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

Health Economics
James GaughanLuigi Siciliani

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.

Citations

Jul 15, 2015·Journal of Nursing Care Quality·Diane E HollandLisa C Carter
Apr 28, 2016·Journal of the Royal Society of Medicine·Richard Thompson, Margaret Turner-Warwick
Mar 2, 2017·International Journal of Health Economics and Management·James GaughanLuigi Siciliani
Nov 23, 2017·Australian and New Zealand Journal of Public Health·Catherine ChojentaBalakrishnan Kichu Nair
Oct 3, 2018·The International Journal of Health Planning and Management·Conor KeeganMaev-Ann Wren
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Apr 26, 2021·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Snorre Kverndokk, Hans Olav Melberg
Jun 22, 2021·Journal of Health Economics·Rowena CrawfordBen Zaranko
Aug 3, 2021·Frontiers in Public Health·Peng ZhaoLi Zhao

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