An evaluation of the impact of community-based interventions on hospital use: research summary

STEVENTON Adam, et al
Nuffield Trust
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The Partnership for Older People Projects (POPP) were established by the Department of Health in 2005, with the aim of encouraging local councils to work in partnership with the NHS and voluntary, community and independent organisations to improve the health, wellbeing and independence of older people. This report evaluates eight POPP interventions and examines whether these interventions were successful at preventing unplanned hospital admissions. A sophisticated person-based approach that involved comparing the outcomes for participants in the interventions with matched controls was used. New data linkage techniques developed with the NHS Information Centre helped obtain person-level data about hospital activity without compromising confidentiality. The control groups were very well matched in terms of a wide range of characteristics including age, sex, area-level deprivation, medical diagnosis, predicted risk of hospital admission and prior health care use. This research method allowed precise measurement of the impact of the interventions on hospital use.

Subject terms:
hospitals, intervention, NHS, older people, outcomes, hospital admission;
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