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dc.contributor.authorPellico López, María Amada 
dc.contributor.authorCantarero Prieto, David 
dc.contributor.authorFernández-Feito, Ana
dc.contributor.authorParás Bravo, Paula 
dc.contributor.authorCayón de las Cuevas, Joaquín 
dc.contributor.authorPaz Zulueta, María 
dc.contributor.otherUniversidad de Cantabriaes_ES
dc.date.accessioned2019-10-25T12:24:10Z
dc.date.available2019-10-25T12:24:10Z
dc.date.issued2019
dc.identifier.issn1661-7827
dc.identifier.issn1660-4601
dc.identifier.urihttp://hdl.handle.net/10902/17081
dc.description.abstractABSTRACT: Current studies on bed-blocking or delayed discharge for non-medical reasons report important variations depending on the country or setting under study. Research on this subject is clearly important as the current system reveals major inefficiencies. Although there is some agreement on the patient-related factors that contribute to the phenomenon, such as older age or a lack of functional ability, there is greater variability regarding environmental or organizational factors. This study sought to quantify the number of cases and days inappropriately spent in hospital and identify patient characteristics and healthcare service use associated with the total length of stay. All cases of delayed discharge were studied at the hospitalization units of a general university hospital in Northern Spain between 2007 and 2015. According to regression estimates, the following characteristics were related to a longer stay: higher complexity through (Diagnosis-Related Group) DRG weight, a diagnosis that implied a lack of functional ability, surgical treatment, having to wait for a destination upon final discharge or return home. After an initial increase, a reduction in delayed discharge was observed, which was maintained for the duration of the study period. Multi-component interventions related with discharge planning can favor a reduced inefficiency with fewer unnecessary stays.es_ES
dc.description.sponsorshipFunding: This research has been subsidised by the Valdecilla Health Research Institute (IDIVAL). Project awarded as the best project to be developed in Cantabria in the 18th call for research projects "Enfermería Valdecilla". The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscriptes_ES
dc.format.extent13 p.es_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.rights© 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution(CC BY) license.es_ES
dc.sourceInt. J. Environ. Res. Public Health 2019, 16, 3304es_ES
dc.subject.otherLength of stayes_ES
dc.subject.otherPatient dischargees_ES
dc.subject.otherDelayed dischargees_ES
dc.subject.otherBed-blockinges_ES
dc.subject.otherSocial determinants to healthes_ES
dc.titleFactors Associated with Bed-Blocking at a University Hospital (Cantabria, Spain) between 2007 and 2015: A Retrospective Observational Studyes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.rights.accessRightsopenAccesses_ES
dc.identifier.DOI10.3390/ijerph16183304
dc.type.versionpublishedVersiones_ES


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