By the same authors

Does Better Disease Management in Primary Care Reduce Hospital Costs?

Research output: Working paperDiscussion paper

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Publication details

DatePublished - Aug 2011
PublisherCentre for Health Economics, University of York
Place of PublicationYork, UK
Number of pages33
Original languageEnglish

Publication series

NameCHE Research Paper
PublisherCentre for Health Economics, University of York
No.65

Abstract

We apply cross-sectional and panel data methods to a database of 5 million patients in 8,000 English general practices to examine whether better primary care management of 10 chronic diseases is associated with reduced hospital costs. We find that only primary care performance in stroke care is associated with lower hospital costs. Our results suggest that the 10% improvement in the general practice quality of stroke care between 2004/5 and 2007/8 reduced 2007/8 hospital expenditure by about £130 million in England. The cost savings are due mainly to reductions in emergency admissions and outpatient visits, rather than to lower costs for patients treated in hospital or to reductions in elective admissions.

    Research areas

  • Quality, disease management, primary care, hospital costs, ambulatory care sensitive conditions, preventative care

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