Impact of Integrating Social and Health Home Care Services in Catalonia: A Retrospective Cohort-Based Two-Year Study

Emili Vela; Joan Carles Contel; Anna Vila; Sebastià J. Santaeugènia; Rosa Suñol; Jordi Amblàs-Novellas; Conxita Barbeta; Aina Plaza; Pilar Hilarión

doi:10.5334/ijic.8909

Impact of Integrating Social and Health Home Care Services in Catalonia: A Retrospective Cohort-Based Two-Year Study

International Journal of Integrated Care

Volume 25 (2025): Issue 2

By: Emili Vela , Joan Carles Contel , Anna Vila , Sebastià J. Santaeugènia , Rosa Suñol , Jordi Amblàs-Novellas , Conxita Barbeta , Aina Plaza and Pilar Hilarión

Open Access

|May 2025

Abstract

Introduction: This study aimed to evaluate the impact of integrating social and health home care services (HCSs) on institutionalization, survival, and utilization of health and social care services and associated expenditures.

Methods: Retrospective study including all individuals who initiated social HCSs for dependent people in Catalonia during 2018–2019 with a paired case-control, pre/post design (differences-in-differences), using integrated data from the Autonomy and Dependency Care System database and the Catalan Health Surveillance System. Individuals were categorized based on their perceived level of integration in the residing areas (high level: Case Group, and low level: Control Group).

Results: We included 4381 cases and 13143 matched controls. HCS integration decreased the risk of institutionalization in a nursing home by 19.5% and the length of stays in any center by 7.7%. Integration increased day centers’ use by 23.7% and primary care service utilization by 3.0%, and also reduced associated social expenditures after HCS initiation by 19.1% and overall social and health expenditures by 2.6%.

Conclusion: Integration of social and health HCSs resulted in a shift from institutionalization services to primary care services and day care centers, prolonging recipients’ lives in their homes.

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Articles in this issue

DOI: https://doi.org/10.5334/ijic.8909 | Journal eISSN: 1568-4156

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Language: English

Submitted on: May 22, 2024

Accepted on: May 5, 2025

Published on: May 16, 2025

Published by: Ubiquity Press

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

health and social care services utilization,

home care services,

impact of integration,

integrated care,

social care,

cost-effectiveness

© 2025 Emili Vela, Joan Carles Contel, Anna Vila, Sebastià J. Santaeugènia, Rosa Suñol, Jordi Amblàs-Novellas, Conxita Barbeta, Aina Plaza, Pilar Hilarión, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 25 (2025): Issue 2