| Autor: |
MAS, MIQUEL À., MIRALLES, RAMÓN, ULLDEMOLINS, MARIA J., GARCIA, RIA, GRÀCIA, SONIA, PICAZA, JOSEP M., NAVARRO FERNÁNDEZ, MERCEDES, ROCABAYERA, MARIA A., RIVERA, MONTSERRAT, RELAÑO, NÚRIA, TORRES ASENSIO, MIREIA, LAPORTA, PILAR, MORCILLO, CELIA, NADAL, LAURA, HERVÁS, RAMONA, FUGUET, DOLORS, ALBA, CRISTINA, MIRALLES BANQUÉ, NÚRIA, JIMENEZ, SÒNIA, MORENO MORENO, MIRIAM |
| Předmět: |
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| Zdroj: |
International Journal of Integrated Care (IJIC); Oct-Dec2023, Vol. 23 Issue 4, p1-12, 12p |
| Abstrakt: |
Introduction: The evaluation of integrated care programmes for high-need high-cost older people is a challenge. We aim to share the early implementation results of the ProPCC programme in the North-Barcelona metropolitan area, in Catalonia, Spain. Methods: We analysed the intervention with retrospective data from May 2018 to December 2021 by describing the cohort complexity and by showing its 6-months pre-post impact on time spent at home and resources used: primary care visits, emergency department visits, hospital admissions and hospital stay. Findings: 264 cases were included (91% at home; 9% in nursing homes). 6-month pre vs. 6-months post results were (mean, p-value): primary care visits 8.2 vs. 11.5 (p < 0.05); emergency department visits 1.4 vs. 0.9 (p < 0.05); hospital admissions 0.7 vs. 0.5 (p < 0.05); hospital stay 12.8 vs. 7.9 days (p < 0.05). Time spent at home was 169.2 vs.174.2 days (p < 0.05). Conclusion: Early implementation of the ProPCC programme results in an increase in time spent at home (up to 3%) and significant reductions in emergency department attendance (-37.2%) and hospital stays (-38.3%). The increased use of primary care resources is compensated by the hospital resources savings, with a result in the average total cost of -46.3%. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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