2010 to March 2013) over two follow-up periods: to 2014/2015 and to 2015/2016.
designDifference-in-differences analysis of emergency hospital admissions from English Hospital Episode Statistics.
settingLocal authorities in England classified as either pioneer or non-pioneer.
participantsEmergency admissions to all NHS hospitals in England with local authority determined by area of residence of the patient.
interventionWave 1 of the integrated care and support pioneer programme announced in November 2013. PRIMARY OUTCOME MEASURE: Change in hospital emergency admissions.
resultsThe increase in the pioneer emergency admission rate from baseline to 2014/2015 was smaller at 1.93% and significantly different from that of the non-pioneers at 4.84% (p=0.0379). The increase in the pioneer emergency admission rate from baseline to 2015/2016 was again smaller than for the non-pioneers but the difference was not statistically significant (p=0.1879).
conclusionsIt is ambitious to expect unequivocal changes in a high level and indirect indicator of health and social care integration such as emergency hospital admissions to arise as a result of the changes in local health and social care provision across organisations brought about by the pioneers in their early years. We should treat any sign that the pioneers have had such an impact with caution. Nevertheless, there does seem to be an indication from the current analysis that there were some changes in hospital use associated with the first year of pioneer status that are worthy of further exploration.
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