Kasteridis, Panagiotis orcid.org/0000-0003-1623-4293, Street, Andrew orcid.org/0000-0002-2540-0364, Dolman, Matthew et al. (4 more authors) (2015) Who would most benefit from improved integrated care?:Implementing an analytical strategy in South Somerset. International Journal of Integrated Care. ISSN 1568-4156
Abstract
Conclusions: The linked dataset makes it possible to understand existing patterns of health and social care utilisation and to analyse variation in annual costs, for the whole population and for sub-groups, in total and by setting. This has made it possible to identify who would most benefit from improved integrated care and to calculate capitated budgets to support financial integration. Aims: The Symphony Project is designed to identify which groups of the South Somerset population in England would most benefit from greater integration across primary, community, acute and social care settings. Methods: We analysed linked health and social care data for the entire South Somerset population for the financial year 2012/2013. The data captured acute, primary, community, mental health and social care utilisation and costs; demographic characteristics; and indicators of morbidity for each individual. We employed generalized linear models to analyse variation in annual health and social care costs for all 114,874 members of the South Somerset population and for 1458 individuals with three or more selected chronic conditions. Results: We found that multi-morbidity, not age, was the key driver of health and social care costs. Moreover, the number of chronic conditions is as useful as information about specific conditions at predicting costs. We are able to explain 7% of the variation in total annual costs for population as a whole, and 14% of the variation for those with three or more conditions. We are best able to explain primary care costs, but explanatory power is poor for mental health and social care costs.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Capitated budgets,Health and social care costs,Integrated care,Morbidity profiles |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York |
Depositing User: | Pure (York) |
Date Deposited: | 26 Aug 2016 09:07 |
Last Modified: | 05 Jan 2025 00:09 |
Status: | Published |
Refereed: | Yes |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:104092 |
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Description: PK AS MD etc Who wld mst bneft frm imprvd intgrted cre Int J Integrated Care 15 Jan-Mar 2015
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