The acute-aged care interface: exploring the dynamics of 'bed blocking'

Australasian Journal on Ageing
Catherine M TraversLen C Gray

Abstract

To understand the dynamics underlying 'bed-blocking' in Australian public hospitals that is frequently blamed on older patients. Analysis of primary and secondary data of utilisation patterns of hospital and aged care services by older Australians. A model of the dynamics at the acute-aged care interface was developed, in which the pathway into permanent high-care Residential Aged Care (RAC) is conceptualised as competing queues for available places by applicants from the hospital, the community and from within RAC facilities. The hospital effectively becomes a safety net to accommodate people with high-care needs who cannot be admitted into RAC in a timely manner. The model provides a useful tool to explore some of the issues that give rise to access-block within the public hospital system. Access-block cannot be understood by viewing the hospital system in isolation from other sectors that support the health and well-being of older Australians.

References

Nov 1, 2006·Australian Health Review : a Publication of the Australian Hospital Association·Leonard C GrayGeoff McDonnell
Jul 18, 2008·BMC Health Services Research·Rosemary Karmel, Diana Rosman

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Citations

Jun 26, 2012·BMC Health Services Research·Andrew P CostaJohn P Hirdes
Mar 16, 2012·Australasian Journal on Ageing·Yvonne Wells
Mar 15, 2011·Australasian Journal on Ageing·UNKNOWN Australian and New Zealand Society for Geriatric Medicine
Dec 3, 2009·Australasian Journal on Ageing·Rosemary KarmelPhil Anderson
Nov 21, 2012·Australasian Journal on Ageing·Maria GriffithsPaul Goldstraw
Oct 4, 2016·International Psychogeriatrics·Champa RanasingheRuth E Hubbard
Mar 26, 2011·Journal of Neural Engineering·Dean J KrusienskiCharles W Anderson

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