Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients

被引：23
|
作者：
Gaughan, James [1 ]
Gravelle, Hugh [1 ]
Santos, Rita [1 ]
Siciliani, Luigi [1 ,2 ]
机构：
[1] Univ York, Ctr Hlth Econ, York, N Yorkshire, England
[2] Univ York, Dept Econ & Related Studies, York, N Yorkshire, England
来源：
INTERNATIONAL JOURNAL OF HEALTH ECONOMICS AND MANAGEMENT | 2017年 / 17卷 / 03期
关键词：
Hospitals; Length of stay; Long-term care; Care homes; Bed blocking; Substitution; OLDER-PEOPLE; INFORMAL CARE; FORMAL CARE; SOCIAL CARE; HEALTH; HOME; PREDICTORS; SERVICES; LENGTH; STAY;
D O I：
10.1007/s10754-017-9214-z
中图分类号：
F8 [财政、金融];
学科分类号：
0202 ;
摘要：
We examine the relationship between long-term care supply (care home beds and prices) and (i) the probability of being discharged to a care home and (ii) length of stay in hospital for patients admitted to hospital for hip fracture or stroke. Using patient level data from all English hospitals and allowing for a rich set of demographic and clinical factors, we find no association between discharge destination and long-term care beds supply or prices. We do, however, find evidence of bed blocking: hospital length of stay for hip fracture patients discharged to a care home is shorter in areas with more long-term care beds and lower prices. Length of stay is over 30% shorter in areas in the highest quintile of care home beds supply compared to those in the lowest quintile.
引用
收藏
页码：311 / 331
页数：21
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