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Does integrated care mean fewer hospitalizations? An evaluation of a French field experiment

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGAILLARD, Aurelie
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGARCIA-LORENZO, Borja
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorRENAUD, Thomas
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorWITTWER, Jerome
dc.date.accessioned2022-06-21T13:19:04Z
dc.date.available2022-06-21T13:19:04Z
dc.date.issued2022-05-21
dc.identifier.issn1872-6054 (Electronic) 0168-8510 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/140292
dc.description.abstractEnThis study aims to evaluate the impact of an experimental healthcare policy on hospital use among elderly patients. From 2015 to 2017, French public authorities implemented an integrated care model, the Digital Health Territories (Territoire de Soins Numérique (TSN)) programme designed to improve healthcare coordination and sustain the use of health information (HI) technologies. The TSN programme was expected to reduce hospital healthcare utilization. In the Aquitaine region, the TSN programme was implemented in part of the Landes district and primarily consisted of the creation of a support platform (PTA). Part of the Lot-et-Garonne district was chosen as a "control area" due to its similarities to the experimental district in terms of the population structure and healthcare supply characteristics. In the control area, no integrated care model innovation was implemented over the study period. Using claims data from the French National Health Insurance (Système National d'Information Inter-Régimes de l'Assurance Maladie (SNIIRAM)), the healthcare utilization of the populations living in the experimental and control areas was tracked from 2012 to 2017. To estimate the impact of the TSN programme on three hospitalization outcomes, we used a combination of matching and difference-in-differences (DiD) approaches. The TSN programme shows a significant but weak negative impact on emergency department (ED) visits and no significant impact on 30-day re-hospitalizations (R30) or potentially avoidable hospitalizations (PAHs).
dc.language.isoENen_US
dc.subject.enField experiment
dc.subject.enIntegrated care
dc.subject.enEmergency department visits
dc.subject.enElderly
dc.subject.enHealth policy evaluation
dc.title.enDoes integrated care mean fewer hospitalizations? An evaluation of a French field experiment
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.healthpol.2022.05.009en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed35662533en_US
bordeaux.journalHealth Policyen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamEMOS_BPHen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDDirection Générale de l’offre de Soinsen_US
bordeaux.identifier.funderIDMinistère des Affaires Sociales et de la Santéen_US
hal.identifierhal-03700951
hal.version1
hal.exportfalse
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Health%20Policy&rft.date=2022-05-21&rft.eissn=1872-6054%20(Electronic)%200168-8510%20(Linking)&rft.issn=1872-6054%20(Electronic)%200168-8510%20(Linking)&rft.au=GAILLARD,%20Aurelie&GARCIA-LORENZO,%20Borja&RENAUD,%20Thomas&WITTWER,%20Jerome&rft.genre=article


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