Administratively Necessary Days: More than an Administrative Problem

Abstract
This study surveyed discharge planners at 49 acute care hospitals to ascertain problems they perceived in placing elderly patients. Selected hospital characteristics and placement practices and the ways in which they are associated with hospital back-up (sometimes called administratively necessary days) and delays in placement are analyzed. The results suggest that the considerable inter-hospital variation in ANDs among hospitals is a function of the ideologies and practices surrounding long-term care placement.

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