ArticleHealth economics2015
Testing the bed-blocking hypothesis: does nursing and care home supply reduce delayed hospital discharges?
Article in Health economics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of social care supply on healthcare utilisation by older adults: a systematic review and meta-analysis.Age and ageing · 2019Pooled it
- Impact and experiences of delayed discharge: A mixed-studies systematic review.Health expectations : an international journal of public participation in health care and health policy · 2018Pooled it
- Health economic evaluation of a nurse-led care model from the nursing home perspective focusing on residents' hospitalisations.BMC geriatrics · 2022Trial
- Beyond the Hospital Residential Aged Care Home Referral: A Critical Realist Exploration of Residential Aged Care Admission Practices Directly From Hospital.Australasian journal on ageing · 2026Article
- Measuring financial risk protection in long-term care insurance among older adults: quasi-experimental evidence from China.BMC geriatrics · 2026Article
- Are long-term care systems aligned with person-centered integrated care? Evidence from the Western Pacific.Health policy (Amsterdam, Netherlands) · 2025Review
- Association Between In-Hospital Applications for Long-Term Care Services and Hospital Length of Stay Among Older Adults: Ecological Cross-Sectional Study.JMIR formative research · 2025Article
- Living alone and provider behaviour in public and private hospitals.Journal of health economics · 2025Article
- Impact of long-term care insurance on medical expenditure and utilization and the comparison between different pilot schemes: evidence from China.BMC public health · 2025Article
- Unpacking the care-related quality of life effect of England's publicly funded adult social care. A panel data analysis.Health economics · 2025Article
- Effects of long-term care insurance on health: a study of the middle-aged and older adult in pilot cities in China.Frontiers in public health · 2025Article
- Privileges, and Permissions: Theorising Intersectionality and Cultures of Control in the Care of People Living With Dementia in Acute Hospital Settings.Sociology of health & illness · 2025Article
- Effect of long-term care insurance on medical expenditure and health status: National cohort study.Archives of public health = Archives belges de sante publique · 2024Article
- Exploring the Ramifications of Delayed Hospital Discharges: Impacts on Patients, Physicians, and Healthcare Systems.Cureus · 2024Review
- The effect of long-term care insurance on healthcare utilization of middle-aged and older adults: evidence from China health and retirement longitudinal study.International journal for equity in health · 2023Article
- Long-term care insurance, mental health of the elderly and its spillovers.Frontiers in public health · 2023Article
- Does home and community-based services use reduce hospital utilization and hospital expenditure among disabled elders? Evidence from China.Frontiers in public health · 2023Article
- Value-Based Health Care: Long-Term Care Insurance for Out-of-Pocket Medical Expenses and Self-Rated Health.International journal of environmental research and public health · 2022Article
- 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
- The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Hospital bed-blocking occurs when hospital patients are ready to be discharged to a nursing home, but no place is available, so that hospital care acts as a more costly substitute for long-term care. We investigate the extent to which greater supply of nursing home beds or lower prices can reduce hospital bed-blocking using a new Local Authority (LA) level administrative data from England on hospital delayed discharges in 2009-2013. The results suggest that delayed discharges respond to the availability of care home beds, but the effect is modest: an increase in care home beds by 10% (250 additional beds per LA) would reduce social care delayed discharges by about 6-9%. We also find strong evidence of spillover effects across LAs: more care home beds or fewer patients aged over 65 years in nearby LAs are associated with fewer delayed discharges.
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