The promotion of resources integration in long-term care service: The experience of Taipei City Hospital
Journal
Journal of Nursing
Journal Volume
65
Journal Issue
1
Pages
24-32
Date Issued
2018
Author(s)
Abstract
The home-based medical care integrated plan under Taiwan National Health Insurance has changed from paying for home-based medical care, home-based nursing, home-based respiratory treatment, and palliative care to paying for a single, continuous home-based care service package. Formerly, physician-visit regulations limited home visits for home-based nursing to providing medical related assessments only. This limitation not only did not provide practical assistance to the public but also caused additional problems for those with mobility problems or who faced difficulties in making visits hospital. This 2016 change in regulations opens the door for doctors to step out their 'ivory tower', while offering the public more options to seek medical assistance in the hope that patients may change their health-seeking behavior. The home-based concept that underlies the medical service system is rooted deeply in the community in order to set up a sound, integrated model of community medical care. It is a critical issue to proceed with timely job handover confirmation with the connecting team and to provide patients with continuous-care services prior to discharge through the discharge-planning service and the connection with the connecting team. This is currently believed to be the only continuous home-based medical care integrated service model in the world. This model not only connects services such as health literacy, rehabilitation, home-based medical care, home-based nursing, community palliative care, and death but also integrates community resources, builds community resources networks, and provides high quality community care services.
Subjects
Discharge planning; End of life; Home care; Home medicine; Hospice palliative care
Other Subjects
adult; article; behavior; community care; death; health literacy; home visit; hospice; hospital discharge; human; long term care; medical service; national health insurance; nursing home; palliative therapy; physician; rehabilitation; respiratory care; sound; Taiwan; health care planning; health promotion; hospital; integrated health care system; Delivery of Health Care, Integrated; Health Promotion; Health Resources; Hospitals, Urban; Humans; Long-Term Care; Taiwan
Publisher
Taiwan Nurses Association
Type
journal article