An evaluation of the impact ofcommunity-based interventionson hospital useAuthors: Adam Steventon, Martin Bardsley,John Bi...
From the 146 interventions offered under POPP, weselected eight for an in-depth study of hospital use• Support workers for...
We linked participants to hospital data at the person level                                                              ©...
The importance of a control group: regression to the meanin the absence of a specific interventionSource: Department of He...
We selected controls retrospectively from otherareas of England• In the absence of a randomised controlled trial, we compa...
Prevalence of health diagnosis categories inintervention and control groups (intervention D)                              ...
Intermediate care service (intervention B)                                             © Nuffield Trust
Intermediate care service (intervention B)                                             © Nuffield Trust
None of the interventions were associated with overallreductions in hospital admissions*denotes statistically significant ...
www.nuffieldtrust.org.ukSign-up for our newsletterwww.nuffieldtrust.org.uk/newsletterFollow us on Twitter(http://twitter.c...
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An evaluation of the impact of community-based interventions on hospital use

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An evaluation of the impact of community-based interventions on hospital use

  1. 1. An evaluation of the impact ofcommunity-based interventionson hospital useAuthors: Adam Steventon, Martin Bardsley,John Billings, Theo Georghiou and Geraint LewisMarch 2011 © Nuffield Trust
  2. 2. From the 146 interventions offered under POPP, weselected eight for an in-depth study of hospital use• Support workers for community matrons• Intermediate care service with generic workers• Integrated health and social care teams• Out-of-hours and daytime response service• Four different short-term assessment and signposting services © Nuffield Trust
  3. 3. We linked participants to hospital data at the person level © Nuffield Trust
  4. 4. The importance of a control group: regression to the meanin the absence of a specific interventionSource: Department of Health analysis of Hospital Episode Statistics for England © Nuffield Trust
  5. 5. We selected controls retrospectively from otherareas of England• In the absence of a randomised controlled trial, we compared participants to matched controls• We ensured that controls were similar to participants in terms of: • age • sex • area deprivation • recorded health diagnoses • prior hospital use • predicted risk score• There may still be differences that we cannot observe © Nuffield Trust
  6. 6. Prevalence of health diagnosis categories inintervention and control groups (intervention D) © Nuffield Trust
  7. 7. Intermediate care service (intervention B) © Nuffield Trust
  8. 8. Intermediate care service (intervention B) © Nuffield Trust
  9. 9. None of the interventions were associated with overallreductions in hospital admissions*denotes statistically significant at the 5% level. © Nuffield Trust
  10. 10. www.nuffieldtrust.org.ukSign-up for our newsletterwww.nuffieldtrust.org.uk/newsletterFollow us on Twitter(http://twitter.com/NuffieldTrust) © Nuffield Trust © Nuffield Trust

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