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BMC Public Health
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

How does an integrated primary care approach for patients in deprived neighbourhoods impact utilization patterns? An explorative study

Authors: Dionne S. Kringos, Jennifer R. van den Broeke, Arnold P. M. van der Lee, Thomas Plochg, Karien Stronks

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

To explore changes in utilization patterns for general practice (GP) and hospital care of people living in deprived neighbourhoods when primary care providers work in a more coherent and coordinated manner by applying an integrated approach.

Methods

We compared expected (based on consumption patterns of a health insurers’ total population) and actual utilization patterns in a deprived Dutch intervention district in the city of Utrecht (Overvecht) with control districts 1 (Noordwest) and 2 (Kanaleneiland) over the period 2006–2011, when an integrated care approach was increasingly provided in the intervention district. Standardized insurance claims data were used to indicate use of GP care and hospital care.

Results

Our findings revealed that the utilization of total GP care increased more in the intervention district than in the control districts. And that the intervention district showed a more pronounced decreasing trend in total hospital use as compared to what was expected, in particular from 2008 onwards. In addition, we observed a change in type of GP care use in the intervention district in particular: the number of regular consultations, long consultations, GP home visits and evening, night and weekend consultations were increasingly higher than expected. The intervention district also showed the largest decrease between actual and expected use of ambulatory care, clinical care and 1-day hospitalizations.

Conclusions

Utilization patterns for general practice and hospital care of people living in deprived districts may change when primary care professionals work in a more coherent and coordinated manner by applying a more ‘comprehensive’ integrated care approach. Results support the expectation that a comprehensive integrated care approach might eventually contribute to the future sustainability of healthcare systems.
Appendix
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Metadata
Title
How does an integrated primary care approach for patients in deprived neighbourhoods impact utilization patterns? An explorative study
Authors
Dionne S. Kringos
Jennifer R. van den Broeke
Arnold P. M. van der Lee
Thomas Plochg
Karien Stronks
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3246-z

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