Health Economics Letter
DIFFERENCES IN LENGTH OF STAY FOR HIP REPLACEMENT BETWEEN PUBLIC HOSPITALS, SPECIALISED TREATMENT CENTRES AND PRIVATE PROVIDERS: SELECTION OR EFFICIENCY?
Article first published online: 6 JAN 2012
Copyright © 2012 John Wiley & Sons, Ltd.
Volume 22, Issue 2, pages 234–242, February 2013
How to Cite
Siciliani, L., Sivey, P. and Street, A. (2013), DIFFERENCES IN LENGTH OF STAY FOR HIP REPLACEMENT BETWEEN PUBLIC HOSPITALS, SPECIALISED TREATMENT CENTRES AND PRIVATE PROVIDERS: SELECTION OR EFFICIENCY?. Health Econ., 22: 234–242. doi: 10.1002/hec.1826
- Issue published online: 9 JAN 2013
- Article first published online: 6 JAN 2012
- Manuscript Accepted: 13 NOV 2011
- Manuscript Revised: 14 OCT 2011
- Manuscript Received: 28 FEB 2011
- length of stay;
- public hospitals;
- treatment centres;
- private providers
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. Copyright © 2012 John Wiley & Sons, Ltd.