- 期刊
急性後期整合照護個案出院後銜接長期照顧之存活分析：以腦中風為例
Survival Analysis of the Long-term Care Cases Connecting to the Post-acute Care: Examples of Cerebrovascular Accident (CVA)
摘要
人口老化帶來衰弱與慢性疾病，失能人口增多，造成醫療體系負擔，在政府推動急性後期照護整合計畫後，強化了急性醫療資源配置效率並和長期照顧服務接軌，嘉惠個案；本研究目的有：（1）分析個案參與腦中風急性後期整合照護二年內存活機率；（2）分析個案接受長期照顧服務與否之存活機率；（3）提陳急性後期整合照護出院個案銜接連續性長期照顧服務之具體建議；本研究採次級資料分析法，使用電子病歷資料庫，研究對象有170位，研究發現：接受急性後期整合照護的個案，二年存活比率超過90%；銜接長期照顧服務的個案，二年存活比率達97%以上，建議參與急性後期整合照護醫療院所，落實評估個案出院銜接長期照顧服務可行性，提升生活品質和存活率。
並列摘要
The aging population brings debilitating and chronic diseases, increasing the number of disabled people, and causing a burden on the medical system in Taiwan. After the government promoted the acute post-care integration plan, it strengthened the efficiency of the allocation of acute medical resources and aligned with long-term care services. The objectives are: (1) to analyze the survival probability of cases participating in the post-acute care within two years; (2) to analyze the survival rate of the patients connecting to the long-term care services; (3) to propose the recommendations for continuity of the discharge of the post-acute integrated care discharge cases connecting to long-term care services; This study used a secondary data analysis method and used an electronic medical record database. There were 170 research subjects. We found that the cases receiving post-acute care had a two-year survival rate of more than 90%; connecting to long-term care, the two-year survival rate of serviced cases is above 97%. It is recommended to participate in the post-acute care medical institutions to implement the assessment of the feasibility of the discharge of cases to connect with long-term care services, and improve the quality of life and survival rate.