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

James Michael Gaughan; Hugh Stanley Emrys Gravelle; Rita Santos; Luigi Siciliani

doi:10.1007/s10754-017-9214-z

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

James Michael Gaughan, Hugh Stanley Emrys Gravelle, Rita Santos, Luigi Siciliani

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Journal	International Journal of Health Economics and Management
Early online date	28 Feb 2017
DOIs	https://doi.org/10.1007/s10754-017-9214-z
Publication status	E-pub ahead of print - 28 Feb 2017

Bibliographical note

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10.1007/s10754-017-9214-z

IHFE_D_13_00133_R2
© The Author(s) 2017
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Cite this

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

abstract = "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.",

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AU - Gravelle, Hugh Stanley Emrys

AU - Santos, Rita

AU - Siciliani, Luigi

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