無縫式照顧服務的關鍵：亞急性照護

Sub-acute Care: The Key to Seamless Service

林麗嬋(Li-Chan Lin)

《長期照護雜誌》 14卷1期 (2010/04) Pp. 1-9

https://doi.org/10.6317/LTC.201004_14(1).0001

摘要

隨著醫院床位、病患錯置急性病院以及降低平均住院日的壓力增加，急性病床減床，導致醫院經營的困難，迫使健康照顧服務型態的改變。亞急性照護這個名詞最早是出現在病人因缺乏適當可替代的安置場所，仍佔住急性病床或急性照顧，也就是指無法滿足急性照顧醫療需求標準的病人。不過當談及介於急性照護與長期照護之間的過渡期照護，亞急性照護(subacute care)、急性後期照護(post-acute care)以及中期照護(intermediate care)常交錯出現在相關文獻中，造成讀者的混淆。本文從名詞的澄清開始，繼而介紹亞急性照護的優點、亞急性照護個案的特徵、個案的入住標準及照顧服務，以利相關從業人員對發展此一服務的認知。

關鍵字

亞急性照護 ； 中期照護 ； 急性後期照護 ； 照顧服務

並列摘要

Hospitals have experienced reductions in the number of available beds, the displacement of acute care patients and policies encouraging the shortening in lengths of stay, all of which have led to changes in healthcare service. The term ”sub-acute care” originated when patients whom did not meet the standards of acute care needs began occupying acute care beds due to a lack of alternative placement options. Although patient care that is transitional between acute care and long term care has increasingly appeared in the literature, the use of a variety of terms such as sub-acute, post-acute, and intermediate care has led to reader confusion. This paper presents a brief clarification of the terminology, characteristics, admission criteria, advantages, and service standards of sub-acute care, providing basic knowledge to help healthcare professionals construct transitional care services.

並列關鍵字

subacute care ； intermediate care ； post-acute care ； care service