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Testing the bed-blocking hypothesis: does nursing and care home supply reduce delayed hospital discharges?


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.

SUBMITTER: Gaughan J 

PROVIDER: S-EPMC4406135 | biostudies-literature | 2015 Mar

REPOSITORIES: biostudies-literature

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Testing the bed-blocking hypothesis: does nursing and care home supply reduce delayed hospital discharges?

Gaughan James J   Gravelle Hugh H   Siciliani Luigi L  

Health economics 20150301


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 avai  ...[more]

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