| Summary: | 碩士 === 長庚大學 === 醫務管理學研究所 === 97 === Population aging and complexity of long term care modes demonstrate the critical role of discharge planning, yet the effects remain to be explored. The study aims to evaluate the choices of long term care mode, readmission rate, and mortality, as well as related factors, for patients who received discharge planning.
A total of 210 patients from general surgical or medical wards who received discharge planning during August 2006 and July 2007 were included for the study. Data were extracted from 2-month follow-up records maintained by case managers of a regional teaching hospital in northern Taiwan. T-tests, Chi-Square tests, Log-rank test and Cox’s Proportional Hazard Model were employed for statistical analyses.
The results are: 1) Going home was chosen by most patients (49.5%), followed by home care (32.9%), and long term care institution (17.6%). Hypertension, stoke, disability, nasal tube and number of endo tubes were associated with different choices of care model. 2) Readmission rate within 2 month of discharge was 12.8%. Log-rank test found that different care models, disability levels, and nasal tube were associated with different readmission rates. However, Cox’s Proportional Hazard model dismissed such association. 3) Mortality within 2 month of discharge was 10.0%. No association with choice of care models, pre-existing conditions, disability levels, or endo tubes were found with Log-rank test.
Discharge planning at the study hospital properly placed patients at different care models, with no difference in readmission or mortality. It is advised that all hospitals deploy discharge planning for continuity of patients care and quality.
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