Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset
<p><strong>Aims: </strong>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.</p><p><br /><strong>Methods...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2015-01-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/index.php/ijic/article/view/1594 |
| _version_ | 1811201535168741376 |
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| author | Panagiotis Kasteridis Andrew Street Matthew Dolman Lesley Gallier Kevin Hudson Jeremy Martin Ian Wyer |
| author_facet | Panagiotis Kasteridis Andrew Street Matthew Dolman Lesley Gallier Kevin Hudson Jeremy Martin Ian Wyer |
| author_sort | Panagiotis Kasteridis |
| collection | DOAJ |
| description | <p><strong>Aims: </strong>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.</p><p><br /><strong>Methods: </strong>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.</p><p><br /><strong>Results: </strong>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.</p><p><br /><strong>Conclusions: </strong>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.</p> |
| first_indexed | 2024-04-12T02:23:03Z |
| format | Article |
| id | doaj.art-446bd6a9f9054e549921adc678b99136 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-04-12T02:23:03Z |
| publishDate | 2015-01-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-446bd6a9f9054e549921adc678b991362022-12-22T03:52:04ZengUbiquity PressInternational Journal of Integrated Care1568-41562015-01-011511726Who would most benefit from improved integrated care? Implementing an analytical strategy in South SomersetPanagiotis Kasteridis0Andrew Street1Matthew Dolman2Lesley Gallier3Kevin Hudson4Jeremy Martin5Ian Wyer6Centre for Health Economics, University of YorkCentre for Health Economics, University of YorkClinical Operations Group, Somerset Clinical Commissioning GroupSouth West Commissioning SupportSouth West Commissioning SupportYeovil District HospitalSouth Somerset Healthcare Federation<p><strong>Aims: </strong>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.</p><p><br /><strong>Methods: </strong>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.</p><p><br /><strong>Results: </strong>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.</p><p><br /><strong>Conclusions: </strong>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.</p>http://www.ijic.org/index.php/ijic/article/view/1594integrated carehealth and social care costsmorbidity profilescapitated budgets |
| spellingShingle | Panagiotis Kasteridis Andrew Street Matthew Dolman Lesley Gallier Kevin Hudson Jeremy Martin Ian Wyer Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset International Journal of Integrated Care integrated care health and social care costs morbidity profiles capitated budgets |
| title | Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset |
| title_full | Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset |
| title_fullStr | Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset |
| title_full_unstemmed | Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset |
| title_short | Who would most benefit from improved integrated care? Implementing an analytical strategy in South Somerset |
| title_sort | who would most benefit from improved integrated care implementing an analytical strategy in south somerset |
| topic | integrated care health and social care costs morbidity profiles capitated budgets |
| url | http://www.ijic.org/index.php/ijic/article/view/1594 |
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