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What remains after the money ends? Evidence on whether admission reductions continued following the largest health and social care integration programme in England

Author

Listed:
  • Vasudha Wattal

    (University of Manchester)

  • Katherine Checkland

    (University of Manchester)

  • Matt Sutton

    (University of Manchester)

  • Marcello Morciano

    (University of Manchester
    University of Modena and Reggio Emilia
    London School of Economics)

Abstract

We study the long-term effects on hospital activity of a three-year national integration programme. We use administrative data spanning from 24 months before to 22 months after the programme, to estimate the effect of programme discontinuation using difference-in-differences method. Our results show that after programme discontinuation, emergency admissions were slower to increase in Vanguard compared to non-Vanguard sites. These effects were heterogeneous across sites, with greater reductions in care home Vanguard sites and concentrated among the older population. Care home Vanguards showed significant reductions beginning early in the programme but falling away more rapidly after programme discontinuation. Moreover, there were greater reductions for sites performing poorly before the programme. Overall, this suggests the effects of the integration programme might have been lagged but transitory, and more reliant on continued programme support.

Suggested Citation

  • Vasudha Wattal & Katherine Checkland & Matt Sutton & Marcello Morciano, 2024. "What remains after the money ends? Evidence on whether admission reductions continued following the largest health and social care integration programme in England," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(9), pages 1485-1504, December.
    • Handle: RePEc:spr:eujhec:v:25:y:2024:i:9:d:10.1007_s10198-024-01676-0
    DOI: 10.1007/s10198-024-01676-0
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    More about this item

    Keywords

    Integrated care; England; Vanguard; New care models; Hospital admissions;
    All these keywords.

    JEL classification:

    • D04 - Microeconomics - - General - - - Microeconomic Policy: Formulation; Implementation; Evaluation
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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