We identified readmissions with the hospital-wide all-cause unplanned readmission measure methodology of Centers for Medicare and Medicaid Services. METHODS: A database including administrative data from 1 679 634 inpatient episodes from years 2002-14 was considered. Thus, we assume as the main aim of this study to assess the impact of vertical integration on the readmission of individuals with chronic conditions. Readmissions are frequently studied for its negative impacts on individuals, carers, and providers, with excessive unplanned readmission rates among hospitals being a sign of frail integrated care. In Portugal, Local Health Units (LHU) promote vertical integration of healthcare, with one of the expected effects being a decrease of readmission rates in individuals with chronic conditions. Integrated care has been discussed as a solution to address these challenges. INTRODUCTION: Ageing populations and the increasing prevalence of multimorbidity are a challenge for healthcare delivery and health system design.
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