The establishment of Chinese version CARE and its reliability in evaluating post-acute stroke patients

• Main Authors: Chien-Wei Kao, 高健瑋
• Other Authors: Su-Chiu Chen
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/65002886789367241781

碩士 === 國立臺北護理健康大學 === 健康事業管理研究所 === 103 === Post-acute care (PAC) aims to enhance the functional status of patients discharged from acute ward. Return to community is its final goal. The Administration of National Health Insurance performed PAC for stroke patients in 2014. However, we do not have a generic, easy-to-perform tool to evaluate the functional status and treatment progress of PAC patients. The Centers for Medicare & Medicaid Services in USA in 2005 developed the Continuity Assessment Record and Evaluation (CARE) to integrate the different tools used in PAC programs in order to reduce administrative burden in medical institutions. The CARE contains 4 domains. They are Medical Status/Clinical Complexity, Functional Status, Cognitive Status, and Social Support Factors. There are 4 versions, Institutional Admission, Home Health Care, Discharge and Expired. The reliability and validity is good, and the correlation with other functional evaluation tools is acceptable. The aims of this study are to translate CARE into Chinese and to analyze the reliability of the Chinese version CARE. We recruited 30 stroke patients from National Taiwan University Hospital Bei-Hu Branch Rehabilitation Clinic. There were total 90 questionnaires. Through this study, we established the Chinese version CARE with high reliability, and it will be employed in analyzing resource utilization, and discharge planning in PAC field. In addition, compared with Barthel Index、Mini-Mental Status Examination (MMSE)、EuroQol (EQ-5D) and Instrumental activities of daily living (IADL) which commonly used in Taiwan clinicals. Not only CARE has the same purpose, but also more comprehensive. There are opportunities to extend to long-term care in the future, in order to integrate functional assessment scales in timeline and space. The Chinese version CARE will be the pioneer tool, and provide potential in both clinical application and research.