Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan.
Department of Anesthesiology, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
BMC Geriatr. 2023 Mar 28;23(1):179. doi: 10.1186/s12877-023-03889-z.
This study conducted in-depth interviews to explore the factors that influence the choice of a post-acute care (PAC) model (inpatient rehabilitation hospital, skilled nursing facility, home health, and outpatient rehabilitation) among stroke patients and their families.
We conducted semi-structured, in-depth interviews of 21 stroke patients and their families at four hospitals in Taiwan. Content analysis was used in this qualitative study.
Results revealed five main factors that influence respondents' choice of PAC: (1) medical professionals' suggestions, (2) health care accessibility, (3) continuity and coordination of care, (4) willingness and prior experience of patients and their relatives and friends, and (5) economic factors.
This study identifies five main factors that affect the choice of PAC models among stroke patients and their families. We suggest that policymakers establish comprehensive health care resources based on the needs of patients and families. Health care providers shall provide professional recommendations and adequate information to support decision-making, which aligns with the preferences and values of patients and their families. From this research, we hope to improve the accessibility of PAC services in order to enhance the quality of care for stroke patients.
本研究通过深入访谈，探讨了影响脑卒中患者及其家属选择急性后期护理（PAC）模式（住院康复医院、熟练护理设施、家庭保健和门诊康复）的因素。
我们在台湾的四家医院对 21 名脑卒中患者及其家属进行了半结构式、深入的访谈。本研究采用内容分析法进行定性研究。
研究结果揭示了影响受访者选择 PAC 的五个主要因素：（1）医务人员的建议，（2）医疗保健的可及性，（3）护理的连续性和协调性，（4）患者及其亲友的意愿和先前经验，以及（5）经济因素。
本研究确定了影响脑卒中患者及其家属选择 PAC 模式的五个主要因素。我们建议政策制定者根据患者和家庭的需求建立全面的医疗保健资源。医疗保健提供者应提供专业建议和充分的信息，以支持决策，这符合患者及其家属的偏好和价值观。希望从这项研究中，提高 PAC 服务的可及性，以提高脑卒中患者的护理质量。
