Socio-economics on care for the elderly patients with hip fracture

摘要

We conducted research on elderly patients with hip fracture. It started with investigating relationship between the length of stay (LOS) and walking ability as the chosen indicator for outcome. We then used extended LOS that included days at transferred hospitals, and also conducted cost performance analysis. Thirdly, procedure and schedule were compared among UK, US, and Japan. We found positive relationship between LOS and walking ability. LOS required to gain final walking ability was shorter when a single hospital completed procedure. Japan had more than 3 times longer LOS than the other two countries, due to more variety of procedure and longer interval between steps. New guideline on treatment process is awaited, and outcome-based measurement should be included in calculating reimbursement.