Health Policy. 2020;124(8):826-833. doi:10.1016/j.healthpol.2020.06.004
- We evaluate and compare the efficacy of the population-based and care home site integrated care models in reducing hospital utilisation. We found that Vanguard sites had higher hospital utilisation than non-participants in the pre-intervention period. In the post-intervention period, there is clear evidence of a substantial increase in emergency admissions among non-Vanguard sites. The Vanguard integrated care programme slowed the rise in emergency admissions, especially in care home sites and in the third and final year. There was no significant reduction in bed-days.
