DEVELOPMENT OF INTERMEDIATE CARE FROM HOSPITAL TO COMMUNITY IN HEAITCARE NETWORK, Roi-Et

Abstract

Intermediate care patients involved treating patients who were clinically past critical and stable, but there were still some physical abnormalities and limitations in daily activities, which required medical rehabilitation services from a multidisciplinary team continuously from the hospital to the community. This research aims to; to develop and to assess of rehabilitation care for intermediate care  patients from a hospital to community of health care network; Roi-Et. It was operated from October 2018-September 2019. This action research study was conducted a multidisciplinary team from 30 people in health care network; Roi-Et and 760 of intermediate care patients. Data were collected using an interview form, Nemocare program and descriptive statistics presented were the frequency, percentage, mean and standard deviation.

            Results; Development of intermediate care for post-acute Patients were consisted of
1) assessment of Barthel Index and body defects by a node hospital 2) Referral and communication of patient information through a Nemocare program 3) Sub-node hospital was assessing the patient's condition and a medical rehabilitation plan according to patient's condition. 4) Monitoring and assessing health status and ability to perform daily activities and record information in Nemocare program; and 5) returning patient information. Of all admissions, 69.90% were improved. With these criteria combined, a total of 65.40% were Barthel index (BI) = 20.

            This indicates that a development of intermediate care is appropriate for context and can be put into practice and then results in a better quality of life for target group.