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

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JournalInternational Journal of Health Economics and Management
DateAccepted/In press - 10 Feb 2017
DateE-pub ahead of print (current) - 28 Feb 2017
Early online date28/02/17
Original languageEnglish


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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© The Author(s) 2017. Open access

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