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

Research output: Working paper

Author(s)

Department/unit(s)

Publication details

DatePublished - Aug 2014
PublisherCentre for Health Economics, University of York
Place of PublicationYork, UK
Number of pages32
Original languageEnglish

Publication series

NameCHE Research Paper
PublisherCentre for Health Economics, University of York
No.102

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: higher availability of care homes
or fewer patients aged over 65 in nearby Local Authorities are associated with fewer delayed discharges.

    Research areas

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

Discover related content

Find related publications, people, projects, datasets and more using interactive charts.

View graph of relations