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

Authors

  • Srisupha Kaewprapran Social Service Section, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Sarintip Saengsartra Social Work Department, Saraburi Hospital, Saraburi, Thailand
  • Khanittha Booranaphansak Social Work Department, Thammasat University Hospital, Pathum Thani, Thailand
  • Kamolset Kanggerrure Social Welfare Promotion Department, King Chulalongkorn Memorial Hospital, Bangkok, Thailand
  • Naparat Anekboon Social Welfare Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
  • Somsiri Boonsiri Medical Service Department, Bangkok Metropolitan Administration General Hospital, Bangkok, Thailand

DOI:

https://doi.org/10.14456/rmj.2018.37

Keywords:

Long-term care, Social work’s intervention, Discharge planning

Abstract

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.

References

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Published

2018-12-21

How to Cite

1.
Kaewprapran S, Saengsartra S, Booranaphansak K, Kanggerrure K, Anekboon N, Boonsiri S. A Situation of Long-term Patients in the Hospital Who Could Not Be Discharged. Rama Med J [Internet]. 2018 Dec. 21 [cited 2024 Dec. 19];41(4):1-10. Available from: https://he02.tci-thaijo.org/index.php/ramajournal/article/view/110399

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Section

Original Articles