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

James Gaughan (), Hugh Gravelle (), Rita Santos () and Luigi Siciliani ()
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James Gaughan: University of York

International Journal of Health Economics and Management, 2017, vol. 17, issue 3, 311-331

Abstract: 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.

Keywords: Hospitals; Length of stay; Long-term care; Care homes; Bed blocking; Substitution (search for similar items in EconPapers)
JEL-codes: I11 (search for similar items in EconPapers)
Date: 2017
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Handle: RePEc:kap:ijhcfe:v:17:y:2017:i:3:d:10.1007_s10754-017-9214-z