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Long term care provision, hospital length of stay and discharge destination for hip fracture and stroke patients

Author

Listed:
  • James Gaughan

    (Centre for Health Economics, University of York, UK)

  • Hugh Gravelle

    (Centre for Health Economics, University of York, UK)

  • Rita Santos

    (Centre for Health Economics, University of York, UK)

  • Luigi Siciliani

    (Centre for Health Economics and Department of Economics and Related Studies, University of York, UK)

Abstract

Expenditure on long term care is expected to rise, driven by an ageing population. Coordination between health and long term care is increasingly a priority for policymakers. Elderly individuals living at home who suffer trauma, such as hip fracture or stroke, generally require immediate acute hospital care, followed by long term care and assistance which can be provided either in their home or in a residential or nursing home. However, little is known about the effects of one sector on the other. This study examines the association between formal long term care supply and the probability of being discharged to a long-term care institution (a nursing home or a care home) and length of stay in hospital for patients admitted for hip fracture or stroke.

Suggested Citation

  • James Gaughan & Hugh Gravelle & Rita Santos & Luigi Siciliani, 2013. "Long term care provision, hospital length of stay and discharge destination for hip fracture and stroke patients," Working Papers 086cherp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:86cherp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP86_longterm_care_provision_hospital_length_of_stay_discharge_destination_hip_fracture_stroke.pdf
    File Function: First version, 2013
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    References listed on IDEAS

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    1. Cookson R & Laudicella M, 2009. "Do the poor still cost more? The relationship between small area income deprivation and length of stay for elective hip replacement in the English NHS from 2001/2 to 2006/7," Health, Econometrics and Data Group (HEDG) Working Papers 09/07, HEDG, c/o Department of Economics, University of York.
    2. K. Bolin & B. Lindgren & P. Lundborg, 2008. "Informal and formal care among single-living elderly in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 393-409.
    3. Gabriel Picone & R. Mark Wilson & Shin-Yi Chou, 2003. "Analysis of hospital length of stay and discharge destination using hazard functions with unmeasured heterogeneity," Health Economics, John Wiley & Sons, Ltd., vol. 12(12), pages 1021-1034.
    4. Van Houtven, Courtney Harold & Norton, Edward C., 2004. "Informal care and health care use of older adults," Journal of Health Economics, Elsevier, vol. 23(6), pages 1159-1180, November.
    5. Bonsang, Eric, 2009. "Does informal care from children to their elderly parents substitute for formal care in Europe?," Journal of Health Economics, Elsevier, vol. 28(1), pages 143-154, January.
    6. Adriana Castelli & Mauro Laudicella & Andrew Street, 2008. "Measuring NHS Output Growth," Working Papers 043cherp, Centre for Health Economics, University of York.
    7. Jose-Luis Fernandez & J. Forder, 2008. "Consequences of local variations in social care on the performance of the acute health care sector," Applied Economics, Taylor & Francis Journals, vol. 40(12), pages 1503-1518.
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    1. repec:kap:ijhcfe:v:17:y:2017:i:3:d:10.1007_s10754-017-9214-z is not listed on IDEAS

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