IDEAS home Printed from https://ideas.repec.org/p/ehl/lserod/123604.html
   My bibliography  Save this paper

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:
  • Wattal, Vasudha
  • Checkland, Katherine
  • Sutton, Matt
  • Morciano, Marcello

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

  • Wattal, Vasudha & Checkland, Katherine & Sutton, Matt & Morciano, Marcello, 2024. "What remains after the money ends? Evidence on whether admission reductions continued following the largest health and social care integration programme in England," LSE Research Online Documents on Economics 123604, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:123604
    as

    Download full text from publisher

    File URL: http://eprints.lse.ac.uk/123604/
    File Function: Open access version.
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ashesh Rambachan & Jonathan Roth, 2023. "A More Credible Approach to Parallel Trends," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 90(5), pages 2555-2591.
    2. Alberto Abadie & Susan Athey & Guido W Imbens & Jeffrey M Wooldridge, 2023. "When Should You Adjust Standard Errors for Clustering?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 138(1), pages 1-35.
    3. Brantly Callaway & Tong Li, 2019. "Quantile treatment effects in difference in differences models with panel data," Quantitative Economics, Econometric Society, vol. 10(4), pages 1579-1618, November.
    4. Pablo A. Celhay & Paul J. Gertler & Paula Giovagnoli & Christel Vermeersch, 2019. "Long-Run Effects of Temporary Incentives on Medical Care Productivity," American Economic Journal: Applied Economics, American Economic Association, vol. 11(3), pages 92-127, July.
    5. Crawford, Rowena & Stoye, George & Zaranko, Ben, 2021. "Long-term care spending and hospital use among the older population in England," Journal of Health Economics, Elsevier, vol. 78(C).
    6. Paul J. Gertler & Sebastian W. Martinez & Marta Rubio-Codina, 2012. "Investing Cash Transfers to Raise Long-Term Living Standards," American Economic Journal: Applied Economics, American Economic Association, vol. 4(1), pages 164-192, January.
    7. Garrett, Thomas A., 2003. "Aggregated versus disaggregated data in regression analysis: implications for inference," Economics Letters, Elsevier, vol. 81(1), pages 61-65, October.
    8. Baird, Sarah & McIntosh, Craig & Özler, Berk, 2019. "When the money runs out: Do cash transfers have sustained effects on human capital accumulation?," Journal of Development Economics, Elsevier, vol. 140(C), pages 169-185.
    9. Brigham R. Frandsen & Lars J. Lefgren, 2018. "Testing Rank Similarity," The Review of Economics and Statistics, MIT Press, vol. 100(1), pages 86-91, March.
    10. Morciano, Marcello & Checkland, Katherine & Billings, Jenny & Coleman, Anna & Stokes, Jonathan & Tallack, Charles & Sutton, Matt, 2020. "New integrated care models in England associated with small reduction in hospital admissions in longer-term: A difference-in-differences analysis," Health Policy, Elsevier, vol. 124(8), pages 826-833.
    11. Schiele, Valentin & Schmitz, Hendrik, 2016. "Quantile treatment effects of job loss on health," Journal of Health Economics, Elsevier, vol. 49(C), pages 59-69.
    12. Jonathan Roth, 2022. "Pretest with Caution: Event-Study Estimates after Testing for Parallel Trends," American Economic Review: Insights, American Economic Association, vol. 4(3), pages 305-322, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Roth, Jonathan & Sant’Anna, Pedro H.C. & Bilinski, Alyssa & Poe, John, 2023. "What’s trending in difference-in-differences? A synthesis of the recent econometrics literature," Journal of Econometrics, Elsevier, vol. 235(2), pages 2218-2244.
    2. Kotyrlo, Elena, 2024. "Simple and complex difference-in-differences approach," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 73, pages 119-142.
    3. Miele, Kai R., 2024. "Mental Health and Labor Market Effects of Anticipating Job Loss," CINCH Working Paper Series (since 2020) 82169, Duisburg-Essen University Library, DuEPublico.
    4. Biewen, Martin & Erhardt, Pascal, 2024. "Using Post-Regularization Distribution Regression to Measure the Effects of a Minimum Wage on Hourly Wages, Hours Worked and Monthly Earnings," IZA Discussion Papers 16894, Institute of Labor Economics (IZA).
    5. Everding, Jakob & Marcus, Jan, 2020. "The effect of unemployment on the smoking behavior of couples," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 29(2), pages 154-170.
    6. Wang, Lucy Xiaolu, 2022. "Global drug diffusion and innovation with the medicines patent pool," Journal of Health Economics, Elsevier, vol. 85(C).
    7. Premand, Patrick & Stoeffler, Quentin, 2022. "Cash transfers, climatic shocks and resilience in the Sahel," Journal of Environmental Economics and Management, Elsevier, vol. 116(C).
    8. Lin, Pengsheng & Pan, Yinghao & Wang, Yuan & Hu, Longhai, 2024. "Reshaping unfairness perceptions: Evidence from China's Hukou reform," China Economic Review, Elsevier, vol. 83(C).
    9. Goeyvaerts, Geert, 2023. "Reconstructing cities: Stimulating redevelopment through the tax code," Regional Science and Urban Economics, Elsevier, vol. 99(C).
    10. Boungou, Whelsy & Dufau, Bastien, 2024. "EU ETS phase IV and Industrial performance," Economics Letters, Elsevier, vol. 236(C).
    11. Maria Caridad Araujo & Karen Macours, 2021. "Education, Income and Mobility: Experimental Impacts of Childhood Exposure to Progresa after 20 Years," Working Papers halshs-03364972, HAL.
    12. Guimbeau, Amanda & Ji, Xinde James & Long, Zi & Menon, Nidhiya, 2024. "Ocean salinity, early-life health, and adaptation," Journal of Environmental Economics and Management, Elsevier, vol. 125(C).
    13. Baird, Sarah & McIntosh, Craig & Özler, Berk, 2019. "When the money runs out: Do cash transfers have sustained effects on human capital accumulation?," Journal of Development Economics, Elsevier, vol. 140(C), pages 169-185.
    14. Perilla, Sergio & Prem, Mounu & Purroy, Miguel E. & Vargas, Juan F., 2024. "How peace saves lives: Evidence from Colombia," World Development, Elsevier, vol. 176(C).
    15. McIntosh, Craig & Zeitlin, Andrew, 2022. "Using household grants to benchmark the cost effectiveness of a USAID workforce readiness program," Journal of Development Economics, Elsevier, vol. 157(C).
    16. Hollenbach, Florian M & Egerod, Benjamin, 2024. "How many is enough? Sample Size in Staggered Difference-in-Differences Designs," OSF Preprints ac5ru, Center for Open Science.
    17. Sherajum Monira Farin & Lauren Hoehn-Velasco & Michael F. Pesko, 2024. "The Impact of Legal Abortion on Maternal Mortality," American Economic Journal: Economic Policy, American Economic Association, vol. 16(3), pages 174-216, August.
    18. Bocar A. Ba & Abdoulaye Ndiaye & Roman G. Rivera & Alexander Whitefield, 2024. "Mispricing Narratives after Social Unrest," Opportunity and Inclusive Growth Institute Working Papers 096, Federal Reserve Bank of Minneapolis.
    19. Dahmann, Sarah C. & Schnitzlein, Daniel D., 2019. "No evidence for a protective effect of education on mental health," Social Science & Medicine, Elsevier, vol. 241(C).
    20. Karen Macours & Renos Vakis, 2017. "Sustaining Impacts When Transfers End: Women Leaders, Aspirations, and Investments in Children," NBER Chapters, in: The Economics of Poverty Traps, pages 325-355, National Bureau of Economic Research, Inc.

    More about this item

    Keywords

    integrated care; England; Vanguard; new care models; hospital admissions;
    All these keywords.

    JEL classification:

    • D00 - Microeconomics - - General - - - General
    • 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

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:ehl:lserod:123604. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: LSERO Manager (email available below). General contact details of provider: https://edirc.repec.org/data/lsepsuk.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.