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

Research output: Contribution to journalArticle

Standard

Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients. / Gaughan, James Michael; Gravelle, Hugh Stanley Emrys; Santos, Rita; Siciliani, Luigi.

In: International Journal of Health Economics and Management, 28.02.2017.

Research output: Contribution to journalArticle

Harvard

Gaughan, JM, Gravelle, HSE, Santos, R & Siciliani, L 2017, 'Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients', International Journal of Health Economics and Management. https://doi.org/10.1007/s10754-017-9214-z

APA

Gaughan, J. M., Gravelle, H. S. E., Santos, R., & Siciliani, L. (2017). Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients. International Journal of Health Economics and Management. https://doi.org/10.1007/s10754-017-9214-z

Vancouver

Gaughan JM, Gravelle HSE, Santos R, Siciliani L. Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients. International Journal of Health Economics and Management. 2017 Feb 28. https://doi.org/10.1007/s10754-017-9214-z

Author

Gaughan, James Michael ; Gravelle, Hugh Stanley Emrys ; Santos, Rita ; Siciliani, Luigi. / Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients. In: International Journal of Health Economics and Management. 2017.

Bibtex - Download

@article{e0a448c03de84f20895e68fa9d542d98,
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.",
author = "Gaughan, {James Michael} and Gravelle, {Hugh Stanley Emrys} and Rita Santos and Luigi Siciliani",
note = "{\circledC} The Author(s) 2017. Open access",
year = "2017",
month = "2",
day = "28",
doi = "10.1007/s10754-017-9214-z",
language = "English",
journal = "International Journal of Health Economics and Management",
issn = "2199-9023",
publisher = "Springer Science + Business Media",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients

AU - Gaughan, James Michael

AU - Gravelle, Hugh Stanley Emrys

AU - Santos, Rita

AU - Siciliani, Luigi

N1 - © The Author(s) 2017. Open access

PY - 2017/2/28

Y1 - 2017/2/28

N2 - 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.

AB - 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.

U2 - 10.1007/s10754-017-9214-z

DO - 10.1007/s10754-017-9214-z

M3 - Article

JO - International Journal of Health Economics and Management

JF - International Journal of Health Economics and Management

SN - 2199-9023

ER -