Does better disease management in primary care reduce hospital costs? Evidence from English primary care

30 August 2018

Title

Does better disease management in primary care reduce hospital costs? Evidence from English primary care

Authors

Mark Dusheikoa, Hugh Gravellea, Stephen Martinb, Nigel Ricea, Peter C. Smith

Published journal

Journal of Health Economics

Abstract

We apply cross-sectional and panel data methods to a database of 5 million patients in 111 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.

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Citation

Dusheikoa M, Gravellea H, Martin S, Ricea N, Smith P C. Does better disease management in primary care reduce hospital costs? Evidence from English primary care, Journal of Health Economics, Volume 30, Issue 5, September 2011, Pages 919–932
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