Evidence map›Paper›PMID 34163311›Full record

ArticleInternational journal of integrated care2021

Impact of Integrated Care on the Rate of Hospitalization for Ambulatory Care Sensitive Conditions among Older Adults in Stockholm County: An Interrupted Time Series Analysis.

Janne Agerholm, Antonio Ponce de Leon, Pär Schön, Bo Burström

Abstract read
In one paragraph

Article in International journal of integrated care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. 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

4 authors.

Janne AgerholmAging Research Center, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-3591-8842
Antonio Ponce de LeonCenter for epidemiology and community medicine, Stockholm, County Council, Sweden.ORCID https://orcid.org/0000-0002-0704-5215
Pär SchönAging Research Center, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-2617-8037
Bo BurströmDepartment of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-5770-9422

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionReducing avoidable hospital admissions is often viewed as a possible positive consequence of introducing integrated care (IC). The aim of this study was to investigate the impact of implementing IC in Norrtälje on the rate of admissions for ambulatory care sensitive conditions (ACSC).

methodUsing interrupted time series analyses we investigated the effect of implementing IC in Norrtälje municipality in the northern part of Stockholm county, Sweden. The time period included 48 time points, from year 2000 to year 2011 with measurements before and after introducing IC in Norrtälje in 2006. In order to control for other extraneous events that could affect the outcome measure, but not related to the introduction of IC, we included a control population from Stockholm municipality.

resultsAfter introducing IC in Norrtälje the rate of admissions for ACSC decreased. This decrease was greater in Norrtälje than in the matched control population, however the difference between the two areas was not statistically significant (p = 0.08).

conclusionIntroducing IC in Norrtälje may have had positive impact on admissions for ACSC for older people living in Norrtälje; however, the interpretation of the impact of IC on admissions for ACSC is complicated by intervening policy changes in health and social care during the study period.

Indexed as

agingambulatory care sensitive conditionshealth careintegrated careSwedentime series

Identifiers

PMID34163311
PMCPMC8195125

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