Ride, Jemimah orcid.org/0000-0002-1820-5499, Kasteridis, Panagiotis orcid.org/0000-0003-1623-4293, Gutacker, Nils orcid.org/0000-0002-2833-0621 et al. (12 more authors) (2019) Impact of family practice continuity of care on unplanned hospital use for people with serious mental illness. Health services research. pp. 1316-1325. ISSN 1475-6773
Abstract
Objective: To investigate whether continuity of care in family practice reduces unplanned hospital use for people with serious mental illness (SMI). Data Sources Linked administrative data on family practice and hospital utilization by people with SMI in England, 2007-2014. Study Design: 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. Data Collection/Extraction Methods: Individual-level family practice administrative data linked to hospital administrative data. Principal Findings: 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. Conclusions: Family practice continuity of care can reduce unplanned hospital use for physical and mental health of people with SMI.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 The Authors |
Keywords: | continuity of care;,family practice;,hospital care;,serious mental illness; |
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 > Faculty of Social Sciences (York) > Economics and Related Studies (York) The University of York > Faculty of Sciences (York) > Hull York Medical School (York) The University of York > Faculty of Sciences (York) > Health Sciences (York) |
Funding Information: | Funder Grant number NETSCC 13/54/40 |
Depositing User: | Pure (York) |
Date Deposited: | 11 Oct 2019 10:30 |
Last Modified: | 21 Jan 2025 17:42 |
Published Version: | https://doi.org/10.1111/1475-6773.13211 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1111/1475-6773.13211 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:152053 |
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Filename: JR_PK_NG_etc_continuity_of_care_HSR_Acceptd_220819.pdf
Description: JR PK NG etc continuity of care HSR Acceptd 220819
Filename: Ride_et_al_2019_Health_Services_Research.pdf
Description: Impact of family practice continuity of care on unplanned hospital use for people with serious mental illnessImpact of family practice continuity of care on unplanned hospital use for people with serious mental illness
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Filename: JR_PK_NG_etc_continuity_of_care_HSR_publshd_v54_1316_25_19Nov2019.pdf
Description: JR PK NG etc continuity of care HSR publshd v54 1316-25 19Nov2019