---
title: "Impact of Delayed Access to Inpatient Rehabilitation on Acute Hospital Bed Use in Australia"
id: "pubmed-42618756"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42618756"
content_type: "clinical_feed_article"
specialty: "Pharmacology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42618756/"
doi: "10.1071/AH26106"
published_at: "2026-09-03T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Impact of Delayed Access to Inpatient Rehabilitation on Acute Hospital Bed Use in Australia
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42618756
- **Specialty:** [Pharmacology](https://medichelpline.com/clinical-feed/pharmacology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42618756/)
- **DOI:** [10.1071/AH26106](https://doi.org/10.1071%2FAH26106)
- **Published At:** 2026-09-03T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- This observational secondary analysis quantified delays from rehabilitation readiness to transfer among adult patients accepted for **inpatient rehabilitation** in two metropolitan tertiary hospitals in Sydney over a 4-month period. - The cohort included 373 patients; total acute length of stay (LOS) for the group was 7,953 days. - Patients waiting for transfer accumulated 1,499 acute bed-days, meaning **18.8% of all acute bed-days** for this cohort were spent waiting for rehabilitation transfer. - Median wait time from being deemed rehabilitation-ready to transfer was **2 days** (IQR 1–6). - Transfer timing distribution: 40% moved within 1 day, 42% waited ≥4 days, and 15.7% experienced delays exceeding 1 week. - Authors conclude that **rehabilitation-related delays** make a substantial contribution to acute bed occupancy and hospital exit-block. - Recommended system strategies reported in the source include earlier identification of rehabilitation needs, delivery of in-reach rehabilitation within acute care, and expansion of subacute capacity to reduce delays and improve throughput. - The study used prospectively collected data but was a secondary analysis; further methodological limitations or subgroup analyses were not reported in the abstract.
## Clinical Analysis & Structured Key Points
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Affiliations Expand ### Affiliations * 1 St Vincent's Hospital Sydney, Darlinghurst, NSW 2010, Australia. * 2 St Vincent's Clinical School, University of New South Wales, Sydney, NSW 2010, Australia. * 3 School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW 2010, Australia. * 4 Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia. * 5 Prince of Wales Hospital, Sydney, NSW 2031, Australia. * 6 NSW Agency for Clinical Innovation, Sydney, NSW 2065, Australia. * PMID: **42618756** * DOI: [ 10.1071/AH26106 ](https://doi.org/10.1071/ah26106) Item in Clipboard Observational Study # Patient flow implications of delayed access to inpatient rehabilitation in Australian acute hospitals Jane Wu et al. Aust Health Rev. 2026. Show details Display options Display options Format Abstract PubMed PMID Aust Health Rev Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Aust+Health+Rev%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Aust+Health+Rev%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42618756/) . 2026 Sep 3;50(3):AH26106. doi: 10.1071/AH26106. ### Authors [Jane Wu](https://pubmed.ncbi.nlm.nih.gov/?term=Wu+J&cauthor_id=42618756)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42618756/#short-view-affiliation-1 "St Vincent's Hospital Sydney, Darlinghurst, NSW 2010, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42618756/#short-view-affiliation-2 "St Vincent's Clinical School, University of New South Wales, Sydney, NSW 2010, Australia."), [Yuriko Watanabe](https://pubmed.ncbi.nlm.nih.gov/?term=Watanabe+Y&cauthor_id=42618756)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42618756/#short-view-affiliation-1 "St Vincent's Hospital Sydney, Darlinghurst, NSW 2010, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42618756/#short-view-affiliation-2 "St Vincent's Clinical School, University of New South Wales, Sydney, NSW 2010, Australia."), [Christine T Shiner](https://pubmed.ncbi.nlm.nih.gov/?term=Shiner+CT&cauthor_id=42618756)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42618756/#short-view-affiliation-1 "St Vincent's Hospital Sydney, Darlinghurst, NSW 2010, Australia.")[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42618756/#short-view-affiliation-3 "School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW 2010, Australia."), [Abraham Arulanandam](https://pubmed.ncbi.nlm.nih.gov/?term=Arulanandam+A&cauthor_id=42618756)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42618756/#short-view-affiliation-4 "Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia."), [Swee-Ling Toh](https://pubmed.ncbi.nlm.nih.gov/?term=Toh+SL&cauthor_id=42618756)[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42618756/#short-view-affiliation-5 "Prince of Wales Hospital, Sydney, NSW 2031, Australia."), [Louise Sellars](https://pubmed.ncbi.nlm.nih.gov/?term=Sellars+L&cauthor_id=42618756)[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42618756/#short-view-affiliation-6 "NSW Agency for Clinical Innovation, Sydney, NSW 2065, Australia.") ### Affiliations * 1 St Vincent's Hospital Sydney, Darlinghurst, NSW 2010, Australia. * 2 St Vincent's Clinical School, University of New South Wales, Sydney, NSW 2010, Australia. * 3 School of Clinical Medicine, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW 2010, Australia. * 4 Royal Prince Alfred Hospital, Sydney, NSW 2050, Australia. * 5 Prince of Wales Hospital, Sydney, NSW 2031, Australia. * 6 NSW Agency for Clinical Innovation, Sydney, NSW 2065, Australia. * PMID: **42618756** * DOI: [ 10.1071/AH26106 ](https://doi.org/10.1071/ah26106) Item in Clipboard Full text links Cite Display options Display options Format Abstract PubMed PMID ## Abstract **Objective:** Delays in transferring patients from acute care to inpatient rehabilitation contribute to hospital exit-block; however, the magnitude of rehabilitation-related delays is poorly quantified in contemporary health systems. This study aimed to quantify the time spent waiting for inpatient rehabilitation in Australian acute hospitals. **Methods:** Secondary analysis of a prospective observational cohort study of consecutive adult patients accepted for inpatient rehabilitation across two metropolitan tertiary hospitals in Sydney, Australia, over a 4-month period was performed. The main outcome measures were the time from rehabilitation readiness to transfer, and the proportion of acute bed-days spent waiting for rehabilitation. **Results:** Among the 373 patients accepted for inpatient rehabilitation, a total of 1499 acute bed-days were spent waiting for transfer. The overall acute length of stay for the cohort was 7953 days, indicating that 18.8% of all acute bed-days were occupied by patients waiting for rehabilitation transfer. The median wait time was 2 days (IQR 1-6). Although 40% of patients were transferred within 1 day of being deemed ready for rehabilitation, 42% waited ≥4 days, and 15.7% experienced delays exceeding 1 week. **Conclusions:** Delayed access to inpatient rehabilitation makes a substantial contribution to acute bed occupancy. Nearly one-fifth of acute bed-days among patients requiring inpatient rehabilitation were spent waiting for transfer. Strategies such as earlier identification of rehabilitation needs, in-reach rehabilitation in acute care, and expansion of subacute capacity may help reduce delays and improve hospital throughput. **Keywords:** access block; access to care; bed block; bed flow; exit-block; patient flow; rehabilitation; service delivery. © (2026) The Author(s) (or their employer(s)). Published by CSIRO Publishing. 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