Differences in Length of Stay for Hip Replacement between Public Hospitals,  Specialised Treatment Centres and Private Providers: selection or efficiency?

L. Siciliani; Peter Sivey; A. Street

doi:10.1002/hec.1826

Differences in Length of Stay for Hip Replacement between Public Hospitals, Specialised Treatment Centres and Private Providers: selection or efficiency?

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Abstract

We investigate differences in patients' length of stay between National Health Service (NHS) public hospitals, specialised public treatment centres and private treatment centres that provide elective (non-emergency) hip replacement to publicly funded patients. We find that the specialised public treatment centres and private treatment centres have, on average, respectively 18% and 40% shorter length of stay compared with NHS public hospitals, even after controlling for differences in age, gender, number and type of diagnoses, deprivation and regional variation. Therefore, we interpret such differences as because of efficiency as opposed to selection of less complex patients. Quantile regression suggests that the proportional differences between different provider types are larger at the higher conditional quantiles of length of stay. Copyright (c) 2012 John Wiley & Sons, Ltd.

Original language	English
Pages (from-to)	234-242
Number of pages	9
Journal	Health Economics
Volume	22
Issue number	2
Early online date	6 Jan 2010
DOIs	https://doi.org/10.1002/hec.1826
Publication status	Published - 9 Feb 2013

Keywords

Length of Stay
public hospitals
treatment centres
private providers

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10.1002/hec.1826

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title = "Differences in Length of Stay for Hip Replacement between Public Hospitals, Specialised Treatment Centres and Private Providers: selection or efficiency?",

abstract = "We investigate differences in patients' length of stay between National Health Service (NHS) public hospitals, specialised public treatment centres and private treatment centres that provide elective (non-emergency) hip replacement to publicly funded patients. We find that the specialised public treatment centres and private treatment centres have, on average, respectively 18% and 40% shorter length of stay compared with NHS public hospitals, even after controlling for differences in age, gender, number and type of diagnoses, deprivation and regional variation. Therefore, we interpret such differences as because of efficiency as opposed to selection of less complex patients. Quantile regression suggests that the proportional differences between different provider types are larger at the higher conditional quantiles of length of stay. Copyright (c) 2012 John Wiley & Sons, Ltd.",

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AB - We investigate differences in patients' length of stay between National Health Service (NHS) public hospitals, specialised public treatment centres and private treatment centres that provide elective (non-emergency) hip replacement to publicly funded patients. We find that the specialised public treatment centres and private treatment centres have, on average, respectively 18% and 40% shorter length of stay compared with NHS public hospitals, even after controlling for differences in age, gender, number and type of diagnoses, deprivation and regional variation. Therefore, we interpret such differences as because of efficiency as opposed to selection of less complex patients. Quantile regression suggests that the proportional differences between different provider types are larger at the higher conditional quantiles of length of stay. Copyright (c) 2012 John Wiley & Sons, Ltd.

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Differences in Length of Stay for Hip Replacement between Public Hospitals, Specialised Treatment Centres and Private Providers: selection or efficiency?

Abstract

Keywords

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