Do subsidized nursing homes and home care teams reduce hospital bed-blocking? Evidence from Portugal.

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Author: Ana Moura
Date: July 2022
Publisher: Elsevier B.V.
Document Type: Report; Brief article
Length: 179 words

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Abstract :

Keywords Nursing home; Home care; Hospital bed-blocking; Delayed discharges Abstract Excessive length of hospital stay is among the leading sources of inefficiency in healthcare. When a patient is clinically fit to be discharged but requires support outside the hospital, which is not readily available, they remain hospitalized until a safe discharge is possible --a phenomenon called bed-blocking. I study whether the availability of subsidized nursing homes and home care teams reduces hospital bed-blocking. Using individual data on the universe of inpatient admissions at Portuguese hospitals during 2000--2015, I find that the entry of home care teams in a region reduces bed-blocking by 4 days per episode, on average. Nursing home entry only reduces bed-blocking among patients with high care needs or when the intensity of entry is high. Reductions in bed-blocking do not harm patients' health. The beds freed up by reducing bed-blocking are used to admit additional elective patients. Author Affiliation: OPEN Health, Rotterdam, The Netherlands * Corresponding author. Article History: Received 16 September 2021; Revised 22 May 2022; Accepted 24 May 2022 Byline: Ana Moura [AnaMoura@openhealthgroup.com] (*)

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Gale Document Number: GALE|A709525732