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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Policies for reducing delayed discharge from hospital
1Division of Health and Social Care, Faculty of Health and Medical Sciences, University of Surrey, Duke of Kent Building, Stag Hill, Guildford, Surrey GU2 7TE, UK. k.bryan@surrey.ac.uk
British Medical Bulletin
|July 22, 2010
Summary
Delayed hospital discharge negatively impacts older adults. Policy changes and intermediate care services show promise in reducing delays and improving patient outcomes, though premature discharge remains a concern.
Area of Science:
- Geriatric Medicine
- Health Services Research
- Public Health Policy
Background:
- Delayed hospital discharge is a persistent issue, particularly affecting older adults with complex health needs.
- These delays have significant negative consequences for patient health and overall wellbeing.
Purpose of the Study:
- To review the literature on the impact of the Community Care (Delayed Discharge) Act (2003) and related policies on hospital discharge delays.
- To identify factors contributing to and mitigating delayed discharges in older populations.
Main Methods:
- Literature review examining policy impacts and service provision.
- Analysis of cross-institutional factors and the role of intermediate care services.
Main Results:
- Policy measures and investment in intermediate care services have positively influenced delayed discharge rates.
- However, pressure for rapid hospital throughput may lead to premature discharges and increased readmissions.
Conclusions:
- Joint working between health and social services is crucial for preventing delayed discharges.
- Further research is needed on patient/carer experiences and the quality/equity of intermediate care access for older adults.
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