Healthcare and social care spending constraints impact mortality

Healthcare and social care spending constraints impact mortality PharmacoEconomics & Outcomes News 792, p12 - 2 Dec 2017 Healthcare and social care spending constraints impact mortality Constraints on public expenditure on healthcare and social care in England appear to have had an impact on mortality rates, according to findings of an analysis published in BMJ Open. Data on healthcare and social care expenditure in England between 2001 and 2014, and annual population mortality data in England from the UK Office for National Statistics and Public Health England were collected. Actual mortality rates in 2011 2014 after the introduction of spending constraints in 2010 were compared with expected mortality rates based on pre-2010 trends. Fixed-effects regression modelling was used to evaluate the association between annual public expenditure on healthcare and social care, and mortality. Spending constraints were estimated to increase expected deaths by 45 368 compared with expected deaths based on pre-2010 trends. The majority of the increased deaths were in patients aged 60 years and over and those in care homes. per capita reduction in real public Notably, each £10 expenditure on social care was associated with an increase of 5.10 care home deaths per 100 000 (p<0.001), primarily due to changes in numbers of ** NHS hospital and community nurses. In contrast, each £10 per capita reduction in real public expenditure on healthcare was associated with an increase of 0.19 deaths per 100 000 (p=0.049). Based on the mortality trend between 2009 and 2014, the projected cumulative number of deaths in 2020 was 152 141 greater than the number of expected deaths based on the pre-spending constraint trend. "We suggest that spending should be targeted on improving care delivered in care homes and at home; and maintaining or increasing nurse numbers," said the authors. Certainty of link overstated "Certainly, the recent change in previous trends of reducing mortality is of concern. However, the authors overstate the certainty of this link to funding and are highly speculative about the money needed to ’save lives’ in future," commented Abi Rimmer in an article published in the BMJ. * British pounds ** National Health Service 1. Watkins J, et al. Effects of health and social care spending constraints on mortality in England BMJ Open 7: No. 11, Nov 2017. Available from: URL: http://dx.doi.org/10.1136/bmjopen-2017-017722. 2. Rimmer A. Public spending cuts are linked to 120,000 excess deaths in England, study suggests BMJ 2017: j5332, No. 359, 16 Nov 2017. Available from: URL: https://doi.org/10.1136/bmj.j5332. 1173-5503/17/0792-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Dec 2017 No. 792 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png PharmacoEconomics & Outcomes News Springer Journals

Healthcare and social care spending constraints impact mortality

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Publisher
Springer Journals
Copyright
Copyright © 2017 by Springer International Publishing AG, part of Springer Nature
Subject
Medicine & Public Health; Pharmacoeconomics and Health Outcomes; Quality of Life Research; Health Economics; Public Health
ISSN
1173-5503
eISSN
1179-2043
D.O.I.
10.1007/s40274-017-4535-1
Publisher site
See Article on Publisher Site

Abstract

PharmacoEconomics & Outcomes News 792, p12 - 2 Dec 2017 Healthcare and social care spending constraints impact mortality Constraints on public expenditure on healthcare and social care in England appear to have had an impact on mortality rates, according to findings of an analysis published in BMJ Open. Data on healthcare and social care expenditure in England between 2001 and 2014, and annual population mortality data in England from the UK Office for National Statistics and Public Health England were collected. Actual mortality rates in 2011 2014 after the introduction of spending constraints in 2010 were compared with expected mortality rates based on pre-2010 trends. Fixed-effects regression modelling was used to evaluate the association between annual public expenditure on healthcare and social care, and mortality. Spending constraints were estimated to increase expected deaths by 45 368 compared with expected deaths based on pre-2010 trends. The majority of the increased deaths were in patients aged 60 years and over and those in care homes. per capita reduction in real public Notably, each £10 expenditure on social care was associated with an increase of 5.10 care home deaths per 100 000 (p<0.001), primarily due to changes in numbers of ** NHS hospital and community nurses. In contrast, each £10 per capita reduction in real public expenditure on healthcare was associated with an increase of 0.19 deaths per 100 000 (p=0.049). Based on the mortality trend between 2009 and 2014, the projected cumulative number of deaths in 2020 was 152 141 greater than the number of expected deaths based on the pre-spending constraint trend. "We suggest that spending should be targeted on improving care delivered in care homes and at home; and maintaining or increasing nurse numbers," said the authors. Certainty of link overstated "Certainly, the recent change in previous trends of reducing mortality is of concern. However, the authors overstate the certainty of this link to funding and are highly speculative about the money needed to ’save lives’ in future," commented Abi Rimmer in an article published in the BMJ. * British pounds ** National Health Service 1. Watkins J, et al. Effects of health and social care spending constraints on mortality in England BMJ Open 7: No. 11, Nov 2017. Available from: URL: http://dx.doi.org/10.1136/bmjopen-2017-017722. 2. Rimmer A. Public spending cuts are linked to 120,000 excess deaths in England, study suggests BMJ 2017: j5332, No. 359, 16 Nov 2017. Available from: URL: https://doi.org/10.1136/bmj.j5332. 1173-5503/17/0792-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 2 Dec 2017 No. 792

Journal

PharmacoEconomics & Outcomes NewsSpringer Journals

Published: Dec 2, 2017

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