Does regulation increase the rate at which doctors leave practice? Analysis of routine hospital data in the English NHS following the introduction of medical revalidation

Table 5 Difference in mortality rates between leavers and stayers by specialty and time period

Index admission	Difference pre-policy			Difference post-policy			Difference-in-difference
Index admission	Est	SE	p value	Est	SE	p value	Est	SE	p value
Unadjusted comparison
Consultants working in medical specialties
Emergency	0.001	0.002	0.498	0.013	0.002	< 0.001	0.012	0.003	< 0.001
Elective	− 0.0001	0.001	0.856	0.002	0.001	< 0.001	0.002	0.001	0.015
Consultants working in surgical specialties
Emergency	− 0.006	0.002	< 0.001	0.002	0.003	0.430	0.008	0.003	0.011
Elective	0.000	0.000	0.491	0.001	0.000	0.029	0.000	0.001	0.403
Risk-adjusted comparison
Consultants working in medical specialties
Emergency	− 0.0014	0.004	0.733	0.009	0.008	0.268	0.011	0.009	0.252
Elective	− 0.00026	0.002	0.887	0.003	0.003	0.263	0.003	0.003	0.310
Consultants working in surgical specialties
Emergency	0.00096	0.0022	0.657	0.001	0.003	0.816	0.000	0.004	0.964
Elective	0.000	0.000	0.950	0.001	0.000	0.009	0.001	0.001	0.048

ISSN: 1741-7015