Table 1.
Difference-in-differences estimates of changes in emergency admissions and total bed-days rates attributable to the Vanguard integrated care and care home initiatives, by different post-implementation time windows.
1st–3rd year | 1st year | 2ndyear | 3rd year | |
---|---|---|---|---|
Monthly emergency admission rate (per, 000 population) | ||||
Population-based | −0.004 | 0.011 | 0.015 | −0.031** |
[−0.032, 0.024] | [−0.021, 0.043] | [−0.018, 0.047] | [−0.062, −0.001] | |
Care home | −0.042** | −0.018 | −0.035 | −0.065** |
[−0.082, −0.002] | [−0.050, 0.014] | [−0.076, 0.007] | [−0.124, −0.006] | |
Monthly total bed-days rate (per, 00 population) | ||||
Population-based | 0.011 | 0.020 | 0.017 | 0.001 |
[−0.017, 0.039] | [−0.012, 0.053] | [−0.019, 0.053] | [−0.029, 0.030] | |
Care home | 0.013 | 0.019 | 0.013 | 0.008 |
[−0.006, 0.032] | [−0.008, 0.046] | [−0.013, 0.039] | [−0.013, 0.029] |
Notes: Figures represent estimated parameters of site and time fixed-effect specifications based on the balanced sample (223 sites: 31 population-based sites, 6 care home sites and 186 control sites) that use the full 24-months before implementation (see sub-Section 2.2 for details). Columns 2, 3 and 4 reported estimated net impact computed using a restricted post-intervention sample comprising 12, 12–24, 24–36 months after introduction. 95 % confidence intervals in brackets. Significance levels: * p < 0.10, ** p < 0.05, *** p < 0.01.