Summary: | 碩士 === 亞洲大學 === 健康產業管理學系長期照護組 === 107 === Discharge planning is a vital factor in a health system. It is a bridge for transitions between acute medical care and post-care and long-terms care systems. A discharge planning team provides systematic services that could achieve a continuous care and reduce readmission rate and consumption of medical resources. The aging of Taiwan’s population has increased the number of disabled people and the burden of taking care of them. When disabled patients were hospitalized, they are considered a high-risk group of unplanned readmission.
This study use retrospective medical record review, aims to evaluate the satisfaction towards discharge planning service and its related factors in a group of patients with disabilities in a hospital located in central Taiwan. After excluding patients with missing information, a total of 373 subjects are included. Our results showed that a majority of patients had a “satisfied” rating for the discharge planning services. Forty patients had an unplanned readmission within 30 days after discharge. Logistic regression analysis indicated that assistive device needs, placement arrangement and type of caregiver during hospitalization were significant correlated with readmission within 30 days.
The findings of this study provide useful information for discharge planning in the future. Findings suggest that discharging planning teams should understand the assistive needs of the patients and caregiver needs assessment in order to improve the services of discharge planning and continuous care after discharge.
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