Evidence map›Paper›PMID 40384963›Full record

ArticleInternational journal of integrated care

Impact of Integrating Social and Health Home Care Services in Catalonia: A Retrospective Cohort-Based Two-Year Study.

Emili Vela, Joan Carles Contel, Anna Vila, Sebastià J Santaeugènia, Rosa Suñol, Jordi Amblàs-Novellas, Conxita Barbeta, Aina Plaza, Pilar Hilarión

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In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Emili VelaÀrea de Sistemes d'Informació, Servei Catalàde la Salut, Barcelona, Spain.ORCID https://orcid.org/0000-0002-8736-5365
Joan Carles ContelIntegrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain.ORCID https://orcid.org/0000-0002-9195-6432
Anna VilaIntegrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain.ORCID https://orcid.org/0000-0003-3088-0590
Sebastià J SantaeugèniaGeneral Directorate of Health Planning, Department of Health, Generalitat de Catalunya, Barcelona, Spain.ORCID https://orcid.org/0000-0002-2725-4065
Rosa SuñolAvedis Donabedian Research Institute (FAD), Spain.ORCID https://orcid.org/0000-0003-1902-833X
Jordi Amblàs-NovellasIntegrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain.ORCID https://orcid.org/0000-0002-2338-3054
Conxita BarbetaIntegrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain.ORCID https://orcid.org/0009-0000-8817-1928
Aina PlazaIntegrated Social and Health Care Program, Department of Health and Department of Social Rights, Generalitat de Catalunya, Barcelona, Spain.
Pilar HilariónAvedis Donabedian Research Institute (FAD), Spain.ORCID https://orcid.org/0000-0001-9731-9031

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures. Methods: Retrospective study including all individuals who initiated social HCSs for dependent people in Catalonia during 2018-2019 with a paired case-control, pre/post design (differences-in-differences), using integrated data from the Autonomy and Dependency Care System database and the Catalan Health Surveillance System. Individuals were categorized based on their perceived level of integration in the residing areas (high level: Case Group, and low level: Control Group). Results: We included 4381 cases and 13143 matched controls. HCS integration decreased the risk of institutionalization in a nursing home by 19.5% and the length of stays in any center by 7.7%. Integration increased day centers' use by 23.7% and primary care service utilization by 3.0%, and also reduced associated social expenditures after HCS initiation by 19.1% and overall social and health expenditures by 2.6%. Conclusion: Integration of social and health HCSs resulted in a shift from institutionalization services to primary care services and day care centers, prolonging recipients' lives in their homes.

Indexed as

cost-effectivenesshealth and social care services utilizationhome care servicesimpact of integrationintegrated caresocial care

Identifiers

PMID40384963
PMCPMC12083072

What OpenQuestion holds

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LicenceCC BY
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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.