PMID: 16502753Mar 1, 2006Paper

Delayed discharge from rehabilitation after brain injury

Clinical Rehabilitation
Andrew D Worthington, J Barrie Oldham

Abstract

To investigate the extent of, and factors contributing to, delayed discharges for younger adults in rehabilitation. Survey of patients discharged and awaiting discharge in a six-month period in five centres across England operated by a leading independent sector provider. Discharge was classified as delayed if a person had been waiting more than 30 days for transfer. One in three beds was occupied by a delayed discharge (median delay > seven months). Common reasons were absence of a suitable placement (41%) and failure to obtain funding for postdischarge support (31%). Delays were also associated with poor indoor mobility and additional physical/mental health problems. We estimated earlier discharge would have resulted in overall cost savings of almost ł490 000. Delayed discharge remains a significant obstacle to the development of cost-effective care pathways for younger adults. Our study suggests that health and social services are not exploiting the UK government's legislation for flexible partnership working in this area.

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Citations

Mar 3, 2009·BMC Health Services Research·Christina L HammondApostolos Fakis
May 2, 2013·Healthcare Policy = Politiques De Santé·Chen AmyAngela Colantonio
Sep 23, 2014·The Psychiatric Bulletin·Rob PooleTony Ryan
Dec 20, 2008·Brain Injury : [BI]·Jennifer BeechamMartin Knapp
Oct 26, 2006·Brain Injury : [BI]·Andrew D WorthingtonMichael Oddy
Mar 31, 2012·Neurorehabilitation and Neural Repair·Claire JourdanUNKNOWN Members of the Steering Committee of the PariS-TBI Study
Jun 13, 2019·Revista gaúcha de enfermagem·Diana Andreia Santos ModasZaida Borges Charepe
Dec 4, 2020·International Quarterly of Community Health Education·Ricardo da Silva TarguetaAlvaro Avezum

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