Skip to main content
Top

01-04-2010 | Original Paper

Inpatient length of stay: a finite mixture modeling analysis

Authors: Chungkham Holendro Singh, Laishram Ladusingh

Published in: The European Journal of Health Economics | Issue 2/2010

Login to get access

Abstract

Length of stay (LOS) in hospital for inpatient treatment is a measure of crucial recovery time. Using nationwide data on inpatient healthcare in India, a three-component finite mixture negative binomial model was found to provide a reasonable fit to the heterogeneous LOS distribution. Associated risk factors for short-stay, medium-stay and long-stay subgroups were identified from the respective negative binomial components. In addition, significant heterogeneities within each group were also found.
Literature
1.
go back to reference Shorten, A.: Obstetric early discharge versus traditional hospital stay. Aust. Health Rev. 18, 19–39 (1995) Shorten, A.: Obstetric early discharge versus traditional hospital stay. Aust. Health Rev. 18, 19–39 (1995)
6.
go back to reference Brooten, D., Roncoli, M., Finkler, S., Arnold, L., Cohen, A., Mennuti, M.: A randomized trial of early hospital discharge and home follow-up of women having cesarean birth. Obstet. Gynecol. 84, 832–838 (1994) Brooten, D., Roncoli, M., Finkler, S., Arnold, L., Cohen, A., Mennuti, M.: A randomized trial of early hospital discharge and home follow-up of women having cesarean birth. Obstet. Gynecol. 84, 832–838 (1994)
8.
go back to reference Xiao, J., Lee, A.H., Vemuri, S.R., Beaver, C.: An assessment of the effects of case-mix funding on hospital utilization: a Northern territory perspective. Aust. Health Rev. 23, 122–136 (2000)CrossRef Xiao, J., Lee, A.H., Vemuri, S.R., Beaver, C.: An assessment of the effects of case-mix funding on hospital utilization: a Northern territory perspective. Aust. Health Rev. 23, 122–136 (2000)CrossRef
9.
go back to reference Cabre, M., Bolivar, I., Pera, G., Pallares, I., Pneumonia Study Collaborative Group: Factors influencing length of hospital stay in community-acquired pneumonia: a study in 27 community hospitals. Epidemiol. Infect. 132, 821–829 (2004). doi:10.1017/S0950268804002651 CrossRef Cabre, M., Bolivar, I., Pera, G., Pallares, I., Pneumonia Study Collaborative Group: Factors influencing length of hospital stay in community-acquired pneumonia: a study in 27 community hospitals. Epidemiol. Infect. 132, 821–829 (2004). doi:10.​1017/​S095026880400265​1 CrossRef
10.
go back to reference Fine, M.J., Phelps, A., Arena, V.C.: Variation in length of hospital stay in patients with pneumonia. Clin. Res. 38, 711A (1990) Fine, M.J., Phelps, A., Arena, V.C.: Variation in length of hospital stay in patients with pneumonia. Clin. Res. 38, 711A (1990)
11.
go back to reference Cleary, P.D., Greenfield, S., Mullay, A.G.: Variations in length of stay and outcomes for six medical and surgical conditions in Massachusetts and California. JAMA 266, 73–85 (1991). doi:10.1001/jama.266.1.73 CrossRef Cleary, P.D., Greenfield, S., Mullay, A.G.: Variations in length of stay and outcomes for six medical and surgical conditions in Massachusetts and California. JAMA 266, 73–85 (1991). doi:10.​1001/​jama.​266.​1.​73 CrossRef
12.
go back to reference Millard, P.H.: Geriatric medicine: a new method of measuring bed usage a theory for planning. MD Thesis, University of London (1988) Millard, P.H.: Geriatric medicine: a new method of measuring bed usage a theory for planning. MD Thesis, University of London (1988)
13.
go back to reference McClean, S., Millard, P.H.: Patterns of length of stay after admission in geriatric medicine: an event history approach. Statistician 42, 263–274 (1993). doi:10.2307/2348804 CrossRef McClean, S., Millard, P.H.: Patterns of length of stay after admission in geriatric medicine: an event history approach. Statistician 42, 263–274 (1993). doi:10.​2307/​2348804 CrossRef
15.
23.
go back to reference Leung, K.M., Elashoff, R.M., Rees, K.S., Hassan, M.M., Legorreta, A.P.: Hospital-and patient-related characteristics determining maternity length of stay: a hierarchical linear model approach. Am. J. Public Health 88, 377–381 (1998)CrossRef Leung, K.M., Elashoff, R.M., Rees, K.S., Hassan, M.M., Legorreta, A.P.: Hospital-and patient-related characteristics determining maternity length of stay: a hierarchical linear model approach. Am. J. Public Health 88, 377–381 (1998)CrossRef
26.
go back to reference Cameron, A.C., Trivedi, P.K.: Regression analysis of count data. Economic Society Monograph, vol. 30, Cambridge University Press, New York (1998) Cameron, A.C., Trivedi, P.K.: Regression analysis of count data. Economic Society Monograph, vol. 30, Cambridge University Press, New York (1998)
28.
go back to reference Wang, P., Puterman, M.L., Cockburn, I., Le, N.: Mixed poisson regression models with covariate dependent rates. Biometrics 52, 381–400 (1996). doi:10.2307/2532881 CrossRef Wang, P., Puterman, M.L., Cockburn, I., Le, N.: Mixed poisson regression models with covariate dependent rates. Biometrics 52, 381–400 (1996). doi:10.​2307/​2532881 CrossRef
Metadata
Title
Inpatient length of stay: a finite mixture modeling analysis
Authors
Chungkham Holendro Singh
Laishram Ladusingh
Publication date
01-04-2010
Publisher
Springer-Verlag
Published in
The European Journal of Health Economics / Issue 2/2010
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-009-0153-6