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Integrated Health & Social care

Overview

The introduction of new technologies coupled with improvements in the standard of living have had a beneficial impact on life expectancy: older people live longer than ever before, and younger people with disabilities are enjoying longer life and better quality of life. However, a downside of this advance is that our existing systems are struggling to cope with rising demands of a population living with one or more long-term conditions, and with complex needs that straddle the health and social care divide (the ‘Berlin wall’). There is an urgent need to reform the health and care system so that care is integrated across settings and the system is not overwhelmed.

One of our programmes of work falls under the Economics of Social and Health Care Research Unit (ESCHRU). Our research covers:

  • integration of funding across health and social care settings
  • relationships between health and social care
  • integration of care across different healthcare settings

Contact: Anne Mason

Publications

2017

  • Gaughan JM, Gravelle HSESantos R, Siciliani L. Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients. International Journal of Health Economics and Management 2017;doi:10.1007/s10754-017-9214-z. Download from Springer
  • Gaughan JGravelle H, Siciliani L. Delayed discharges and hospital type: Evidence from the English NHS. Fiscal Studies 2017;38(3):495-519. Download from Wiley

2016

  • Gaughan JGravelle H, Siciliani L. Delayed discharges and hospital type: evidence from the English NHS. Centre for Health Economics, University of York; CHE Research Paper 133 (PDF , 1,710kb)‌ 2016.
  • Goddard M, Kasteridis P, Jacobs R, Santos R, Mason A. Bridging the gap: the impact of quality of primary care on duration of hospital stay for people with dementia. Journal of Integrated Care 2016; 24(1):15-25. Download from Emerald Insight 
  • Rodgers M, Dalton J, Harden M, Street A, Parker G, Eastwood A. Integrated care to address the physical health needs of people with severe mental illness: a rapid review. Health Services and Delivery Research 2016;4(13). Download from NIHR  
  • Rodgers M, Thomas S, Harden M, Parker G, Street A, Eastwood A. Developing a methodological framework for organisational case studies: a rapid review and consensus development process. Health Services and Delivery Research 2016;4(1). Download from NIHR

2015

  • Gaughan JGravelle H, Siciliani L. Testing the bed-blocking hypothesis: does nursing and care home supply reduce delayed hospital discharges? Health Economics 2015;24(S1):32–44. Download from Wiley
  • Gutacker NMason A, Kendrick T, Goddard MGravelle H, Gilbody S, Aylott L, Wainwright J, Jacobs R. Does the quality and outcomes framework reduce psychiatric admissions in people with serious mental illness? A regression analysis. BMJ Open 2015;5(4):e007342. Download from bmjopen
  • Jacobs RGutacker NMason AGoddard MGravelle H, Kendrick T. Do higher primary care practice performance scores predict lower rates of emergency admissions for persons with serious mental illness? An analysis of secondary panel data. NIHR HS & DR Journal 2015;3(16). Download from NIHR
  • Kasteridis PMason AGoddard MJacobs RSantos R, McGonigal G. The influence of primary care quality on hospital admissions for people with dementia in England: a regression analysis. PLoS One 2015;10(3):e0121506Dementia Lay Summary (PDF  , 353kb),Dementia S1 Appendix (PDF  , 52kb)Dementia S2 Appendix (PDF  , 50kb).
  • Kasteridis PGoddard MJacobs RSantos RMason A. The impact of primary care quality on inpatient length of stay for people with dementia: an analysis by discharge destination. Centre for Health Economics, University of York;CHE Research Paper 113 (PDF  , 2,722kb) 2015. Lay summary for CHERP113 (PDF  , 317kb)
  • Kasteridis P, Street A, Dolman M, Gallier L, Hudson K, Martin J, Wyer I. Who would benefit most for improved integrated care? Implementing an analytical strategy in South Somerset. International Journal of Integrated Care 2015;15:Jan-Mar:1-11. Download from ijic
  • Mason AGoddard MWeatherly HChalkley MIntegrating funds for health and social care: an evidence review (PDF  , 215kb)Journal of Health Services Research & Policy 2015;doi:10.1177/1355819614566832.

2014

  • Bardsley M, Street A. Cost of integrated care. In: Curtis L. (ed). Unit Costs of Health & Social Care 2014. PSSRU University of Kent, Canterbury;2014:pp13-18. Download from PSSRU
  • Gaughan J, Gravelle H, Siciliani L. Testing the bed-blocking hypothesis: does higher supply of nursing and care homes reduce delayed hospital discharges? Centre for Health Economics, University of York; CHE Research Paper 102 (PDF  , 2,233kb) 2014.
  • Harrison M, Dusheiko M, Sutton M, Gravelle H, Doran T, Roland M. Effect of a national primary care pay for performance scheme on emergency hospital admissions for ambulatory care sensitive conditions: controlled longitudinal study. BMJ 2014;349:g6423. 
  • Kasteridis P, Street A, Dolman M, Gallier L, Hudson K, Martin J, Wyer I. The importance of multimorbidity in explaining utilisation and costs across health and social care settings: evidence from South Somerset’s Symphony Project. Centre for Health Economics, University of York; CHE Research Paper 96 (PDF  , 2,352kb) 2014. Health Service Journal 10 April 2014 and data video.
  • Mason AGoddard M, Weatherly H. Financial mechanisms for integrating funds for health and social care: an evidence review. Centre for Health Economics, University of York; CHE Research Paper 97 (PDF  , 1,259kb), 2014. 
  • Mason A, Goddard M, Weatherly H. Financial mechanisms for integrating funds for health and social care: do they enable integrated care? International Journal of Integrated Care 2014;14(6);Annual Conference Supplement;URN:NBN:NL:UI:10-1-116181. 
  • Street AKasteridis P, Martin J. Data is at the heart of Somerset’s integration masterpiece. Health Service Journal 10 April 2014.

 2013

  • Gaughan J, Gravelle H, Santos R, Siciliani L. Long term care provision, hospital length of stay and discharge destination for hip fracture and stroke patients. Centre for Health Economics, University of York; CHE Research Paper 86 (PDF , 1,648kb) 2013.
  • Pattenden J, Mason A, Lewin B. Collaborative palliative care for advanced heart failure: outcomes and costs from the 'Better Together' pilot study. BMJ Supportive and Palliative Care 2013;3(1):69-76.

2012

  • Pattenden J, Mason A, Lewin R. Collaborative palliative care for advanced heart failure: Outcomes and costs from the ‘Better Together’ pilot study. BMJ Supportive and Palliative Care 2012;Published Online first:4 September 2012 doi:10.1136/bmjspcare-2012-000251. 

2011

  • Dusheiko M, Doran T, Gravelle H, Fullwood C, Roland M. Does higher quality of diabetes management in family practice reduce unplanned hospital admissions? Health Services Research 2011;46:27-46.
  • Dusheiko M, Gravelle H, Martin S, Rice N, Smith PC. Does better disease management in primary care reduce hospital costs? Centre for Health Economics, University of York; CHE Research Paper 65 (PDF  , 315kb) 2011.
  • Dusheiko M, Gravelle H, Martin S, Rice N, Smith PC. Does disease management in primary care reduce hospital costs? Evidence from English primary care. Journal of Health Economics 2011;30(5):919-32.
  • Gravelle H, Dusheiko M, Martin S, Smith P, Rice N, Dixon J. Modelling individual patient hospital expenditure for general practice budgets. Centre for Health Economics, University of York; CHE Research Paper 73 (PDF  , 358kb)‎ 2011.
  • Jacobs R, Barrenho E. The impact of crisis resolution and home treatment teams on psychiatric admission rates in England. British Journal of Psychiatry 2011;199(1):71-76.