By the same authors

From the same journal

From the same journal

Impact of family practice continuity of care on unplanned hospital use for people with serious mental illness

Research output: Contribution to journalArticlepeer-review



Publication details

JournalHealth services research
DateSubmitted - 12 May 2018
DateAccepted/In press - 22 Aug 2019
DateE-pub ahead of print - 9 Oct 2019
DatePublished (current) - 19 Nov 2019
Number of pages10
Pages (from-to)1316-1325
Early online date9/10/19
Original languageEnglish


Objective: To investigate whether continuity of care in family practice reduces unplanned hospital use for people with serious mental illness (SMI). Data Sources Linked administrative data on family practice and hospital utilization by people with SMI in England, 2007-2014. Study Design: This observational cohort study used discrete-time survival analysis to investigate the relationship between continuity of care in family practice and unplanned hospital use: emergency department (ED) presentations, and unplanned admissions for SMI and ambulatory care-sensitive conditions (ACSC). The analysis distinguishes between relational continuity and management/ informational continuity (as captured by care plans) and accounts for unobserved confounding by examining deviation from long-term averages. Data Collection/Extraction Methods: Individual-level family practice administrative data linked to hospital administrative data. Principal Findings: Higher relational continuity was associated with 8-11 percent lower risk of ED presentation and 23-27 percent lower risk of ACSC admissions. Care plans were associated with 29 percent lower risk of ED presentation, 39 percent lower risk of SMI admissions, and 32 percent lower risk of ACSC admissions. Conclusions: Family practice continuity of care can reduce unplanned hospital use for physical and mental health of people with SMI.

Bibliographical note

© 2019 The Authors

    Research areas

  • continuity of care;, family practice;, hospital care;, serious mental illness;

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