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

Overview of attention for article published in BMC Public Health, July 2016
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Title
How does an integrated primary care approach for patients in deprived neighbourhoods impact utilization patterns? An explorative study
Published in
BMC Public Health, July 2016
DOI 10.1186/s12889-016-3246-z
Pubmed ID
Authors

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

Abstract

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. 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. 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. 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.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 32 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 32 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 25%
Researcher 5 16%
Student > Bachelor 4 13%
Other 2 6%
Librarian 2 6%
Other 2 6%
Unknown 9 28%
Readers by discipline Count As %
Medicine and Dentistry 12 38%
Nursing and Health Professions 4 13%
Social Sciences 2 6%
Computer Science 1 3%
Economics, Econometrics and Finance 1 3%
Other 0 0%
Unknown 12 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 August 2016.
All research outputs
#20,241,019
of 22,768,097 outputs
Outputs from BMC Public Health
#13,871
of 14,840 outputs
Outputs of similar age
#307,950
of 354,056 outputs
Outputs of similar age from BMC Public Health
#330
of 343 outputs
Altmetric has tracked 22,768,097 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 14,840 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 343 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.