頁籤選單縮合
題名 | 臺灣地區之出院準備服務--試行計劃成果分析=Discharge Planning in Taiwan--An Analysis of Demonstration Projects |
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作者 | 戴玉慈; 張丹蓉; 羅美芳; | 書刊名 | 慈濟醫學 |
卷期 | 10:1 1998.03[民87.03] |
頁次 | 頁61-68 |
分類號 | 419.7 |
關鍵詞 | 出院準備服務; 繼續性照顧; Discharge planning; Continuity of care; |
語文 | 中文(Chinese) |
中文摘要 | 本文簡介臺灣出院準備服務的推動狀況,並針對四家衛生署第一梯次補助試辦 出院準備服務的醫院,所提出的前面三年成果報告進行分析。結果顯示四所醫院均設置出 院準備服務小組和出院準備服務員,但缺乏對小組運作方式的評價,服務對象均是選擇高 危險群的慢性病患。推行出院準備服務的具體成果包括:後續照護資源的開發,病人的滿 意度升高。然而出院準備服務對縮短病人平均住院日的成效方面,各家醫院所得結果並不 一致。其他的重要指標,如:病人出院後需求滿足程度、病人或家屬出院後自我照顧的知 識與技能,並未被列入評價。由於試辦單位較偏重實際的業務執行,較缺乏嚴謹的資料收 集和分析,故成果報告對成果指標的資料呈現不甚完整,若要確實評估試辦計劃的成效需 有更嚴謹且全面性的評價研究。 |
英文摘要 | In 1993, a policy to promote the implementation of discharge planning in Taiwan was announced by the Department of Health, Executive Yuan. Four hospitals have received grants from the Department of Health since 1994 in order to develop demonstration projects of discharge planning over three years. A secondary analysis on annual reports of the demonstration projects was conducted. The perspectives of structure and outcome of these demonstration projects were looked at. In terms of the structure of the hospital, all four projects established their multidisciplinary teams to provide the service of discharge planning. High risk patients were screened by the discharge planner and 1913 chronic patients received formal discharge planning in these four projects. To measure the outcome of discharge planning, one or more of the following variables; average length of stay ( ALOS), rate of readmission and level of patient satisfaction, were selected as indicators. However, not all three variables were included in each project. Every hospital showed a decline of ALOS at the initial stage of the project. However, a small increase of ALOS occurred in two hospitals after the National Health Insurance Program was implemented. The rate of readmission was decreased in one project and remained unchanged in the other projects. The level of patient satisfaction to discharge planning was measured in only one project and revealed an increase in patient satisfaction levels. The data of annual reports of demonstration projects have shown some beneficial effects of discharge planning on patient care. However, little data on reliability and validity were reported. A more rigorous and well-designed evaluation study is required to reconfirm the findings. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。