Estimating bed requirements for an intermediate care facility |
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| Affiliation: | 1. Clinical Operational Research Unit, University College London, Gower Street, London WC1E 6BT, UK;2. Whittington Hospital NHS Trust, Highgate Hill, London N19 5NF, UK;1. Mental Health and Nursing Research Team, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan;2. Mental Health Promotion Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan;1. Human Development Department, Japan International Cooperation Agency, Tokyo 102-8012, Japan;2. Department of Global Health, Milken Institute School of Public Health, The George Washington University, Washington, DC, USA;1. Graduate Institute of Applied Science and Engineering and Department of Physics, Fu Jen Catholic University, Taipei 24205, Taiwan;2. Department of Mechanical Engineering, Ming Chi University of Technology, New Taipei City 24301, Taiwan;3. Department of Mechanical Engineering, Hwa Hsia University of Technology, New Taipei City 23567, Taiwan;4. Department of Physics, University of San Carlos, Cebu City 6000, Philippines;5. National Synchrotron Radiation Research Center, Hsinchu 30076, Taiwan;6. Department of Physics, Montana State University, Bozeman, MT 59717, USA;1. Department of Physics and Astronomy, Purdue University, West Lafayette, Indiana;2. Biology and Soft Matter Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee;1. Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA;2. Department of Otolaryngology, University of Michigan, Ann Arbor, Michigan, USA;3. Department of Neurosurgery, New York University, New York, New York, USA;1. Department of Emergency Medicine, Mayo Clinic College of Medicine, Rochester, MN;2. Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine, Rochester, MN;3. Department of Internal Medicine, Hennepin County Medical Center, Minneapolis, MN |
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| Abstract: | Concern has been expressed in the United Kingdom regarding the proportion of beds intended for acute care that are occupied by patients who do not require acute care. One solution to this problem that is being investigated by some hospitals is the establishment of an intermediate care facility devoted to non-acute care. A key question faced by hospital planners is how many beds such an intermediate care facility should have. We report on a study consisting of a bed use survey and a stochastic analysis exercise that was conducted at the Whittington Hospital NHS Trust in London in order to address this question. Rather than focus on the whether patients in acute beds required acute care throughout their stay in hospital, the study concentrated on identifying periods in patients’ stays when they would have been transferred to an intermediate care facility if one had been available. |
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