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Related Experiment Videos

Do geriatric programs decrease long-term use of acute care beds?

C D Brymer1, C A Kohm, G Naglie

  • 1Department of Medicine, University of Western Ontario, Canada.

Journal of the American Geriatrics Society
|August 1, 1995
PubMed
Summary

Coordinated geriatric and discharge planning services reduced long-term care bed occupancy by 51% in Toronto hospitals. Hospitals without these services saw a 25% increase, highlighting the impact of integrated care planning.

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Area of Science:

  • Geriatric Medicine
  • Health Services Research
  • Hospital Administration

Background:

  • Hospital bed occupancy by patients awaiting long-term care placement is a significant issue.
  • Effective discharge planning is crucial for patient flow and resource management.

Purpose of the Study:

  • To evaluate the impact of coordinated geriatric and discharge planning services on hospital bed occupancy for patients awaiting long-term care.

Main Methods:

  • Retrospective review of social work records from 1985-1992.
  • Analysis of bed occupancy data in six matched acute care hospitals in Toronto.
  • Comparison between hospitals with and without integrated geriatric services.

Main Results:

  • Hospitals with coordinated geriatric and discharge planning services experienced an average 51% reduction in beds occupied by patients awaiting long-term care.

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  • Hospitals without these services saw an average 25% increase in such bed occupancy.
  • The difference was statistically significant (P = .05).

    • Conclusions:

    • The implementation of coordinated geriatric and discharge planning services effectively decreased long-term care bed occupancy.
    • Integrated care models demonstrate a positive impact on hospital resource utilization and patient flow.