| Summary: | 碩士 === 高雄醫學大學 === 公共衛生學研究所碩士在職專班 === 92 === Abstract
Research purpose:
This research is to study whether stroke patients needing follow-up care have received anticipated treatment after they leave the hospitals. Furthermore, this research also studies the patients’ medical treatment and which hospital they seek medical advice after leaving the original hospitals.
Research Methodology:
The objects of this study are the patients studied in the essay (2002) by Sue-Zhen Tsai. In the essay, they were respectively hospitalized in two medical centers in Kaoshiung and were surveyed before leaving the hospitals. These cases were further observed and surveyed about their practical care and medical treatment after leaving the hospitals.
Research result:
There are 196 stroke patients receiving long-term care as they expected when being hospitalized, and there are the other 98 stroke patients given long-term care who do not meet their anticipation. Choosing different ways of care does not result in different numbers of times in outpatient services and fees. Nevertheless, it causes a distinguishing difference in the numbers of days of hospitalization and the fees. The average days of hospitalization of the patients who chose family caregivers are 33.41 days. The total fees of hospitalization are 1334311.73 NT dollars. The average days of hospitalization of the patients who chose institutional caregivers are 60.28 days. The total fees for hospitalization are 296165.84 NT dollars. Further, 9.78 is the average number of times in outpatient services for the patients choosing the same hospital for further diagnosis. 31.67 is the average days of hospitalization. 22764.53 NT dollars is the total fees for diagnosis and 134229.02 NT dollars is the average fees for hospitalization. However, for the patients choosing different hospitals for further diagnosis after leaving the hospital, the average number of times in outpatient services is 41.94, the average days of hospitalization is 70.63, total fees for diagnosis is 76135.02 NT dollars, and the total fees for hospitalization is 332727.3 NT dollars.
Discussions and suggestions:
Most stroke patients receive the care as they anticipated. Choosing different ways of care does not result in different number of times in outpatient services and different fees in outpatient service.
Nevertheless, it causes diverse days of hospitalization and total fees. The survey shows family caregivers brings to the patients more contribution than the institutional ones. The patients choosing the original hospital for further diagnosis receive much less times in outpatient services, give less fees in outpatient services and hospitalization, and less days of hospitalization.
It will help the sstroke patients a lot in medical treatment and especially in hospitalization if they can be given proper medical counseling before leaving the hospitals and be offered complete follow-up diagnosis arrangements.
Keyword: patient flow , long-term care, service utilization , stroke
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