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Impact of integrated health system changes, accelerated due to an earthquake, on emergency department attendances and acute admissions: a Bayesian change-point analysis.

Authors
  • Schluter, Philip J1
  • Hamilton, Greg J2
  • Deely, Joanne M3
  • Ardagh, Michael W4
  • 1 School of Health Sciences, University of Canterbury, Christchurch, New Zealand School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Australia. , (Australia)
  • 2 Division of Planning and Funding, Canterbury District Health Board, Christchurch, New Zealand. , (New Zealand)
  • 3 Canterbury District Health Board, Christchurch, New Zealand. , (New Zealand)
  • 4 Emergency Department, Christchurch Hospital, Christchurch, New Zealand Department of Surgery, University of Otago, Christchurch, Christchurch, New Zealand. , (New Zealand)
Type
Published Article
Journal
BMJ Open
Publisher
BMJ
Publication Date
May 11, 2016
Volume
6
Issue
5
Identifiers
DOI: 10.1136/bmjopen-2015-010709
PMID: 27169741
Source
Medline
Keywords
License
Unknown

Abstract

While both necessarily and opportunistically accelerated, Canterbury's integrated health systems transformations have resulted in a dramatic and sustained reduction in ED attendances and acute hospital admissions. This natural intervention experiment, triggered by an earthquake, demonstrated that integrated health systems with high quality out-of-hospital care models are likely to successfully curb growth in acute hospital demand, nationally and internationally.

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