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Provision of community health services and use of hospital care in England: Nationwide retrospective observational study

Author

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  • Parkinson, Beth
  • Sutton, Matt
  • Meacock, Rachel

Abstract

Expanding healthcare provision in the community is a common policy solution for reducing hospital pressures. While there is some evidence that strengthening primary care can influence hospital use, little is known about the impact of community health services such as nurse-led care delivered in patients’ homes.

Suggested Citation

  • Parkinson, Beth & Sutton, Matt & Meacock, Rachel, 2026. "Provision of community health services and use of hospital care in England: Nationwide retrospective observational study," Health Policy, Elsevier, vol. 165(C).
    • Handle: RePEc:eee:hepoli:v:165:y:2026:i:c:s0168851025002921
    DOI: 10.1016/j.healthpol.2025.105538
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    References listed on IDEAS

    as
    1. Francetic, Igor & Gibson, Jon & Spooner, Sharon & Checkland, Katherine & Sutton, Matt, 2022. "Skill-mix change and outcomes in primary care: Longitudinal analysis of general practices in England 2015–2019," Social Science & Medicine, Elsevier, vol. 308(C).
    2. William Whittaker & Laura Anselmi & Søren Rud Kristensen & Yiu-Shing Lau & Simon Bailey & Peter Bower & Katherine Checkland & Rebecca Elvey & Katy Rothwell & Jonathan Stokes & Damian Hodgson, 2016. "Associations between Extending Access to Primary Care and Emergency Department Visits: A Difference-In-Differences Analysis," PLOS Medicine, Public Library of Science, vol. 13(9), pages 1-19, September.
    3. Giuseppe Moscelli & Luigi Siciliani & Nils Gutacker & Hugh Gravelle, 2016. "Location, quality and choice of hospital: Evidence from England 2002/3 - 2012/13," Working Papers 123cherp, Centre for Health Economics, University of York.
    4. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    5. repec:plo:pmed00:0040296 is not listed on IDEAS
    6. Moscelli, Giuseppe & Siciliani, Luigi & Gutacker, Nils & Gravelle, Hugh, 2016. "Location, quality and choice of hospital: Evidence from England 2002–2013," Regional Science and Urban Economics, Elsevier, vol. 60(C), pages 112-124.
    7. Yiu-Shing Lau & Gintare Malisauskaite & Nadia Brookes & Shereen Hussein & Matt Sutton, 2021. "Complements or substitutes? Associations between volumes of care provided in the community and hospitals," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(8), pages 1167-1181, November.
    8. Urwin, Sean & Anselmi, Laura & Lau, Yiu-Shing & Sutton, Matt, 2025. "Are geographic variations in secondary hospital expenditure caused by supply and demand factors? Evidence from migration in England," Social Science & Medicine, Elsevier, vol. 383(C).
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