Impact of Integrating Social and Health Home Care Services in Catalonia: A Retrospective Cohort-Based Two-Year Study
Introduction: This study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures. Methods: Retrospective study including all individuals who initiated soc...
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| Veröffentlicht in: | International journal of integrated care Jg. 25; H. 2; S. 15 |
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| Sprache: | Englisch |
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Ubiquity Press
01.04.2025
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| Abstract | Introduction: This study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures. Methods: Retrospective study including all individuals who initiated social HCSs for dependent people in Catalonia during 2018–2019 with a paired case-control, pre/post design (differences-in-differences), using integrated data from the Autonomy and Dependency Care System database and the Catalan Health Surveillance System. Individuals were categorized based on their perceived level of integration in the residing areas (high level: Case Group, and low level: Control Group). Results: We included 4381 cases and 13143 matched controls. HCS integration decreased the risk of institutionalization in a nursing home by 19.5% and the length of stays in any center by 7.7%. Integration increased day centers’ use by 23.7% and primary care service utilization by 3.0%, and also reduced associated social expenditures after HCS initiation by 19.1% and overall social and health expenditures by 2.6%. Conclusion: Integration of social and health HCSs resulted in a shift from institutionalization services to primary care services and day care centers, prolonging recipients’ lives in their homes. |
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| AbstractList | This study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures.
Retrospective study including all individuals who initiated social HCSs for dependent people in Catalonia during 2018-2019 with a paired case-control, pre/post design (differences-in-differences), using integrated data from the Autonomy and Dependency Care System database and the Catalan Health Surveillance System. Individuals were categorized based on their perceived level of integration in the residing areas (high level: Case Group, and low level: Control Group).
We included 4381 cases and 13143 matched controls. HCS integration decreased the risk of institutionalization in a nursing home by 19.5% and the length of stays in any center by 7.7%. Integration increased day centers' use by 23.7% and primary care service utilization by 3.0%, and also reduced associated social expenditures after HCS initiation by 19.1% and overall social and health expenditures by 2.6%.
Integration of social and health HCSs resulted in a shift from institutionalization services to primary care services and day care centers, prolonging recipients' lives in their homes. Introduction: This study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures. Methods: Retrospective study including all individuals who initiated social HCSs for dependent people in Catalonia during 2018–2019 with a paired case-control, pre/post design (differences-in-differences), using integrated data from the Autonomy and Dependency Care System database and the Catalan Health Surveillance System. Individuals were categorized based on their perceived level of integration in the residing areas (high level: Case Group, and low level: Control Group). Results: We included 4381 cases and 13143 matched controls. HCS integration decreased the risk of institutionalization in a nursing home by 19.5% and the length of stays in any center by 7.7%. Integration increased day centers’ use by 23.7% and primary care service utilization by 3.0%, and also reduced associated social expenditures after HCS initiation by 19.1% and overall social and health expenditures by 2.6%. Conclusion: Integration of social and health HCSs resulted in a shift from institutionalization services to primary care services and day care centers, prolonging recipients’ lives in their homes. This study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures.IntroductionThis study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures.Retrospective study including all individuals who initiated social HCSs for dependent people in Catalonia during 2018-2019 with a paired case-control, pre/post design (differences-in-differences), using integrated data from the Autonomy and Dependency Care System database and the Catalan Health Surveillance System. Individuals were categorized based on their perceived level of integration in the residing areas (high level: Case Group, and low level: Control Group).MethodsRetrospective study including all individuals who initiated social HCSs for dependent people in Catalonia during 2018-2019 with a paired case-control, pre/post design (differences-in-differences), using integrated data from the Autonomy and Dependency Care System database and the Catalan Health Surveillance System. Individuals were categorized based on their perceived level of integration in the residing areas (high level: Case Group, and low level: Control Group).We included 4381 cases and 13143 matched controls. HCS integration decreased the risk of institutionalization in a nursing home by 19.5% and the length of stays in any center by 7.7%. Integration increased day centers' use by 23.7% and primary care service utilization by 3.0%, and also reduced associated social expenditures after HCS initiation by 19.1% and overall social and health expenditures by 2.6%.ResultsWe included 4381 cases and 13143 matched controls. HCS integration decreased the risk of institutionalization in a nursing home by 19.5% and the length of stays in any center by 7.7%. Integration increased day centers' use by 23.7% and primary care service utilization by 3.0%, and also reduced associated social expenditures after HCS initiation by 19.1% and overall social and health expenditures by 2.6%.Integration of social and health HCSs resulted in a shift from institutionalization services to primary care services and day care centers, prolonging recipients' lives in their homes.ConclusionIntegration of social and health HCSs resulted in a shift from institutionalization services to primary care services and day care centers, prolonging recipients' lives in their homes. |
| Author | Contel, Joan Carles Santaeugènia, Sebastià J. Barbeta, Conxita Amblàs-Novellas, Jordi Vila, Anna Vela, Emili Suñol, Rosa Plaza, Aina Hilarión, Pilar |
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| Cites_doi | 10.1007/s10198-020-01217-5 10.37737/ace.3.3_74 10.1016/j.healthpol.2020.06.004 10.1108/JICA-12-2021-0062 10.1111/1468-0009.12233 10.2471/BLT.16.187617 |
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| References | (key20250516101136_B21) 2024; 24 European Commission (key20250516101136_B3) 2020 key20250516101136_B4 (key20250516101136_B35) 2016; 94 key20250516101136_B9 grupo colaborativo GMA (key20250516101136_B23) 2016; 48 key20250516101136_B8 key20250516101136_B11 key20250516101136_B10 key20250516101136_B13 (key20250516101136_B36) 2020; 20 key20250516101136_B12 key20250516101136_B15 key20250516101136_B14 (key20250516101136_B30) 2020; 124 key20250516101136_B17 key20250516101136_B16 key20250516101136_B19 (key20250516101136_B32) 2011; 11 (key20250516101136_B18) 2021; 3 World Health Organization Regional Office for Europe (key20250516101136_B2) 2008 (key20250516101136_B29) 2022; 307 (key20250516101136_B33) 2020; 21 World Health Organization Regional office for Europe (key20250516101136_B1) 2012 (key20250516101136_B37) 2013; 13 (key20250516101136_B27) 2019; 33 UK Government (key20250516101136_B7) 2021 (key20250516101136_B26) 2021; 18 (key20250516101136_B25) 2021; 21 (key20250516101136_B38) 2016; 16 Social care Institute for excellence (key20250516101136_B5) 2019 key20250516101136_B20 (key20250516101136_B31) 2017; 27 key20250516101136_B22 key20250516101136_B28 (key20250516101136_B6) 2017; 95 (key20250516101136_B24) 2020; 21 (key20250516101136_B34) 2022; 30 |
| References_xml | – volume: 21 start-page: 1211 issue: 8 year: 2020 ident: key20250516101136_B33 article-title: Cost and effects of integrated care: a systematic literature review and meta-analysis publication-title: Eur J Health Econ doi: 10.1007/s10198-020-01217-5 – volume: 3 start-page: 74 issue: 3 year: 2021 ident: key20250516101136_B18 article-title: Introduction to Difference-in-differences Design publication-title: Annals of Clinical Epidemiology doi: 10.37737/ace.3.3_74 – ident: key20250516101136_B10 – ident: key20250516101136_B12 – volume: 33 start-page: 24 issue: 1 year: 2019 ident: key20250516101136_B27 article-title: [Population-based analysis of the Healthcare expenditure in Catalonia (Spain): what and who consumes more resources?] publication-title: Gac Sanit – start-page: 76 year: 2021 ident: key20250516101136_B7 publication-title: Integration and Innovation: Working together to improve health and social care for all – ident: key20250516101136_B14 – ident: key20250516101136_B16 – ident: key20250516101136_B19 – ident: key20250516101136_B8 – start-page: 156 volume-title: Home Care across Europe – Current structure and future challenges year: 2012 ident: key20250516101136_B1 – volume: 124 start-page: 826 issue: 8 year: 2020 ident: key20250516101136_B30 article-title: New integrated care models in England associated with small reduction in hospital admissions in longer-term: A difference-in-differences analysis publication-title: Health Policy (New York) doi: 10.1016/j.healthpol.2020.06.004 – ident: key20250516101136_B20 – volume: 21 issue: 1 year: 2020 ident: key20250516101136_B24 article-title: Multimorbidity as a predictor of health service utilization in primary care: a registry-based study of the Catalan population publication-title: BMC Fam Pract – volume: 30 start-page: 434 issue: 4 year: 2022 ident: key20250516101136_B34 article-title: Data and care integration for post-acute intensive care program of stroke patients: effectiveness assessment using a disease-matched comparator cohort publication-title: Journal of Integrated Care doi: 10.1108/JICA-12-2021-0062 – ident: key20250516101136_B22 – ident: key20250516101136_B4 – ident: key20250516101136_B28 – volume: 307 year: 2022 ident: key20250516101136_B29 article-title: Does vertical integration of health and social care organizations work? Evidence from Scotland publication-title: Soc Sci Med – volume: 16 issue: 4 year: 2016 ident: key20250516101136_B38 article-title: Performing Economic Evaluation of Integrated Care: Highway to Hell or Stairway to Heaven? publication-title: Int J Integr Care – volume: 27 issue: suppl_3 year: 2017 ident: key20250516101136_B31 article-title: Integrated Home Care Programs for frail older people: evidence from a systematic review publication-title: Eur J Public Health – volume: 48 start-page: 674 issue: 10 year: 2016 ident: key20250516101136_B23 article-title: [Adjusted morbidity groups: A new multiple morbidity measurement of use in Primary Care] publication-title: Aten Primaria – ident: key20250516101136_B13 – volume: 24 start-page: 1 issue: 2 year: 2024 ident: key20250516101136_B21 article-title: Integrated Health and Social Home Care Services in Catalonia: Professionals’ Perception of its Implementation, Barriers, and Facilitators publication-title: Int J Integr Care – volume: 11 start-page: 1 issue: 1 year: 2011 ident: key20250516101136_B32 article-title: A systematic review of different models of home and community care services for older persons publication-title: BMC Health Serv Res – volume: 94 start-page: 862 issue: 4 year: 2016 ident: key20250516101136_B35 article-title: Instruments Measuring Integrated Care: A Systematic Review of Measurement Properties publication-title: Milbank Q doi: 10.1111/1468-0009.12233 – ident: key20250516101136_B11 – volume: 13 start-page: 1 issue: 1 year: 2013 ident: key20250516101136_B37 article-title: Methods of international health technology assessment agencies for economic evaluations- A comparative analysis publication-title: BMC Health Serv Res – start-page: 46 volume-title: Home care in Europe. The solid facts year: 2008 ident: key20250516101136_B2 – ident: key20250516101136_B15 – ident: key20250516101136_B17 – year: 2020 ident: key20250516101136_B3 article-title: The Impact of Demographic Change – ident: key20250516101136_B9 – volume: 21 issue: 1 year: 2021 ident: key20250516101136_B25 article-title: Performance of quantitative measures of multimorbidity: a population-based retrospective analysis publication-title: BMC Public Health – volume: 18 issue: 18 year: 2021 ident: key20250516101136_B26 article-title: Characteristics and Service Utilization by Complex Chronic and Advanced Chronic Patients in Catalonia: A Retrospective Seven-Year Cohort-Based Study of an Implemented Chronic Care Program publication-title: Int J Environ Res Public Health – start-page: 37 volume-title: How to lead and manage better care integration guide year: 2019 ident: key20250516101136_B5 – volume: 20 start-page: 1 issue: 1 year: 2020 ident: key20250516101136_B36 article-title: Measures for the integration of health and social care services for long-term health conditions: A systematic review of reviews publication-title: BMC Health Serv Res – volume: 95 start-page: 756 issue: 11 year: 2017 ident: key20250516101136_B6 article-title: Organizing integrated health-care services to meet older people’s needs publication-title: Bull World Health Organ doi: 10.2471/BLT.16.187617 |
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| Title | Impact of Integrating Social and Health Home Care Services in Catalonia: A Retrospective Cohort-Based Two-Year Study |
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