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Retrospective Evaluation of Discharge Planning Linked to a Long-Term Care 2.0 Project in a Medical Center

Author

Listed:
  • Su-Tsai Huang

    (Nursing Department, Changhua Christian Hospital, Changhua 500209, Taiwan
    These authors contributed equally to this work.)

  • Chun-Min Chen

    (Big Data Center, Changhua Christian Hospital, Changhua 500209, Taiwan
    These authors contributed equally to this work.)

  • Yu-Yung Su

    (Department of Long Term Care, National Quemoy University, Kinmen 892009, Taiwan)

  • Shu-Chen Chang

    (Nursing Department, Changhua Christian Hospital, Changhua 500209, Taiwan
    College of Nursing and Health Sciences, Dayeh University, Changhua 515006, Taiwan)

Abstract

Background: Although there are several studies on discharge planning and long-term care systems in individual programs, research on the connection between discharge planning and the usage of long-term care is scanty. This study aims to evaluate the nature of the association between discharge planning (DP) and long-term care (LTC) and whether the utilization of LTC services improved after being discharged. Methods: This was a single-center retrospective medical record review study. Secondary data analysis was conducted of DP–LTC participation data between 2018 and 2019. The objectives were to clarify the distinct characteristics of each part of the service to explore the utility rate by overall users and users with willingness and to determine the factors influencing their usage. Medical claims were used to identify inpatients receiving discharge services, and data were matched with LTC system engagement data ( n = 2155). Backward stepwise regression was used to explore the attributes associated with each type of service use. Results: A total of 94% (2042/2155) of inpatients expressed a perceived need for LTC services, of which 14% (285/2042) were users of LTC services after discharge. When assessed by case-mix system (CMS) and willingness to use services during hospitalization, inpatients had higher rates of service utilization after discharge. Using LTC services was most likely to be associated with obesity, disability, high CMS level, higher education, and women. Conclusion: The study confirms that the utilization of LTC services has improved under the integrated DP–LTC system. The gap between willing and actual users is worth considering. In the assessment stage, special attention should be paid to the service needs of persons with BMI ≥ 27 and disabilities. Future research with a larger sample could comprehensively evaluate the impact of integrated DP services on the use of LTC 2.0 service resources.

Suggested Citation

  • Su-Tsai Huang & Chun-Min Chen & Yu-Yung Su & Shu-Chen Chang, 2022. "Retrospective Evaluation of Discharge Planning Linked to a Long-Term Care 2.0 Project in a Medical Center," IJERPH, MDPI, vol. 19(16), pages 1-10, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10139-:d:889542
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    References listed on IDEAS

    as
    1. Yi-Chien Chen & Wei-Ting Chang & Chin-Yu Huang & Peng-Lin Tseng & Chao-Hsien Lee, 2021. "Factors Influencing Patients Using Long-Term Care Service of Discharge Planning by Andersen Behavioral Model: A Hospital-Based Cross-Sectional Study in Eastern Taiwan," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
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