ArticleInternational journal of integrated care2011
Buffer management to solve bed-blocking in the Netherlands 2000-2010. Cooperation from an integrated care chain perspective as a key success factor for managing patient flows.
Article in International journal of integrated care, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Shaping older adults' care policy: a scoping review of key determinants in post-acute and community reintegration transitions.BMC health services research · 2025Article
- 'Investing' in care for old age? An examination of long-term care expenditure dynamics and its spillovers.Empirical economics · 2023Article
- Delay in hospital discharge of trauma patients in a University Hospital in Egypt: A prospective observational study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Using fees to reduce bed-blocking: a game between hospitals and long-term care providers.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
- Initiatives for improving delayed discharge from a hospital setting: a scoping review.BMJ open · 2021Article
- A Discrete Event Simulation Model of Patient Flow in a General Hospital Incorporating Infection Control Policy for Methicillin-Resistant Staphylococcus Aureus (MRSA) and Vancomycin-Resistant Enterococcus (VRE).Medical decision making : an international journal of the Society for Medical Decision Making · 2018Article
- Effectiveness of an intermediate care hospital on readmissions, mortality, activities of daily living and use of health care services among hospitalized adults aged 60 years and older--a controlled observational study.BMC health services research · 2015Observational
- Testing the bed-blocking hypothesis: does nursing and care home supply reduce delayed hospital discharges?Health economics · 2015Article
- Hospital discharge of elderly patients to primary health care, with and without an intermediate care hospital - a qualitative study of health professionals' experiences.International journal of integrated care · 2014Article
- Sociodemographic, clinical and organisational factors associated with delayed hospital discharges: a cross-sectional study.BMC health services research · 2014Article
- Between two beds: inappropriately delayed discharges from hospitals.International journal of health care finance and economics · 2013Article
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2 authors.
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Abstract
introductionBed-blocking problems in hospitals reflect how difficult and complex it is to move patients smoothly through the chain of care. In the Netherlands, during the first decade of the 21st century, some hospitals attempted to tackle this problem by using an Intermediate Care Department (ICD) as a buffer for bed-blockers. However, research has shown that ICDs do not sufficiently solve the bed-blocking problem and that bed-blocking is often caused by a lack of buffer management. TOOL: Buffer management (BM) is a tool that endeavors to balance patient flow in the hospital to nursing home chain of care.
resultsAdditional research has indicated that the absence of BM is not the result of providers' thinking that BM is unnecessary, unethical or impossible because of unpredictable patient flows. Instead, BM is hampered by a lack of cooperation between care providers.
conclusionAlthough stakeholders recognize that cooperation is imperative, they often fail to take the actions necessary to realize cooperation. Our assumption is that this lack of willingness and ability to cooperate is the result of several impeding conditions as well as stakeholders' perceptions of these conditions and the persistence of their current routines, principles and beliefs (RPBs). DISCUSSION: We recommend simultaneously working on improving the conditions and changing stakeholders' perceptions and RPBs.
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