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

页码：311 / 331

页数：21

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