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

Author

Listed:
  • James Gaughan

    (Centre for Health Economics, University of York, UK)

  • Hugh Gravelle

    (Centre for Health Economics, University of York, UK)

  • Luigi Siciliani

    (Department of Economics and Related Studies and Centre for Health Economics, University of York, UK)

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 higher supply of nursing home beds or lower prices can reduce hospital bed blocking. We use new Local Authority level administrative data from England on hospital delayed discharges in 2010-13. The results suggest that delayed discharges do respond to the availability of care-home beds but the effect is modest: an increase in care-homes bed by 10% (250 additional beds per Local Authority) would reduce delayed discharges by about 4%-7%. We also find strong evidence of spillover effects across Local Authorities are associated with fewer delayed discharges.

Suggested Citation

  • James Gaughan & Hugh Gravelle & Luigi Siciliani, 2014. "Testing the bed-blocking hypothesis: does higher supply of nursing and care homes reduce delayed hospital discharges?," Working Papers 102cherp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:102cherp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP102_bed-blocking_supply_nursing_care-homes_delayed_discharge_hospital.pdf
    File Function: First version, 2014
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    References listed on IDEAS

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    Citations

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    Cited by:

    1. Joan Costa‐Font & Edward C. Norton & Luigi Siciliani & James Gaughan & Hugh Gravelle & Luigi Siciliani, 2017. "Delayed Discharges and Hospital Type: Evidence from the English NHS," Fiscal Studies, Institute for Fiscal Studies, vol. 38, pages 495-519, September.
    2. repec:kap:ijhcfe:v:17:y:2017:i:3:d:10.1007_s10754-017-9214-z is not listed on IDEAS
    3. Rowena Crawford & George Stoye & Ben Zaranko, 2018. "The impact of cuts to social care spending on the use of Accident and Emergency departments in England," IFS Working Papers W18/15, Institute for Fiscal Studies.

    More about this item

    Keywords

    delayed discharges; long-term care; nursing and care homes; bed blocking; substitution;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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