Integrated Care Cases
Evaluating Person-Centred Integrated Care to People with Complex Chronic Conditions: Early Implementation Results of the ProPCC Programme
Authors:
- Miquel À. MasEmail Miquel À. Mas
- Ramón Miralles
- Maria J. Ulldemolins
- Ria Gracia
- Sònia Gràcia
- Josep M. Picaza
- Mercedes Navarro Fernández
- Maria A. Rocabayera
- Montserrat Rivera
- Núria Relaño
- Mireia Torres Asensio
- Pilar Laporta
- Celia Morcillo
- Laura Nadal
- Ramona Hervás
Abstract
Introduction: The evaluation of integrated care programmes for high-need high-cost older people is a challenge. We aim to share the early implementation results of the ProPCC programme in the North-Barcelona metropolitan area, in Catalonia, Spain.
Methods: We analysed the intervention with retrospective data from May 2018 to December 2021 by describing the cohort complexity and by showing its 6-months pre-post impact on time spent at home and resources used: primary care visits, emergency department visits, hospital admissions and hospital stay.
Findings: 264 cases were included (91% at home; 9% in nursing homes). 6-month pre vs. 6-months post results were (mean, p-value): primary care visits 8.2 vs. 11.5 (p < 0.05); emergency department visits 1.4 vs. 0.9 (p < 0.05); hospital admissions 0.7 vs. 0.5 (p < 0.05); hospital stay 12.8 vs. 7.9 days (p < 0.05). Time spent at home was 169.2 vs.174.2 days (p < 0.05).
Conclusion: Early implementation of the ProPCC programme results in an increase in time spent at home (up to 3%) and significant reductions in emergency department attendance (–37.2%) and hospital stays (–38.3%). The increased use of primary care resources is compensated by the hospital resources savings, with a result in the average total cost of –46.3%.
- Volume: 23
- Page/Article: 18
- DOI: 10.5334/ijic.7585
- Submitted on 4 Feb 2023
- Accepted on 13 Nov 2023
- Published on 13 Dec 2023
- Peer Reviewed