Does better disease management in primary care reduce hospital costs? Evidence from English primary care
AbstractWe apply cross-sectional and panel data methods to a database of 5 million patients in 8000 English general practices to examine whether better primary care management of 10 chronic diseases is associated with reduced hospital costs. We find that only primary care performance in stroke care is associated with lower hospital costs. Our results suggest that the 10% improvement in the general practice quality of stroke care between 2004/5 and 2007/8 reduced 2007/8 hospital expenditure by about £130 million in England. The cost savings are due mainly to reductions in emergency admissions and outpatient visits, rather than to lower costs for patients treated in hospital or to reductions in elective admissions.
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Bibliographic InfoArticle provided by Elsevier in its journal Journal of Health Economics.
Volume (Year): 30 (2011)
Issue (Month): 5 ()
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Web page: http://www.elsevier.com/locate/inca/505560
Disease management; Primary care; Hospital costs; Ambulatory care sensitive conditions; Preventative care;
Other versions of this item:
- Mark Dusheiko & Hugh Gravelle & Stephen Martin & Nigel Rice & Peter Smith, . "Does better disease management in primary care reduce hospital costs? Evidence from English primary care," Discussion Papers 11/15, Department of Economics, University of York.
- I12 - Health, Education, and Welfare - - Health - - - Health Production
- I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
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