Analysis of social problems for discharge in acute care hospitalization
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View abstract on PubMed
Summary
This summary is machine-generated.Hospital stays prolonged by social problems are increasing, impacting bed availability. This trend, driven by social circumstances and patient complexity, requires attention in an aging society.
Area Of Science
- Gerontology
- Health Services Research
- Social Work in Healthcare
Background
- Aging populations and weakened family support networks exacerbate discharge challenges.
- Patients requiring hospitalization due to lack of social support for discharge are a growing concern.
Purpose Of The Study
- To analyze trends in hospitalizations delayed by social problems before and after the COVID-19 pandemic.
- To quantify the impact of social problems on discharge delays and bed occupancy.
Main Methods
- Retrospective analysis of inpatients referred to Social Work with identified social problems hindering discharge (SPD).
- Data reviewed from 2006 onwards, including two 24-month periods pre- and post-COVID-19 in a southern Spanish acute care hospital.
Main Results
- 2288 discharges with SPD were analyzed, showing a consistent annual increase in occupied beds (0.62 beds/day).
- Discharges delayed by SPD significantly increased post-pandemic (1.3% in 2022/2024, averaging 11 beds daily).
- Internal Medicine specialists had the highest proportion of patients with SPD (4%).
Conclusions
- Prolonged hospital stays due to social problems represent a significant and increasing burden on healthcare systems.
- The multifactorial causes are linked to patients' social circumstances and clinical complexity.
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