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Have hospital readmissions increased in the face of reductions in length of stay? Evidence from England

Martin, Stephen, Street, Andrew, Han, Lu and Hutton, John (2015) Have hospital readmissions increased in the face of reductions in length of stay? Evidence from England. Health Policy, 120 (1). pp. 89-99. ISSN 0168-8510

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Identification Number: 10.1016/j.healthpol.2015.11.003

Abstract

We assess the relationship between changes in hospital length of stay (LoS) and hospital quality, as measured by 28-day emergency readmission. We estimate regression models to analyse LoS and other factors associated with readmission for all those admitted for hip replacement (n = 496,334), hernia repair (n = 413,712) or following a stroke (n = 480,113) in England between 2002/3 and 2007/8. There were reductions in LoS over time while changes in crude readmission rates varied by condition. Given the high mortality rate for stroke, it is critical to account for the probability of surviving the initial admission when evaluating readmissions. Conditional upon survival, the probability of readmission was greater for stroke patients who originally had a shorter LoS and for hernia patients who had an overnight stay but there is no relationship between LoS and readmission for patients who had hip replacement. The evidence does not generally suggest that reductions in LoS were associated with an increased probability of emergency readmission.

Item Type: Article
Official URL: https://www.journals.elsevier.com/health-policy/
Additional Information: © 2015 Elsevier
Divisions: Health Policy
Subjects: R Medicine > RA Public aspects of medicine
Sets: Departments > Health Policy
Date Deposited: 03 Oct 2017 11:13
Last Modified: 20 Jul 2019 02:05
Funders: Research and Technological Development (FP7)
URI: http://eprints.lse.ac.uk/id/eprint/84414

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