Differences in Length of Stay between Public Hospitals, Treatment Centres and Private Providers: Selection or Efficiency?
We investigate differences in patients’ length of stay between National Health Service (NHS) public hospitals, public treatment centres and private treatment centres that provide elective (non-emergency) hip replacement to publicly-funded patients. We find that private treatment centres and public treatment centres have on average respectively 40% and 18% shorter length of stay compared to NHS public hospitals, even after controlling for differences in age, gender, number and type of diagnosis, deprivation and geographical variation. We therefore interpret such differences as due to efficiency as opposed to selection (treatment of less complex cases). Quantile regression suggests that the proportionate differences between different provider types are larger at the higher conditional quantiles of length of stay compared to the lower ones.
|Date of creation:||Mar 2011|
|Contact details of provider:|| Postal: Melbourne Institute of Applied Economic and Social Research, The University of Melbourne, Victoria 3010 Australia|
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- Street, Andrew & Sivey, Peter & Mason, Anne & Miraldo, Marisa & Siciliani, Luigi, 2010. "Are English treatment centres treating less complex patients?," Health Policy, Elsevier, vol. 94(2), pages 150-157, February.
- Giorgia Marini & Marisa Miraldo & Rowena Jacobs & Maria Goddard, 2008. "Giving greater financial independence to hospitals-does it make a difference? The case of English NHS Trusts," Health Economics, John Wiley & Sons, Ltd., vol. 17(6), pages 751-775.
- Bruce Hollingsworth, 2008. "The measurement of efficiency and productivity of health care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1107-1128.
- Carine Milcent, 2005.
"Hospital ownership, reimbursement systems and mortality rates,"
John Wiley & Sons, Ltd., vol. 14(11), pages 1151-1168.
- Carine Milcent, 2005. "Hospital Ownership, Reimbursement Systems and Mortality Rates," Post-Print halshs-00754053, HAL.
- Paul H. Jensen & Elizabeth Webster & Julia Witt, 2009.
"Hospital type and patient outcomes: an empirical examination using AMI readmission and mortality records,"
John Wiley & Sons, Ltd., vol. 18(12), pages 1440-1460.
- Paul H. Jensen & Elizabeth Webster & Julia Witt, 2007. "Hospital Type and Patient Outcomes: An Empirical Examination Using AMI Re-admission and Mortality Records," Melbourne Institute Working Paper Series wp2007n31, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
- Annika Herr, 2008. "Cost and technical efficiency of German hospitals: does ownership matter?," Health Economics, John Wiley & Sons, Ltd., vol. 17(9), pages 1057-1071.
- Karen Eggleston & Yu-Chu Shen & Joseph Lau & Christopher H. Schmid & Jia Chan, 2008. "Hospital ownership and quality of care: what explains the different results in the literature?," Health Economics, John Wiley & Sons, Ltd., vol. 17(12), pages 1345-1362.
- Gian Paolo Barbetta & Gilberto Turati & Angelo Zago, 2004.
"Behavioral Differences Between Public and Private Not-For-Profit Hospitals in the Italian National Health Service,"
12/2004, University of Verona, Department of Economics.
- Gian Paolo Barbetta & Gilberto Turati & Angelo M. Zago, 2007. "Behavioral differences between public and private not-for-profit hospitals in the Italian national health service," Health Economics, John Wiley & Sons, Ltd., vol. 16(1), pages 75-96.
- Lien, Hsien-Ming & Chou, Shin-Yi & Liu, Jin-Tan, 2008. "Hospital ownership and performance: Evidence from stroke and cardiac treatment in Taiwan," Journal of Health Economics, Elsevier, vol. 27(5), pages 1208-1223, September.
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