Gaughan James, Gravelle Hugh, Santos Rita, Siciliani Luigi
Centre for Health Economics, University of York, York, UK.
Department of Economics and Related Studies, University of York, York, UK.
Int J Health Econ Manag. 2017 Feb 28;17(3):311-31. doi: 10.1007/s10754-017-9214-z.
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.
我们研究了长期护理供给（养老院床位和价格）与（i）入住养老院的出院概率以及（ii）因髋部骨折或中风入院的患者的住院时长之间的关系。利用来自所有英国医院的患者层面数据，并考虑到一系列丰富的人口统计学和临床因素，我们发现出院目的地与长期护理床位供给或价格之间没有关联。然而，我们确实发现了床位阻塞的证据：在长期护理床位更多且价格更低的地区，入住养老院的髋部骨折患者的住院时长更短。与处于最低五分位数的地区相比，在长期护理床位供给处于最高五分位数的地区，住院时长缩短了30%以上。
