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Impact of specialist rehabilitation services on hospital length of stay and associated costs

Author

Listed:
  • A. Duarte

    (University of York)

  • C. Bojke

    (University of Leeds)

  • W. Cayton

    (Hull and East Yorkshire Hospitals NHS Trust)

  • A. Salawu

    (Hull and East Yorkshire Hospitals NHS Trust
    Hull York Medical School
    University of Hull)

  • B. Case

    (NHS Vale of York Clinical Commissioning Group)

  • L. Bojke

    (University of York)

  • G. Richardson

    (University of York)

Abstract

Background Provision of specialist rehabilitation services in North Yorkshire and Humberside may be suboptimal. Local commissioning bodies need to prioritise investments in health care, but previous studies provide limited evidence to inform the decision to expand existing services on the basis of cost-effectiveness. We examine the impact of specialist rehabilitation services in the subregion on hospital length of stay (LoS) and associated costs compared to routine care. Methods Comparison of hospital LoS and associated costs in centres with greater access (Hull) and limited access (i.e. routine care, York and Northern Lincolnshire), to specialist rehabilitation services for patients with complex disabilities following illness or injury, using Hospital Episodes Statistics data. Results Average LoS and duration costs by Healthcare Resource Group (HRG) were lower for the majority of patients with greater access to specialist rehabilitation compared to routine care. Difference in LoS between groups widened with level of complexity within each HRG. For the more frequent HRG codes, the LoS difference was as high as 34 days longer for York compared to Hull and £7900 more costly. Conclusion Rehabilitation patients within York and Northern Lincolnshire areas appear to have longer LoS and higher associated costs compared to those admitted to the Hull Trust. This analysis suggests that specialist rehabilitation may be cost saving compared to routine care and supports the case for expansion of the existing services to improve coverage in the area.

Suggested Citation

  • A. Duarte & C. Bojke & W. Cayton & A. Salawu & B. Case & L. Bojke & G. Richardson, 2018. "Impact of specialist rehabilitation services on hospital length of stay and associated costs," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(7), pages 1027-1034, September.
    • Handle: RePEc:spr:eujhec:v:19:y:2018:i:7:d:10.1007_s10198-017-0952-0
    DOI: 10.1007/s10198-017-0952-0
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    References listed on IDEAS

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    1. Unknown, 2016. "Department Publications 2014," Publications Lists 239845, University of Minnesota, Department of Applied Economics.
    2. Unknown, 2014. "Department Publications 2013," Publications Lists 206935, University of Minnesota, Department of Applied Economics.
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    More about this item

    Keywords

    Specialist rehabilitation; Trauma; Complex disability; Length of stay; Local decision making;
    All these keywords.

    JEL classification:

    • I - Health, Education, and Welfare
    • I0 - Health, Education, and Welfare - - General
    • I1 - Health, Education, and Welfare - - Health

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