{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T18:56:20Z","timestamp":1788893780486,"version":"build-2803163510"},"reference-count":48,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T00:00:00Z","timestamp":1659744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Economics"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Better integration is a priority for most international health systems. However, multiple interventions are often implemented simultaneously, making evaluation difficult and providing limited evidence for policy makers about specific interventions. We evaluate a common integrated care intervention, multi\u2010disciplinary group (MDG) meetings for discussion of high\u2010risk patients, introduced in one socio\u2010economically deprived area in the UK in spring 2015. Using data from multiple waves of the national GP Patient Survey and Hospital Episode Statistics, we estimate its effects on primary and secondary care utilization and costs, health status and patient experience. We use triple differences, exploiting the targeting at people aged 65\u00a0years and over, parsing effects from other population\u2010level interventions implemented simultaneously. The intervention reduced the probability of visiting a primary care nurse by three percentage points and decreased length of stay by 1\u00a0day following emergency care admission. However, since planned care use increased, overall costs were unaffected. MDG meetings are presumably fulfilling public health objectives by decreasing length of stay and detecting previously unmet needs. However, the effect of MDGs on health system cost is uncertain and health remains unchanged. Evaluations of specific integrated care interventions may be more useful to public decision makers facing budget constraints.<\/jats:p>","DOI":"10.1002\/hec.4561","type":"journal-article","created":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T13:49:08Z","timestamp":1659793748000},"page":"2142-2169","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The effects of multi\u2010disciplinary integrated care on healthcare utilization: Evidence from a natural experiment in the UK"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6070-3347","authenticated-orcid":false,"given":"L\u00e9ontine","family":"Goldzahl","sequence":"first","affiliation":[{"name":"IESEG School of Management  Lille France"},{"name":"Universit\u00e9 de Lille CNRS, UMR 9221 \u2010 LEM \u2010 Lille Economie Management  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Stokes","sequence":"additional","affiliation":[{"name":"University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Sutton","sequence":"additional","affiliation":[{"name":"University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,6]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Evaluation of the first year of the inner North West London integrated care pilot","author":"Bardsley M.","year":"2013"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010018\u20103161\u20103"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1108\/jica\u201001\u20102015\u20100005"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7141.1348"},{"key":"e_1_2_11_6_1","volume-title":"Improving care for older people with long\u2010term conditions and social care needs in Salford: The CLASSIC mixed\u2010methods study, including RCT","author":"Bower P.","year":"2018"},{"key":"e_1_2_11_7_1","volume-title":"The long\u2010term impacts of new care models on hospital use: An evaluation of the integrated care transformation programme in mid\u2010Nottinghamshire","author":"Clarke G.","year":"2020"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.22.2623"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.1149"},{"key":"e_1_2_11_10_1","unstructured":"Cylus J. 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