ArticleInternational journal of health care finance and economics2013
Between two beds: inappropriately delayed discharges from hospitals.
Article in International journal of health care finance and economics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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Who cites it
9 citing papers in PubMed.
- The False Economy of Seeking to Eliminate Delayed Transfers of Care: Some Lessons from Queueing Theory.Applied health economics and health policy · 2023Article
- Social care causes of delayed transfer of care (DTOC) from hospital for older people: Unpicking the nuances of 'provider capacity' and 'patient choice'.Health & social care in the community · 2022Article
- Cost of stay and characteristics of patients with stroke and delayed discharge for non-clinical reasons.Scientific reports · 2022Article
- Defining Delayed Discharges of Inpatients and Their Impact in Acute Hospital Care: A Scoping Review.International journal of health policy and management · 2022Article
- Article
- Delayed Discharge for Non-Clinical Reasons in Hip Procedures: Differential Characteristics and Opportunity Cost.International journal of environmental research and public health · 2021Article
- Factors Associated with Bed-Blocking at a University Hospital (Cantabria, Spain) between 2007 and 2015: A Retrospective Observational Study.International journal of environmental research and public health · 2019Observational
- Risks predicting prolonged hospital discharge boarding in a regional acute care hospital.BMC health services research · 2018Article
- Long-term care provision, hospital bed blocking, and discharge destination for hip fracture and stroke patients.International journal of health economics and management · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Acknowledging the necessity of a division of labour between hospitals and social care services regarding treatment and care of patients with chronic and complex conditions, is to acknowledge the potential conflict of interests between health care providers. A potentially important conflict is that hospitals prefer comparatively short length of stay (LOS) at hospital, while social care services prefer longer LOS all else equal. Furthermore, inappropriately delayed discharges from hospital, i.e. bed blocking, is costly for society. Our aim is to discuss which factors that may influence bed blocking and to quantify bed blocking costs using individual Norwegian patient data, merged with social care and hospital data. The data allow us to divide hospital LOS into length of appropriate stay (LAS) and length of delay (LOD), the bed blocking period. We find that additional resources allocated to social care services contribute to shorten LOD indicating that social care services may exploit hospital resources as a buffer for insufficient capacity. LAS increases as medical complexity increases indicating hospitals incentives to reduce LOS are softened by considerations related to patients’ medical needs. Bed blocking costs constitute a relatively large share of the total costs of inpatient care.
Indexed as
Identifiers
24122364What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.