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Impact of a community-based cardiovascular disease service intervention in a highly deprived area
OBJECTIVE: To examine the effects on emergency hospital admissions, length of stay and emergency re-admissions of providing a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, based in a highly deprived area in the North West of England. METHODS: A long...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035686/ https://www.ncbi.nlm.nih.gov/pubmed/31439659 http://dx.doi.org/10.1136/heartjnl-2019-315047 |
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author | Downing, Jennifer Rose, Tanith C Saini, Pooja Matata, Bashir McIntosh, Zoe Comerford, Terence Wilson, Keith Pemberton, Allan Harper, Lesley M Shaw, Matthew Daras, Konstantinos Barr, Ben |
author_facet | Downing, Jennifer Rose, Tanith C Saini, Pooja Matata, Bashir McIntosh, Zoe Comerford, Terence Wilson, Keith Pemberton, Allan Harper, Lesley M Shaw, Matthew Daras, Konstantinos Barr, Ben |
author_sort | Downing, Jennifer |
collection | PubMed |
description | OBJECTIVE: To examine the effects on emergency hospital admissions, length of stay and emergency re-admissions of providing a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, based in a highly deprived area in the North West of England. METHODS: A longitudinal matched controlled study using difference-in-differences analysis compared the change in outcomes in the intervention population, to the change in outcomes in a matched comparison population that had not received the intervention, 5 years before and after implementation. The outcomes were emergency hospitalisations, length of inpatient stay and re-admission rates for cardiovascular disease (CVD). RESULTS: Findings show that the intervention was associated with 66 fewer emergency CVD admissions per 100 000 population per year (95% CI 22.13 to 108.98) in the post-intervention period, relative to the control group. No significant measurable effects on length of stay or emergency re-admission rates were observed. CONCLUSION: This consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service was associated with a lower rate of emergency hospital admissions in a highly disadvantaged population. Similar approaches could be an effective component of strategies to reduce unplanned hospital admissions. |
format | Online Article Text |
id | pubmed-7035686 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-70356862020-03-03 Impact of a community-based cardiovascular disease service intervention in a highly deprived area Downing, Jennifer Rose, Tanith C Saini, Pooja Matata, Bashir McIntosh, Zoe Comerford, Terence Wilson, Keith Pemberton, Allan Harper, Lesley M Shaw, Matthew Daras, Konstantinos Barr, Ben Heart Health Care Delivery, Economics and Global Health Care OBJECTIVE: To examine the effects on emergency hospital admissions, length of stay and emergency re-admissions of providing a consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service, based in a highly deprived area in the North West of England. METHODS: A longitudinal matched controlled study using difference-in-differences analysis compared the change in outcomes in the intervention population, to the change in outcomes in a matched comparison population that had not received the intervention, 5 years before and after implementation. The outcomes were emergency hospitalisations, length of inpatient stay and re-admission rates for cardiovascular disease (CVD). RESULTS: Findings show that the intervention was associated with 66 fewer emergency CVD admissions per 100 000 population per year (95% CI 22.13 to 108.98) in the post-intervention period, relative to the control group. No significant measurable effects on length of stay or emergency re-admission rates were observed. CONCLUSION: This consultant-led, community-based cardiovascular diagnostic, treatment and rehabilitation service was associated with a lower rate of emergency hospital admissions in a highly disadvantaged population. Similar approaches could be an effective component of strategies to reduce unplanned hospital admissions. BMJ Publishing Group 2020-03 2019-08-22 /pmc/articles/PMC7035686/ /pubmed/31439659 http://dx.doi.org/10.1136/heartjnl-2019-315047 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Health Care Delivery, Economics and Global Health Care Downing, Jennifer Rose, Tanith C Saini, Pooja Matata, Bashir McIntosh, Zoe Comerford, Terence Wilson, Keith Pemberton, Allan Harper, Lesley M Shaw, Matthew Daras, Konstantinos Barr, Ben Impact of a community-based cardiovascular disease service intervention in a highly deprived area |
title | Impact of a community-based cardiovascular disease service intervention in a highly deprived area |
title_full | Impact of a community-based cardiovascular disease service intervention in a highly deprived area |
title_fullStr | Impact of a community-based cardiovascular disease service intervention in a highly deprived area |
title_full_unstemmed | Impact of a community-based cardiovascular disease service intervention in a highly deprived area |
title_short | Impact of a community-based cardiovascular disease service intervention in a highly deprived area |
title_sort | impact of a community-based cardiovascular disease service intervention in a highly deprived area |
topic | Health Care Delivery, Economics and Global Health Care |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7035686/ https://www.ncbi.nlm.nih.gov/pubmed/31439659 http://dx.doi.org/10.1136/heartjnl-2019-315047 |
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