Impact of family practice continuity of care on unplanned hospital use for people with serious mental illness.
Adult
Aged
Aged, 80 and over
Cohort Studies
Continuity of Patient Care
/ organization & administration
England
Family Practice
/ organization & administration
Female
Hospitalization
/ statistics & numerical data
Humans
Male
Mental Disorders
/ economics
Middle Aged
Patient Acceptance of Health Care
/ statistics & numerical data
Young Adult
continuity of care
family practice
hospital care
serious mental illness
Journal
Health services research
ISSN: 1475-6773
Titre abrégé: Health Serv Res
Pays: United States
ID NLM: 0053006
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
pubmed:
11
10
2019
medline:
28
1
2020
entrez:
11
10
2019
Statut:
ppublish
Résumé
To investigate whether continuity of care in family practice reduces unplanned hospital use for people with serious mental illness (SMI). Linked administrative data on family practice and hospital utilization by people with SMI in England, 2007-2014. This observational cohort study used discrete-time survival analysis to investigate the relationship between continuity of care in family practice and unplanned hospital use: emergency department (ED) presentations, and unplanned admissions for SMI and ambulatory care-sensitive conditions (ACSC). The analysis distinguishes between relational continuity and management/ informational continuity (as captured by care plans) and accounts for unobserved confounding by examining deviation from long-term averages. Individual-level family practice administrative data linked to hospital administrative data. Higher relational continuity was associated with 8-11 percent lower risk of ED presentation and 23-27 percent lower risk of ACSC admissions. Care plans were associated with 29 percent lower risk of ED presentation, 39 percent lower risk of SMI admissions, and 32 percent lower risk of ACSC admissions. Family practice continuity of care can reduce unplanned hospital use for physical and mental health of people with SMI.
Identifiants
pubmed: 31598965
doi: 10.1111/1475-6773.13211
pmc: PMC6863233
doi:
Types de publication
Journal Article
Observational Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1316-1325Subventions
Organisme : Department of Health
ID : 15/70/26
Pays : United Kingdom
Organisme : Department of Health
ID : HS&DR/13/54/40
Pays : United Kingdom
Organisme : National Institute for Health Services & Delivery Research Program
ID : 135440
Pays : International
Informations de copyright
© 2019 The Authors. Health Services Research published by Wiley Periodicals, Inc. on behalf of Health Research and Educational Trust.
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