Table 6.
All providers (1) | NHS providers only (2) | |||
---|---|---|---|---|
Est | SE | Est | SE | |
Change in Oxford Hip Score | 0.017 | 0.006** | 0.014 | 0.007 |
28-day emergency readmission rate (%) | 0.005 | 0.003 | 0.002 | 0.004 |
1-year revision rate (%) | 0.003 | 0.010 | 0.001 | 0.012 |
28-day mortality rate (%) | 0.045 | 0.022* | 0.028 | 0.028 |
Distance (in km) | −0.293 | 0.007*** | −0.334 | 0.010*** |
Distance2 | 0.003 | 0.000*** | 0.003 | 0.000*** |
Distance3 | −0.00001 | 0.000*** | −0.00001 | 0.000*** |
Waiting time (proportion waiting >120 days) | 0.013 | 0.061 | 0.045 | 0.066 |
WTT (OHS change) | 0.108 | 0.041** | 0.077 | 0.042 |
WTT (Readmission rate) | 0.050 | 0.037 | 0.014 | 0.040 |
WTT (Revision rate) | 0.013 | 0.036 | 0.005 | 0.039 |
WTT (Mortality rate) | 0.072 | 0.035* | 0.040 | 0.040 |
Number of patients | 170,916 | 146,839 | ||
Number of providers | 228 | 144 | ||
BIC | 394,881 | 246,842 | ||
Pseudo R2 | 0.698 | 0.762 |
Notes: Conditional logit model of choice of hospital for elective hip replacement patients treated between April 2010 and March 2013. Waiting time and quality metrics are lagged by one year. Coefficients are marginal utilities. WTT is the ratio of the coefficient on the quality variable to the marginal utility of distance evaluated at the average distance to the chosen provider. Model in (1) does not impose restrictions on the type of provider in patients' choice sets. Model in (2) is based on a restricted choice set of NHS providers, thereby excluding patients that selected ISTCs. All models include indicator variables for hospitals (not reported). All models also contain a full set of interactions of age, gender, past utilisation, Elixhauser comorbidities, and deprivation with hospital characteristics and distance (not reported). Standard errors are clustered at GP practice level.
p < 0.001;
p < 0.01;
p < 0.05.