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Health Care Home: Early Evidence from Linked Administrative Data in New Zealand

Author

Listed:
  • Dasgupta Kabir

    (Faculty of Business, Economics & Law, Auckland University of Technology, Private Bag 92006, Auckland1142, New Zealand)

  • Pacheco Gail

    (Faculty of Business, Economics & Law, Auckland University of Technology, Private Bag 92006, Auckland1142, New Zealand)

Abstract

Our analysis presents a case study on the impacts of Health Care Home (HCH) – a large-scale technology-based healthcare innovation in New Zealand’s primary healthcare system. For our analysis, we link the registered population of health practices within the Wellington region to administrative hospital admission data for quarterly periods between 2014 and 2017. By employing variation in the timing of HCH implementation across practices (selected via propensity score matching), we estimate differences-in-differences models to investigate the effects of the intervention on multiple patient outcomes. Additionally, we incorporate a number of empirical specifications to test the robustness of estimates. HCH results in a statistically significant reduction in the likelihood of emergency department (ED) presentations by 6–8 %, with no significant impacts on other health outcomes. The impact on ED presentations aligns with the expectation that the HCH intervention would produce downstream effects of a reduced economic burden on public hospital services.

Suggested Citation

  • Dasgupta Kabir & Pacheco Gail, 2019. "Health Care Home: Early Evidence from Linked Administrative Data in New Zealand," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 19(3), pages 1-11, July.
    • Handle: RePEc:bpj:bejeap:v:19:y:2019:i:3:p:11:n:12
    DOI: 10.1515/bejeap-2019-0054
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    References listed on IDEAS

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    1. Shahidur R. Khandker & Gayatri B. Koolwal & Hussain A. Samad, 2010. "Handbook on Impact Evaluation : Quantitative Methods and Practices," World Bank Publications - Books, The World Bank Group, number 2693.
    2. Grant, R. & Greene, D., 2012. "The health care home model: Primary health care meeting public health goals," American Journal of Public Health, American Public Health Association, vol. 102(6), pages 1096-1103.
    3. Nan Jiang & Gail Pacheco, 2014. "Demand in New Zealand hospitals: expect the unexpected?," Applied Economics, Taylor & Francis Journals, vol. 46(36), pages 4475-4489, December.
    4. David H. Autor, 2003. "Outsourcing at Will: The Contribution of Unjust Dismissal Doctrine to the Growth of Employment Outsourcing," Journal of Labor Economics, University of Chicago Press, vol. 21(1), pages 1-42, January.
    5. McClelland, M. & Asplin, B. & Epstein, S.K. & Kocher, K.E. & Pilgrim, R. & Pines, J. & Rabin, E.J. & Rathlev, N.K., 2014. "The affordable care act and emergency care," American Journal of Public Health, American Public Health Association, vol. 104(10), pages 8-10.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Health Care Home; administrative data; primary care; emergency department presentation; difference-in-differences;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C12 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Hypothesis Testing: General

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