IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i17p9407-d630296.html
   My bibliography  Save this article

Delayed Discharge for Non-Clinical Reasons in Hip Procedures: Differential Characteristics and Opportunity Cost

Author

Listed:
  • Amada Pellico-López

    (Cantabria Health Service, Avda. Derechos de la Infancia 31, 39340 Suances, Spain)

  • Ana Fernández-Feito

    (Department of Medicine, Faculty of Medicine and Health Sciences, University of Oviedo, Avda. Julián Clavería s/n, 33006 Oviedo, Spain
    ISPA, Nursing Research Group, Health Research Institute of Asturias, Avda. del Hospital Universitario s/n, 33011 Oviedo, Spain)

  • David Cantarero

    (Department of Economics, University of Cantabria, Avda. de los Castros s/n, 39005 Santander, Spain
    IDIVAL, Research Group of Health Economics and Health Services Management, Research Institute Marqués de Valdecilla, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain)

  • Manuel Herrero-Montes

    (Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n, 39008 Santander, Spain
    IDIVAL, Grupo de Investigación en Enfermería, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain)

  • Joaquín Cayón-De Las Cuevas

    (Faculty of Law, University of Cantabria, Avda. de los Castros s/n, 39005 Santander, Spain
    IDIVAL, GI Derecho Sanitario y Bioética, GRIDES, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain)

  • Paula Parás-Bravo

    (Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n, 39008 Santander, Spain
    IDIVAL, Grupo de Investigación en Enfermería, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain
    Shared senior authorship.)

  • María Paz-Zulueta

    (Faculty of Nursing, University of Cantabria, Avda. Valdecilla s/n, 39008 Santander, Spain
    IDIVAL, GI Derecho Sanitario y Bioética, GRIDES, C/ Cardenal Herrera Oria s/n, 39011 Santander, Spain
    Shared senior authorship.)

Abstract

Delayed discharge for non-clinical reasons shares common characteristics with hip procedures. We sought to quantify the length of stay and related costs of hip procedures and compare these with other cases of delayed discharge. A cross-sectional study was conducted at a public hospital in Spain (2007–2015) including 306 patients with 6945 days of total stay and 2178 days of prolonged stay. The mean appropriate stay was 15.58 days, and the mean prolonged stay was 7.12 days. The cost of a prolonged stay was €641,002.09. The opportunity cost according to the value of the hospital complexity unit was €922,997.82. The mean diagnostic-related groups’ weight was 3.40. Up to 85.29% of patients resided in an urban area near the hospital ( p = 0.001), and 83.33% were referred to a long-stay facility for functional recovery ( p = 0.001). The proportion of patients with hip procedures and delayed discharge was lower than previous reports; however, their length of stay was longer. The cost of prolonged stay could account for 21.17% of the total. Compared with the remaining cases of delayed discharge, the appropriate stay was shorter in hip procedures, with a profile of older women living in an urban area close to the hospital and referred to a long-stay center for functional recovery.

Suggested Citation

  • Amada Pellico-López & Ana Fernández-Feito & David Cantarero & Manuel Herrero-Montes & Joaquín Cayón-De Las Cuevas & Paula Parás-Bravo & María Paz-Zulueta, 2021. "Delayed Discharge for Non-Clinical Reasons in Hip Procedures: Differential Characteristics and Opportunity Cost," IJERPH, MDPI, vol. 18(17), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9407-:d:630296
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/17/9407/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/17/9407/
    Download Restriction: no
    ---><---

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9407-:d:630296. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.