Research on categorization of post-acute medical and LTCI care services using the Severity of a Patient’s Condition and Extent of a Patient’s Need for Medical/Nursing Care

• Published in: Review of Japan Society of Health Support Science Vol. 8; pp. 39 - 49
• Main Authors: MURAKAMI, Genki, HAYASHIDA, Kenji, MATSUDA, Shinya
• Format: Journal Article
• Language: Japanese
• Published: Japan Society of Health Support Science 2023; 日本ヘルスサポート学会
• Subjects: Admission/Discharge Route; Coordination; The Severity of a Patient’s Condition and Extent of a Patient’s Need for Medical/Nursing Care; 入退院経路; 連携; 重症度・医療看護必要度
• ISSN: 2188-2924
• DOI: 10.14964/hssanj.8.39

As the population ages, acute and chronic medical needs, and medical care and long term care are becoming more complex. There is an urgent need to develop an evaluation method that responds to this situation.We consider that the Severity of a Patient’s Condition and Extent of a Patient’s Need for Medical/Nursing Care will become a standardized way of comprehensively assessing this complex situation. Therefore, in this study, we targeted users of post-acute medical and long term care service providers in the Kyushu region, mainly Fukuoka Prefecture, using the values of each item of the Severity of a Patient’s Condition and Extent of a Patient’s Need for Medical/Nursing Care and the prevalence rate of major injuries and illnesses. We categorized the facilities into 5 groups by the Cluster analysis using above mentioned information. and compared the state images of the users. The five groups differed in the scores of A and B items of the Severity of a Patient’s Condition and Extent of a Patient’s Need for Medical/Nursing Care, as well as the prevalence rate of injuries and illnesses.This result suggests the possibility of categorizing facilities using the Severity of a Patient’s Condition and Extent of a Patient’s Need for Medical/Nursing Care, and of evaluating the nursing care load in different types of facilities in a unified manner.