Table 4. The impact on hospital use of vertical integration with acute hospital trusts compared with vertical integration with community trusts
Percentage point step change for acute minus that for community vertical integration practicesAdditional yearly change after the intervention for acute compared with community vertical integration
IRR (95% CI) P-value IRR (95% CI) P-value
IRR per patient per year
A&E attendances0.97 (0.95 to 0.99)0.0101.02 (0.98 to 1.06)0.32
Outpatient attendances1.00 (0.99 to 1.01)0.721.13 (1.03 to 1.24)0.013
Inpatient admissions1.04 (1.01 to 1.06)0.00951.15 (0.92 to 1.45)0.22
Inpatient admissions (ACSC)1.02 (0.95 to 1.10)0.640.95 (0.70 to 1.29)0.75
Emergency inpatient admissions1.02 (0.98 to 1.06)0.320.82 (0.65 to 1.04)0.10
Emergency readmissions1.02 (0.95 to 1.11)0.561.09 (0.86 to 1.37)0.49
Difference (95% CI) P-value Difference (95% CI) P-value
Days
Length of stay–0.08 (–0.23 to 0.06)0.26–0.08 (–0.23 to 0.07)0.31
  • ACSC = ambulatory care sensitive condition. A&E = accident and emergency. IRR = incidence rate ratio