Exhibit 2.
p value of:
|
||||||
---|---|---|---|---|---|---|
Measure | Number of studies |
Adjusted average baselinea |
DID estimate (% of baseline)b |
DID regression estimateb |
Chi-square test of heterogeneityc |
I2d |
Cost excluding pharmacy | 7 | 413,435.20 | −2.25 | 0.20 | <0:001 | 88% |
| ||||||
Visits | ||||||
| ||||||
Primary care | 11 | 260.76 | −0.53 | 0.37 | <0:001 | 79 |
Specialty care | 10 | 173.88 | −1.48 | <0:001 | 0.37 | 8 |
ED, potentially avoidable | 10 | 9.67 | −0.63 | 0.61 | <0:001 | 72 |
ED, all | 11 | 29.79 | −0.14 | 0.94 | <0:001 | 89 |
Inpatient, ambulatory care–sensitive | 10 | 0.82 | −2.42 | 0.58 | 0.06 | 47 |
Inpatient, all | 11 | 8.66 | −0.12 | 0.95 | 0.001 | 66 |
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Cancer Screening | ||||||
| ||||||
Cervical | 7 | 42.26 | 1.16 | <0:001 | 0.91 | 0 |
Breast | 9 | 43.20 | 0.71 | 0.14 | 0.19 | 29 |
Colorectal | 8 | 30.02 | −0.85 | 0.61 | <0:001 | 91 |
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Tests for patients with diabetes | ||||||
| ||||||
Eye exam | 9 | 41.96 | −1.75 | 0.58 | <0:001 | 97 |
HbA1c test | 9 | 67.19 | 0.30 | 0.51 | 0.08 | 43 |
Lipid test | 7 | 74.20 | 0.44 | 0.49 | 0.10 | 43 |
SOURCE Authors’ analysis of study data. NOTES ED is emergency department. HbA1c is hemoglobin A1c.
Per 1,000 patient-months, except cost excluding pharmacy, which is reported in dollars.
DID is difference-in-differences, referring to the difference between the change in the intervention practices from the pre to the post period and the change in the comparison practices from the pre to the post period.
The chi-square test of heterogeneity tests the overlap between the confidence intervals of estimates from all studies included in the meta-analysis model. A p value of 0.05 or less indicates significant heterogeneity across study estimates.
The I2 statistic quantifies the inconsistency across estimates from studies included in the meta-analysis. The greater the I2 percentage, the greater the inconsistency, and the conventional threshold above which heterogeneity is considerable is 75 percent.