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dc.contributor.authorAbel, J.*
dc.contributor.authorKingston, H.*
dc.contributor.authorScally, Andy J.*
dc.contributor.authorHartnoll, J.*
dc.contributor.authorHannam, G.*
dc.contributor.authorThomson-Moore, A.*
dc.contributor.authorKellehear, Allan*
dc.date.accessioned2018-08-24T13:19:24Z
dc.date.available2018-08-24T13:19:24Z
dc.date.issued2018-11
dc.identifier.citationAbel J, Kingston H, Scally A et al (2018) Reducing emergency hospital admissions: A population health complex intervention of an enhanced model of primary care and compassionate communities. British Journal of General Practice. 68(676): e803-e810.en_US
dc.identifier.urihttp://hdl.handle.net/10454/16551
dc.descriptionYesen_US
dc.description.abstractBackground: Reducing emergency admissions to hospital has been a cornerstone of health care policy. There is little evidence of systematic interventions which achieved this aim across a population. We report the impact on unplanned admissions to hospital through a complex intervention over a 44 month period in Frome, Somerset. Aim: A population health complex intervention of an enhanced model of primary care and compassionate communities to improve population health and reduce emergency admissions to hospital Design: A cohort retrospective study of a complex intervention on all emergency admissions in Frome compared to Somerset from April 2013 to December 2017. Setting: Frome Medical Practice, Somerset Methods: Patients were identified using broad criteria including anyone with cause for concern. Patient centred goal setting and care planning combined with a compassionate community social approach was implemented broadly across the population of Frome. Results: There was a progressive reduction, by 7.9 cases per quarter (95% CI: 2.8, 13.1; p=0.006) in unplanned hospital admissions across the whole population of Frome, over the study period from April 2014 to December 2017. At the same time, there was sharp increase in the number of admissions per quarter, within the Somerset, with an increase in the number of unplanned admissions of 236 per quarter (95% CI: 152, 320; p<0.001). Conclusion: The complex intervention in Frome was associated with highly significant reductions in unplanned admissions to hospital with reduction of healthcare costs across the whole population of Fromeen_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttps://doi.org/10.3399/bjgp18X699437
dc.rights© British Journal of General Practice 2018. Reproduced in accordance with the publisher's self-archiving policy.en_US
dc.subjectGeneral practiceen_US
dc.subjectPatient care planningen_US
dc.subjectCommunity developmenten_US
dc.titleReducing emergency hospital admissions: A population health complex intervention of an enhanced model of primary care and compassionate communitiesen_US
dc.status.refereedYesen_US
dc.date.Accepted2018-08-09
dc.date.application2018-10-25
dc.typeArticleen_US
dc.type.versionAccepted Manuscripten_US
refterms.dateFOA2018-08-24T13:19:27Z


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