 However, there are studies that have indicated that hospitals sometimes face delays when discharging a homeless patient because they also have the responsibility of finding appropriate housing and care.Patients can also face adverse effects if they are hospitalized for longer than what is necessary because it increases their chance of transmitting an infectious disease in the hospital or it draws resources from other patients.A study conducted on physicians in Ontario investigated how different payment systems impacted patient care in terms of the number of cost shifts and dumping incidences and reported that other factors like altruism or ethics of the doctors and patient behavior played a role in how doctors shifted costs.