公立医院、专科治疗中心和私立机构髋关节置换住院天数的差异:选择还是效率?

DIFFERENCES IN LENGTH OF STAY FOR HIP REPLACEMENT BETWEEN PUBLIC HOSPITALS, SPECIALISED TREATMENT CENTRES AND PRIVATE PROVIDERS: SELECTION OR EFFICIENCY?

Health Economics · 2012
被引 52
人大 A-

中文导读

研究了英国公立医院、专科治疗中心和私立机构为公共资金患者进行择期髋关节置换的住院天数差异,发现专科和私立机构住院天数更短,且差异源于效率而非患者选择。

Abstract

We investigate differences in patients' length of stay between National Health Service (NHS) public hospitals, specialised public treatment centres and private treatment centres that provide elective (non-emergency) hip replacement to publicly funded patients. We find that the specialised public treatment centres and private treatment centres have, on average, respectively 18% and 40% shorter length of stay compared with NHS public hospitals, even after controlling for differences in age, gender, number and type of diagnoses, deprivation and regional variation. Therefore, we interpret such differences as because of efficiency as opposed to selection of less complex patients. Quantile regression suggests that the proportional differences between different provider types are larger at the higher conditional quantiles of length of stay.

髋关节置换住院时长公立医院私立医院效率差异