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

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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 languageEnglish
JournalInternational Journal of Health Economics and Management
Early online date28 Feb 2017
Publication statusE-pub ahead of print - 28 Feb 2017

Bibliographical note

© The Author(s) 2017. Open access

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