出院準備服務是連結急性醫療與後送照護體系的重要橋梁。透過出院準備服務團隊有組織及系統的提供服務，以達持續性照顧，讓個案減少再入院率，可減少醫療資源耗用，增進社會健康照顧資源的總體利用。高齡社會帶來失能人口增加，疾病型態改變與多重疾病，加重家庭照顧者的壓力外，同時也是非計畫再入院的高危險群。
本研究目的為探討中部某地區醫院失能病患接受出院準備服務之滿意度及其相關因素，採回溯性病歷審查方式，樣本數共有389人，滿意度問卷排除遺漏填答，有效問卷為373人，回收率為95.88%。本研究結果發現，接受出院準備服務個案之滿意度有52.4%在各個服務面向表示非常滿意以及30天內非計畫性再入院共有40人。以多元羅吉斯迴歸分析顯示，住院時資源需求中的輔具需求與安置問題、住院時照顧者與30天內非計畫性再入院有關，本研究結果，提供其他醫療院所施行出院準備服務之參考。本研究建議，執行出院準備服務時加強住院需求及照顧者評估，以利提供後續持續性照護。
Discharge planning is a vital factor in a health system. It is a bridge for transitions between acute medical care and post-care and long-terms care systems. A discharge planning team provides systematic services that could achieve a continuous care and reduce readmission rate and consumption of medical resources. The aging of Taiwan’s population has increased the number of disabled people and the burden of taking care of them. When disabled patients were hospitalized, they are considered a high-risk group of unplanned readmission.
This study use retrospective medical record review, aims to evaluate the satisfaction towards discharge planning service and its related factors in a group of patients with disabilities in a hospital located in central Taiwan. After excluding patients with missing information, a total of 373 subjects are included. Our results showed that a majority of patients had a “satisfied” rating for the discharge planning services. Forty patients had an unplanned readmission within 30 days after discharge. Logistic regression analysis indicated that assistive device needs, placement arrangement and type of caregiver during hospitalization were significant correlated with readmission within 30 days.
The findings of this study provide useful information for discharge planning in the future. Findings suggest that discharging planning teams should understand the assistive needs of the patients and caregiver needs assessment in order to improve the services of discharge planning and continuous care after discharge.
