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논문 기본 정보

자료유형
학술저널
저자정보
Shin Jinyoung (Konkuk University Medical Center) Han Seol-Heui (Konkuk University Medical Center) Choi Jaekyung (Konkuk University Medical Center) Kim Yoon-Sook (Konkuk University Medical Center) 이종민 (건국대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.39
발행연도
2020.1
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1 - 11 (11page)

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Background: This study aimed to describe the experience of providing older adult patients with transitional care from an acute care hospital to home in cooperation with a public health center, in order to present the barriers to that care and suggest better organizational methods. Methods: This was a cross-sectional study to show the results of the Geriatric Screening for Care-10 (GSC-10) and outcomes of transitional care. Among 659 hospitalized patients aged 65 years or above who lived in an administrative district, forty-five subjects were enrolled between June 24, 2019 and January 23, 2020. Within 48 hours of admission, using the 10 areas of GSC-10, they were assessed for cognitive impairment, depression, polypharmacy (5 or more medications), functional mobility, dysphagia, malnutrition, pain, and incontinence, and were reassessed before discharge. The transitional care plan (containing the treatment summary, the results of the GSC-10 assessment, and the post-discharge plan) was forwarded to a representative of the public health center, who provided continued disease management and various health care services, such as chronic disease and frailty care, and physical rehabilitation. Results: Of all the participants, 64.4% had more than 1 GSC-10 concern. The most prevalent concerns were functional immobility (35.6%) and polypharmacy (22.2%). About 15.6% of the participants were readmitted to a nursing home or hospital. A total of 38 participants received the transitional care intervention. They received an average of 2.7 administered interventions. However, the rate of rejection was high (30.1%) and patients were visited an average of 16.5 days after discharge. Conclusion: Through our experience of providing transitional care from an acute care hospital to home in cooperation with a public health center, we expect that the transitional care suitable for the Korean medical situation could be established and successful.
#Aged #Hospitalization #Patient Discharge #Transitional Care

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참고문헌 (31)

참고문헌 신청
National Health Insurance Statistical Yearbook google schola Health Insurance Review & Assessment Service / 2016 / A Study on the Development of Readmission Classification Model and Standards google schola 유해원 / 2019 / Factors Associated with Functional Decline in Older Adults After Discharge from an Acute-Care Hospital / Asian Nursing Research 13(3):192~199 Crossref Kahlon S / 2015 / Association between frailty and 30-day outcomes after discharge from hospital / CMAJ 187(11):799~804 google schola Holm SE / 2012 / Discharge planning for the elderly in acute care : the perceptions of experienced occupational therapists / Phys Occup Ther Geriatr 30(3):214~228 google schola

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