Health policy (Amsterdam, Netherlands) · 2026
Policies and initiatives to facilitate timely discharge from hospitals: a comparison of six European countries.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод пока не подготовлен
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Eriksen Astrid, Rechel Bernd, Dodsworth Emma, Reed Sarah, Adamsson Elisabeth, Anell Anders, Berger Elke, de Jong Judith, Zaleski Isabelle Durand, Frich Jan, Hörnqvist Linda, Jervelund Signe Smith, Kroneman Madelon, Lindström Johan, Lundgren Carl, Siciliani Luigi, Saunes Ingrid Sperre, Sundelius Jan, Svensson Fredrik, van Ginneken Ewout, Vrangbæk Karsten, Curry Natasha
Аннотация
BACKGROUND: Timely discharge of patients who are clinically ready to be discharged from hospitals to the next point of care is a common health system challenge. Ensuring safe and effective discharge holds new urgency, given the backlogs and increased waiting times for inpatient services in many countries after the COVID-19 pandemic.
OBJECTIVE: The study aimed to identify policy options for addressing delayed discharges in six European countries (Denmark, France, Germany, the Netherlands, Norway, and Sweden), and to summarise available evidence on their effectiveness.
METHODS: Experts from the Health Systems and Policy Monitor (HSPM) network of the European Observatory on Health Systems and Policies and additional country experts identified relevant policies and initiatives up to November 2023. When evaluations were available, the experts also provided information on their findings. The data collection was followed by a qualitative, cross-country comparative analysis.
RESULTS: A total of 17 policies or initiatives were identified in the study countries. Hospital-based initiatives included discharge planning and transitional care. Community and home care initiatives included municipal emergency beds, intensive home rehabilitation, and assisted discharge. Cross-sectoral initiatives ranged from coordination efforts at the regional and municipal levels to decision support systems and financial incentives.
CONCLUSION: Several common factors or principles underpin many of the identified policies and initiatives. These include clarity of responsibility, effective planning and communication, resourcing of community-based capacity, possible unintended consequences of financial penalties, and the need to adopt a systemic approach.
OBJECTIVE: The study aimed to identify policy options for addressing delayed discharges in six European countries (Denmark, France, Germany, the Netherlands, Norway, and Sweden), and to summarise available evidence on their effectiveness.
METHODS: Experts from the Health Systems and Policy Monitor (HSPM) network of the European Observatory on Health Systems and Policies and additional country experts identified relevant policies and initiatives up to November 2023. When evaluations were available, the experts also provided information on their findings. The data collection was followed by a qualitative, cross-country comparative analysis.
RESULTS: A total of 17 policies or initiatives were identified in the study countries. Hospital-based initiatives included discharge planning and transitional care. Community and home care initiatives included municipal emergency beds, intensive home rehabilitation, and assisted discharge. Cross-sectoral initiatives ranged from coordination efforts at the regional and municipal levels to decision support systems and financial incentives.
CONCLUSION: Several common factors or principles underpin many of the identified policies and initiatives. These include clarity of responsibility, effective planning and communication, resourcing of community-based capacity, possible unintended consequences of financial penalties, and the need to adopt a systemic approach.