Comparison of the impact of two national health and social care integration programmes on emergency hospital admissions.

ABSTRACT:

Background

Policy-makers expect that integration of health and social care will improve user and carer experience and reduce avoidable hospital use. [We] evaluate the impact on emergency hospital admissions of two large nationally-initiated service integration programmes in England: the Pioneer (November 2013 to March 2018) and Vanguard (January 2015 to March 2018) programmes. The latter had far greater financial and expert support from central agencies.

Methods

Of the 206 Clinical Commissioning Groups (CCGs) in England, 51(25%) were involved in the Pioneer programme only, 22(11%) were involved in the Vanguard programme only and 13(6%) were involved in both programmes. We used quasi-experimental methods to compare monthly counts of emergency admissions between four groups of

SUBMITTER: Morciano M 

PROVIDER: S-EPMC8274044 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature