Table 2.
Key data for studies reporting evidence about the relationship between the availability and supply of social care and HCU outcomes
| Study | Year | Social care exposurea | Type of social care exposureb | Predictorc | Predictor definition | Outcomed | Type of admissionse | Outcome definition | Estimate | 95% CI Low | 95% CI High | SE |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fernandez | 2008 | Care | Availability | Beds | Per 1% beds per population | Admissions | Emergency | % of discharges that become admissions | −1.373 | −2.244 | −0.502 | 0.444 |
| Herrin | 2015 | Care | Availability | Beds | Per 1% beds per population | Admissions | Emergency | % of discharges that become admissions | −0.486 | −0.703 | −0.270 | 0.068 |
| Imison | 2012 | Care | Availability | Beds | Per 1% beds per population | Admissions | Emergency | % of discharges that become admissions | 0.069 | −1.003 | 1.141 | 0.547 |
| Imison | 2012 | Care | Availability | Beds | Per 1% beds per population | Length of stay | Emergency | Length of stay (days) | −0.063 | −0.678 | 0.551 | 0.314 |
| Gaughan Hip | 2013 | Care | Availability | Beds | Per 1% beds per population | Length of stay | All | Length of stay (days) | −0.129 | −0.203 | −0.056 | 0.023 |
| Gaughan Stroke | 2013 | Care | Availability | Beds | Per 1% beds per population | Length of stay | All | Length of stay (days) | −0.077 | −0.150 | −0.004 | 0.023 |
| Holmas | 2013 | Care | Availability | Beds | Per share % of 80+ | Length of stay | Emergency | Length of stay (days) | −0.002 | −0.012 | 0.007 | 0.005 |
| Holmas | 2013 | Care | Availability | Beds | Per share % of 80+ | Length of stay | All | Length of stay (days) | −0.003 | −0.008 | 0.002 | 0.002 |
| Holmas | 2013 | Care | Availability | Usage | Per % who are not discharged home | Length of stay | Emergency | Length of stay (days) | 1.713 | 1.622 | 1.804 | 0.046 |
| Imison | 2012 | Care | Availability | Usage | Per % who are not discharged home | Length of stay | Emergency | Length of stay (days) | 0.020 | −0.283 | 0.322 | 0.154 |
| Holmas | 2013 | Care | Availability | Usage | Per % who are not discharged home | Length of stay | All | Length of stay (days) | 1.283 | 1.221 | 1.346 | 0.032 |
| Fernandez | 2008 | Care | Availability | Beds | Per 1% beds per population | Delayed discharge | Emergency | % of discharges that are delayed | −0.292 | −0.477 | −0.107 | 0.094 |
| Gaughan | 2015 | Care | Availability | Beds | Per 1% beds per population | Delayed discharge | Emergency | % of discharges that are delayed | −0.578 | −1.048 | −0.108 | 0.240 |
| Gaughan | 2015 | Care | Availability | Beds | Per 1% beds per population | Length of delay | Emergency | Length of delay (days) | −0.784 | −1.409 | −0.159 | 0.319 |
| Imison | 2012 | Care | Availability | Beds | Per 1% beds per population | Length of delay | Emergency | Length of delay (days) | −1.595 | −4.856 | 1.667 | 1.664 |
| Hunould | 2014 | Care | Availability | Beds | Per 1% beds per population | Visits | Emergency | Visits to emergency departments | 0.830 | 0.304 | 1.356 | 0.269 |
| Fernandez | 2008 | Care | Spend | Spend | Per £1 spent | Admissions | Emergency | % of discharges that become admissions | −0.009 | −0.015 | −0.003 | 0.003 |
| Imison | 2012 | Care | Spend | Spend | Per £1 spent | Admissions | Emergency | % of discharges that become admissions | 0.002 | −0.001 | 0.005 | 0.002 |
| Imison | 2012 | Care | Spend | Spend | Per £1 spent | Length of stay | Emergency | Length of stay (days) | −0.002 | −0.004 | 0.000 | 0.001 |
| Fernandez | 2008 | Care | Spend | Spend | Per £1 spent | Delayed discharge | Emergency | % of discharges that are delayed | −0.123 | −0.201 | −0.045 | 0.040 |
| Bardsley | 2010 | Care | Spend | Spend | Per £1 spent | Hospital spend | All | Hospital Spend £1 per year | −0.396 | −0.523 | −0.269 | 0.060 |
| Forder | 2009 | Care | Spend | Spend | Per £1 spent | Hospital spend | All | Hospital Spend £1 per year | −0.330 | −0.410 | −0.250 | 0.041 |
| Gaughan Hip | 2013 | Care | Cost | Cost | Per £1 cost | Length of stay | All | Length of stay (days) | 0.001 | 0.000 | 0.002 | 0.000 |
| Gaughan Stroke | 2013 | Care | Cost | Cost | Per £1 cost | Length of stay | All | Length of stay (days) | 0.000 | −0.001 | 0.000 | 0.000 |
| Gaughan | 2015 | Care | Cost | Cost | Per 1% increase in price | Delayed discharge | Emergency | % of discharges that are delayed | 0.603 | −0.566 | 1.772 | 0.596 |
| Gaughan | 2015 | Care | Cost | Cost | Per 1% increase in price | Length of delay | Emergency | % of discharges that are delayed | 0.851 | 0.136 | 1.566 | 0.365 |
| Liotta | 2012 | Home | Availability | Percent | Per 1% increase in homecare | Admissions | All | % of hospital admissions | 0.846 | 0.020 | 1.672 | 0.390 |
| Fernandez | 2008 | Home | Availability | Hours | Per 1 h increase in homecare | Admissions | Emergency | % of discharges that become admissions | −0.800 | −2.313 | 0.713 | 0.772 |
| Holmas | 2013 | Home | Availability | Percent | Per 1% increase in homecare | Length of stay | Emergency | Length of stay (days) | −0.001 | 0.000 | 0.000 | 0.000 |
| Holmas | 2013 | Home | Availability | Percent | Per 1% increase in homecare | Length of stay | All | Length of stay (days) | 0.002 | 0.000 | 0.001 | 0.000 |
| Liotta | 2012 | Home | Availability | Percent | Per 1% increase in homecare | Length of stay | All | Length of stay (days) | 0.922 | 0.976 | 1.008 | 1.008 |
| Fernandez | 2008 | Home | Availability | Hours | Per 1 h increase in homecare | Delayed discharge | Emergency | % of discharges that are delayed | −0.050 | −0.166 | 0.066 | 0.059 |
aSocial care exposure: Impact of care home or impact of homecare.
bType of social care exposure: social care availability, costs or spend.
cPredictor: Summary type of predictor.
dOutcome: Summary description of the type of healthcare use outcome.
eType of admissions: type of admission accounting for healthcare use outcome.