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首页> 外文期刊>Journal of health economics >Long-term care spending and hospital use among the older population in England
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Long-term care spending and hospital use among the older population in England

机译：长期护理支出和医院在英格兰老人群中使用

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This paper examines the impact of changes in public long-term care spending on the use of public hospitals among the older population in England. Mean per-person long-term care spending fell by 31% between 2009/10 and 2017/18, but cuts varied considerably geographically. We instrument public long-term care spending with predicted spending based on historical national funding shares and national spending trends. We find that reductions in public long-term care spending led to substantial increases in the number of emergency department (ED) visits made by patients aged 65 and above, explaining between a quarter and a half of the growth in ED use among this population over this period, and to an increase in the share of patients revisiting the ED within seven days. However, there was no impact on wider use of inpatient or outpatient services (which are more expensive to provide), and consequently little impact on overall hospital costs.
机译：本文探讨了在英格兰老人口中公共医院使用公共医院的公共医院变化的影响。 平均每人长期护理支出在2009/10和2017/18之间下降了31％，但削减了很大的地理位置。 根据历史国家资金股份和国家支出趋势，我们将公开的长期护理与预测的支出有关。 我们发现，公共长期护理支出的减少导致了65岁及以上患者的急诊部门（ED）访问量的大量增加，在这一人民中的季度和半季度的增长之间解释 这一时期，并在七天内重新审视ED的患者的份额增加。 然而，更广泛地使用住院或门诊服务（提供更昂贵的服务）没有影响，从而对整体医院成本影响很小。

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