髋部骨折和中风患者的长期护理提供、医院病床阻塞及出院去向
Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients.
作者信息
Gaughan James, Gravelle Hugh, Santos Rita, Siciliani Luigi
机构信息
Centre for Health Economics, University of York, York, UK.
Department of Economics and Related Studies, University of York, York, UK.
出版信息
Int J Health Econ Manag. 2017 Feb 28;17(3):311-31. doi: 10.1007/s10754-017-9214-z.
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.
摘要
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。
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