The Effectiveness of Implementing Intermediate Care of Comprehensive Geriatric Assessment, Quality of Life and Health Improvement in a Community Hospital

• Main Authors: Lin, Li chun, 林麗君
• Other Authors: Sheu, Tsong Shin
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/50427755149169892500

碩士 === 南開科技大學 === 福祉科技與服務管理所 === 101 === The elderly often requires a longer recovery stage to revert the functional status of life after suffering from disease. Therefore, through the development of Intermediate Care, we can provide the bridge of acute medical care and chronic disease care. The purpose of the study was to survey the effectiveness and the factor of the 186 elders over 65 years old around receiving intermediate care of comprehensive geriatric assessment, quality of life and health status of the effectiveness of its related factors for a community hospital from January of 2011 to December of 2012. Secondary deta analysis, the results show case into the intermediate care services before and after comprehensive assessment of the various age-oriented showed a significant clinical improvement, assessment of quality of life and health status are also significant improvement. In the basic properties of cases are found, age, marital status and identity category on instrumental activities of daily living , level of education of cases have an impact on the mental state, and influence of age and nutritional assessment. Intermediate care is certainly a remarkable service model. According to the study results provide the following suggestions : (1) For the institution, clinical care plan intended to consider the case of basic cognitive attainment and family support; in the future the development of intermediate care should utilize the existing health care system and long term care system resources and cooperate with the team of professionals, through a complete systematic assessment and treatment make the resources having the most efficient use of integration. (2) For the academic, recommend future research to further explore the case of long-term effectiveness evaluation after discharge; study of the basic properties of the intermediate care of the effectiveness of care; compare the effectiveness of the differences between accept or do not accept intermediate care, or do more research and analysis of intermediate care for the health economic benefits. (3) For the government, when promoting the intermediate care model should standardize the response to various medical professionals and associate human, and building a reasonable payment system in order to maintain the quality of intermediate care.