A Situation of Long-term Patients in the Hospital Who Could Not Be Discharged

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Srisupha Kaewprapran
Sarintip Saengsartra
Khanittha Booranaphansak
Kamolset Kanggerrure
Naparat Anekboon
Somsiri Boonsiri


Background: In Thailand, the situation of prolonged stay patients tends to increase, especially at the secondary and tertiary care hospitals. The study aims to state this problems and give guidelines to develop management system that could set a standard for health care service.

Objectives: To study social background information about the prolonged-stay patients that will lead to planning guideline assisting the prolonged-stay patients with multiple medical condition. Promote medical personnel specialist to use their potential worthily and study guideline to develop network resources and discharge plan efficiently.

Methods: A questionnaire-based survey study used data from patient records collected by medical social works. Data analysis was used descriptive statistics.

Results: Of the long-term patients in hospitals, 86.8% were stayed for a year; 1.6% were stayed longer than 10 years. Most of patients were diagnosed with stroke (39.5%), unable to assist themselves (36.4%), and unsupported from the family (65.9%). These factors were caused difficulties in discharging them from the hospital. Social work intervention were used and found that some of patients were still remained in the wards and it needs network resources to transfer them through facing a lot of limitations.

Conclusions: Because of patients unable to self-care by themselves, these mentioned reasons makes the family and government foster home refuse to take care. Moreover, they not have the knowledge of care management. The only solution being done was referral to the government foster home which so difficult to being served.

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How to Cite
Kaewprapran, S., Saengsartra, S., Booranaphansak, K., Kanggerrure, K., Anekboon, N., & Boonsiri, S. (2018). A Situation of Long-term Patients in the Hospital Who Could Not Be Discharged. Ramathibodi Medical Journal, 41(4), 1–10. https://doi.org/10.14456/rmj.2018.37
Original Articles


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