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Delayed discharges and hospital type (Record no. 75877)

MARC details
000 -LEADER
fixed length control field 01868cam a2200193 4500
001 - CONTROL NUMBER
control field NMDX6784
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2016 xxu||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Gaughan, James
245 ## - TITLE STATEMENT
Title Delayed discharges and hospital type
Remainder of title Evidence from the English NHS
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Place of publication, distribution, etc. York
Name of publisher, distributor, etc. Centre for Health Economics
Date of publication, distribution, etc. 2016
490 ## - SERIES STATEMENT
Series statement CHE Research Paper
500 ## - GENERAL NOTE
General note Monograph
520 ## - SUMMARY, ETC.
Summary, etc. Delayed 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 ## - ADDED ENTRY--PERSONAL NAME
Personal name Gravelle, Hugh
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Sicilliani, Luigi
710 ## - ADDED ENTRY--CORPORATE NAME
Corporate name or jurisdiction name as entry element Economics of Social and Health Care Research Unit
710 ## - ADDED ENTRY--CORPORATE NAME
Corporate name or jurisdiction name as entry element Centre for Health Economics, University of York
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP133_discharges_hospital_NHS.pdf">http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP133_discharges_hospital_NHS.pdf</a>
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