Expansion of discharge planning system in Japan: Comparison of results of a nationwide survey between 2001 and 2010
| Autor: | Hikari Tomura, Satoko Nagata, Sachiyo Murashima |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living Databases Factual Population Health informatics Health administration Cohort Studies Disability Evaluation Insurance Long-Term Care Japan Activities of Daily Living medicine Confidence Intervals Humans Disabled Persons Community Health Services education Aged Proportional Hazards Models Aged 80 and over education.field_of_study business.industry lcsh:Public aspects of medicine Health Policy Nursing research Public health lcsh:RA1-1270 Home Care Services Survival Analysis Patient Discharge Long-term care Family medicine Health Care Surveys Length of stay Quality of health care Female Hospital administration business Nationwide survey Discharge planning Cohort study Research Article |
| Zdroj: | BMC Health Services Research BMC Health Services Research, Vol 12, Iss 1, p 237 (2012) |
| ISSN: | 1472-6963 |
| Popis: | Background In response to the rapid aging of the population in Japan, many care systems have been created in quick succession. Establishment of discharge planning departments (DPDs) in hospitals is one of them. In this study, we compared the distribution and characteristics of DPDs and the characteristics of the hospitals that have DPDs between 2001 and 2010 in Japan. Methods We mailed a questionnaire about the characteristics of hospitals and existence and situation of DPDs to all general hospitals with 100 or more general beds in 2001 and in 2010. Results In 2001, of the 3,268 hospitals queried, 1,568 (48.0%) responded and 1,357 (41.5%) were selected for data analysis. In 2010, among 2,600 hospitals, 940 hospitals (36.1%) responded and 913 (35.1%) met the inclusion criteria. The percentage of hospitals with DPDs increased from 30% to more than 70% between the two surveys. More departments were under the direct control of the hospital director and more physicians participated in discharge planning activities in 2010 than in 2001. In 2001, private hospitals and hospitals with an affiliated institution or agency tended to have a DPD; however, the relationship between these factors and the presence of a DPD had disappeared in 2010. Larger hospitals and hospitals with more nurses per patient tended to have a DPD both in 2001 and 2010. Conclusions Since 2008, the establishment of a DPD has been directly connected to medical fees so hospital administrators might have recognized the DPD as a “necessary and paid for” department. Having a DPD was the majority’s policy in Japan, and we must recognize the importance of quality assurance through DPDs from now on, especially in small hospitals. |
| Databáze: | OpenAIRE |
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