ArticleHealth policy (Amsterdam, Netherlands)2020
New integrated care models in England associated with small reduction in hospital admissions in longer-term: A difference-in-differences analysis.
Article in Health policy (Amsterdam, Netherlands), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Can integrated care interventions strengthen primary care and improve outcomes for patients with chronic diseases? A systematic review and meta-analysis.Health research policy and systems · 2025Pooled it
- Patient experiences and clinical outcomes of admissions to municipal acute wards versus a hospital: a multicentre randomised controlled trial in Norway.Scandinavian journal of primary health care · 2024Trial
- The role and functions of community-based multidisciplinary teams in two integrated care and support Pioneers: Perspectives from local system leaders.Journal of health services research & policy · 2025Article
- Evaluating the role of community-based multi-disciplinary teams in integrated health and social care in England: Overview of findings from the Pioneer evaluation and their implications for health and social care integration.Journal of health services research & policy · 2025Article
- What remains after the money ends? Evidence on whether admission reductions continued following the largest health and social care integration programme in England.The European journal of health economics : HEPAC : health economics in prevention and care · 2024Article
- Back to basics: A mediation analysis approach to addressing the fundamental questions of integrated care evaluations.Health economics · 2023Article
- Scale and spread of innovation in health and social care: Insights from the evaluation of the New Care Model/Vanguard programme in England.Journal of health services research & policy · 2023Article
- Article
- A typology of integrated care policies in the care home sector: A policy document analysis.Frontiers in public health · 2023Article
- Reforming healthcare in the Netherlands: practical population health management and the Plot model: A questionnaire survey and focus group study to assess the willingness and readiness of six regions in the Netherlands.SAGE open medicine · 2023Article
- Has COVID-19 changed carer's views of health and care integration in care homes? A sentiment difference-in-difference analysis of on-line service reviews.Health policy (Amsterdam, Netherlands) · 2022Article
- Integrated care for older people based on information and communication technology: a scoping review protocol.BMJ open · 2022Article
- Assessing the effect of a regional integrated care model over ten years using quality indicators based on claims data - the basic statistical methodology of the INTEGRAL project.BMC health services research · 2022Article
- Article
- Cost-effectiveness of a community-based integrated care model compared with usual care for older adults with complex needs: a stepped-wedge cluster-randomised trial.Integrated healthcare journal · 2022Article
- Effectiveness of a population-based integrated care model in reducing hospital activity: an interrupted time series analysis.Integrated healthcare journal · 2022Article
- Complements or substitutes? Associations between volumes of care provided in the community and hospitals.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Primary Care Research - Influencing and Implementing Into Policy.Zdravstveno varstvo · 2021Article
- Comparison of the impact of two national health and social care integration programmes on emergency hospital admissions.BMC health services research · 2021Article
- Comparison of the impact of two national health and social care integration programmes on emergency hospital admissions.BMC health services research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Closer integration of health and social care services has become a cornerstone policy in many developed countries, but there is still debate over what population and service level is best to target. In England, the 2019 Long Term Plan for the National Health Service included a commitment to spread the integration prototypes piloted under the Vanguard `New Care Models' programme. The programme, running from 2015 to 2018, was one of the largest pilots in English history, covering around 9 % of the population. It was largely intended to design prototypes aimed at reducing hospital utilisation by moving specialist care out of hospital into the community and by fostering coordination of health, care and rehabilitation services for (i) the whole population ('population-based sites'), or (ii) care home residents ('care home sites'). We evaluate and compare the efficacy of the population-based and care home site integrated care models in reducing hospital utilisation. We use area-level monthly counts of emergency admissions and bed-days obtained from administrative data using a quasi-experimental difference-in-differences design. We found that Vanguard sites had higher hospital utilisation than non-participants in the pre-intervention period. In the post-intervention period, there is clear evidence of a substantial increase in emergency admissions among non-Vanguard sites. The Vanguard integrated care programme slowed the rise in emergency admissions, especially in care home sites and in the third and final year. There was no significant reduction in bed-days. In conclusion, integrated care policies should not be relied upon to make large reductions in hospital activity in the short-run, especially for population-based models.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.