Indeed, there is evidence that even out-of-hospital rehabilitation is disconnected from inpatient services for post-discharge inpatients. ĭespite the evidence pointing to the benefits of such a distributed model of healthcare provision, healthcare systems in many low- and middle-income countries (LMICs), including China, remain hospital-centered, with a disconnect between primary care and secondary and tertiary care. China has also established long-term care insurance. In the Japanese context, long-term care insurance comprises, on the one hand, assistance in daily life in relation to clothing, food, housing, and transportation, and, on the other, medical treatment, nursing care, and rehabilitation training. The German long-term care insurance has also underpinned remarkable achievements after more than 20 years, and applicants of any age can receive assistance in various aspects of their daily living after examination, including hygiene, diet, mobility, and household chores. Similarly, the acute care for elderly program is another model of care geared towards elderly orthopedic patients in the United States. For example, the National University Health System in Singapore developed a transitional care program with the aim of assisting elderly patients with multiple chronic diseases and walking limitations, and family caregivers, to improve quality of care and reduce hospitalization rates. Internationally, countries have taken various measures in continuing care. Long Term Care is a policy in China to provide long-term medical care and living care to patients who live at home or in nursing homes and are unable to take care of themselves.Īfter the patient is discharged, the medical institution provides the continuing nursing care to the patient. Continuing care has a similar connotation to transitional care, but transitional care focuses more on helping patients transition from an in-hospital to an out-of-hospital environment, while continuing care focuses on the continuation of care after discharge. Related nursing concepts include continuing care, transitional care, long term care. International experience shows that the ability to provide continuing care that matches the changing health status of the given population is an important sign of that healthcare system’s effectiveness. And provide more appropriate care for patients in need. Conclusionsĭeveloping continuing care is an important initiative for bridging the fragmentation of health services, and an appropriate supply system for continuing care, interconnected with inpatient services, should be established in rural areas in China as soon as possible. The need of continuing nursing was related to patients’ age group, mode of admission, occupation and major diagnostic categories ( P < 0.05). The analysis included a total of 3,791 patients, 123 of whom (3.25%) had continuing nursing needs. Finally, linear regression was used to analyze the factors influencing the need for continuing care. The statistical data are expressed in terms of both frequency and composition ratio. The Readiness for Hospital Discharge Scale was used to assess the need for continuing care. Factors related to the need for continuing care were included in the analysis. The database includes basic patient information, disease-related information, and information on readiness for hospital discharge. County Z is a county of 1 million people in central China. Methodsĭata were obtained from the hospital database of Medical Center M in County Z from May to July 2022. To measure and assess the continuing care needs of discharged patients and its influencing factors in rural China. Although many low- and middle-income countries have sought to bring movement away from hospital-centered and towards patient-centered healthcare, such efforts have often had poor results, and one of the major reasons for this is the inability to accurately identify which inpatients need continuing care and what kind of continuing of care is needed. International experience shows that the suitability of a high-performance healthcare system for its given purposes is reflected in its ability to provide a continuum of services that match the changing health status of the given population.
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