000			01868cam a2200193 4500
001			NMDX6784
008			120401t2016 xxu||||| |||| 00| 0 eng d
100			_aGaughan, James
245			_aDelayed discharges and hospital type _bEvidence from the English NHS
260			_aYork _bCentre for Health Economics _c2016
490			_aCHE Research Paper
500			_aMonograph
520			_aDelayed discharges of patients from hospital, commonly known as bed-blocking, is a long standingpolicy concern. Delays can increase the overall cost of treatment and may worsen patientoutcomes. We investigate how delayed discharges vary by hospital type (Acute, Specialist, MentalHealth, Teaching), and the extent to which such differences can be explained by demography, casemix,the availability of long-term care and hospital governance as reflected in whether the hospitalhas Foundation Trust status, which gives greater financial autonomy and flexibility in staffing andpay. We use a new panel database of delays in all English NHS hospital Trusts from 2011/12 to2013/14. Employing count data models, we find that a greater local supply of long-term care (carehome beds) is associated with fewer delays. Hospitals which are Foundation Trusts have fewerdelayed discharges and might therefore be used as exemplars of good practice in managing delays.Mental Health Trusts have more delayed discharges than Acute Trusts but a smaller proportion ofthem are attributed to the NHS, possibly indicating a relatively greater lack of adequate communitycare for mental health patients.
700			_aGravelle, Hugh
700			_aSicilliani, Luigi
710			_aEconomics of Social and Health Care Research Unit
710			_aCentre for Health Economics, University of York
856			_uhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP133_discharges_hospital_NHS.pdf
999			_c75877 _d75877