Table 3.
Impact of Delivering Choice services versus non-Delivering Choice services on deaths in hospital, emergency admissions and A&E use*
| North Somerset | Somerset | |||||
|---|---|---|---|---|---|---|
| OR | 95% CI | p Value | OR | 95% CI | p Value | |
| Death in hospital overall | 0.33 | 0.21 to 0.50 | <0.001 | 0.20 | 0.17 to 0.27 | <0.001 |
| Key worker | 0.74 | 0.18 to 3.05 | 0.679 | 0.73 | 0.27 to 1.95 | 0.524 |
| Care coordination centre | 0.42 | 0.25 to 0.69 | 0.001 | 0.11 | 0.06 to 0.22 | <0.001 |
| Generic support workers | 0.34 | 0.04 to 2.64 | 0.30 | N/A | – | – |
| EOL register | 0.30 | 0.13 to 0.69 | 0.005 | 0.22 | 0.12 to 0.40 | <0.001 |
| Out-of-hours advice line | N/A | – | – | 0.34 | 0.20 to 0.57 | <0.001 |
| Discharge in reach nurses | N/A | – | – | 1.6 | 0.98 to 2.60 | 0.06 |
| Emergency admission <30 days | 0.49 | 0.33 to 0.74 | 0.001 | 0.61 | 0.48 to 0.76 | <0.001 |
| Key worker | 0.60 | 0.21 to 1.69 | 0.33 | 1.13 | 0.68 to 1.87 | 0.642 |
| Care coordination centre | 0.55 | 0.34 to 0.90 | 0.016 | 0.58 | 0.42 to 0.80 | 0.001 |
| Generic support workers | 0.35 | 0.08 to 1.59 | 0.175 | N/A | – | – |
| EOL register | 0.65 | 0.33 to 1.30 | 0.225 | 0.41 | 0.28 to 0.60 | <0.001 |
| Out-of-hours advice line | N/A | – | – | 0.78 | 0.56 to 1.10 | 0.159 |
| Discharge in reach nurses | N/A | – | – | 4.15 | 2.68 to 6.43 | <0.001 |
| Emergency admission <7 days | 0.22 | 0.12 to 0.44 | <0.001 | 0.32 | 0.23 to 0.45 | <0.001 |
| Key worker | 1.13 | 0.18 to 7.03 | 0.898 | 1.04 | 0.45 to 2.40 | 0.934 |
| Care coordination centre | 0.09 | 0.02 to 0.39 | 0.001 | 0.26 | 0.15 to 0.46 | <0.001 |
| Generic support workers | 6.26 | 0.81 to 48.65 | 0.079 | N/A | – | – |
| EOL register | 0.39 | 0.11 to 1.34 | 0.136 | 0.57 | 0.33 to 0.98 | 0.043 |
| Out-of-hours advice line | N/A | – | – | 0.44 | 0.25 to 0.78 | 0.005 |
| Discharge in reach nurses | N/A | – | – | 1.54 | 0.95 to 2.50 | 0.081 |
| A&E attendance <30 days | 0.41 | 0.28 to 0.62 | <0.001 | 0.66 | 0.51 to 0.85 | 0.001 |
| Key worker | 0.71 | 0.25 to 2.02 | 0.515 | 1.23 | 0.71 to 2.13 | 0.454 |
| Care coordination centre | 0.46 | 0.29 to 0.76 | 0.002 | 0.58 | 0.40 to 0.82 | 0.002 |
| Generic support workers | 0.45 | 0.10 to 2.01 | 0.295 | N/A | – | – |
| EOL register | 0.57 | 0.29 to 1.11 | 0.097 | 0.61 | 0.40 to 0.92 | 0.018 |
| Out-of-hours advice line | N/A | – | – | 0.60 | 0.41 to 0.87 | 0.007 |
| Discharge in reach nurses | N/A | – | – | 3.29 | 2.23 to 4.87 | <0.001 |
| A&E attendance <7 days | 0.22 | 0.11 to 0.42 | <0.001 | 0.32 | 0.22 to 0.47 | <0.001 |
| Key worker | 1.16 | 0.17 to 7.84 | 0.878 | 0.85 | 0.32 to 2.20 | 0.730 |
| Care coordination centre | 0.15 | 0.05 to 0.43 | <0.001 | 0.24 | 0.12 to 0.48 | <0.001 |
| Generic support workers | 2.39 | 0.27 to 21.61 | 0.437 | N/A | – | – |
| EOL register | 0.38 | 0.12 to 1.27 | 0.116 | 0.79 | 0.44 to 1.41 | 0.427 |
| Out-of-hours advice line | N/A | – | – | 0.34 | 0.17 to 0.70 | 0.003 |
| Discharge in reach nurses | N/A | – | – | 1.25 | 0.74 to 2.11 | 0.427 |
*Adjusted for gender, age, deprivation and condition.