Abstract:
OBJECTIVE:To understand the dynamics underlying 'bed-blocking' in Australian public hospitals that is frequently blamed on older patients. METHODS:Analysis of primary and secondary data of utilisation patterns of hospital and aged care services by older Australians. RESULTS: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. CONCLUSION: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.
journal_name
Australas J Ageingjournal_title
Australasian journal on ageingauthors
Travers CM,McDonnell GD,Broe GA,Anderson P,Karmel R,Duckett SJ,Gray LCdoi
10.1111/j.1741-6612.2008.00310.xsubject
Has Abstractpub_date
2008-09-01 00:00:00pages
116-20issue
3eissn
1440-6381issn
1741-6612pii
AJA310journal_volume
27pub_type
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