Choi Jae Woo, Yoo Aejung, Bang Hyojung, Park Hyun-Kyung, Lee Hyun-Ji, Lee Hyejin
Health Insurance Research Institute, National Health Insurance Service, Wonju, Korea.
Department of Family Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
J Prev Med Public Health. 2024 Nov;57(6):572-585. doi: 10.3961/jpmph.24.275. Epub 2024 Oct 4.
Transitional periods, such as patient discharge, are notably challenging. This study aimed to explore the perceptions of providers involved in hospital discharge support programs, identify the primary obstacles, and propose strategies for improvement.
In this qualitative cross-sectional study, we interviewed 49 healthcare professionals, comprising doctors, nurses, and social workers, who participated in two pilot programs. We organized focus group interviews with 3-6 participants per group, segmented by the type of discharge support program and profession. For data analysis, we employed phenomenological analysis, a qualitative method.
Participants recognized the importance of the discharge support program and anticipated its benefits. The Rehabilitation Hospital Discharge Patient Support program saw more active involvement from doctors than the Establishment of a Public Health-Medical Collaboration System program. Both programs highlighted the critical need for more staff and better compensation, as identified by the doctors. Nurses and social workers cited the heavy documentation burden, uncooperative attitudes from patients and local governments, and other issues. They also anticipated that program improvements could be achieved through the standardization of regional welfare services and better coordination by local governments serving as welfare service regulators. All groups-doctors, nurses, and social workers-underscored the significance of promoting these programs.
Discharge support programs are crucial for patients with functional impairments and severe illnesses, particularly in ensuring continuity of care. Policy support is essential for the successful implementation of these programs in Korea.
过渡阶段，如患者出院，极具挑战性。本研究旨在探讨参与医院出院支持项目的医护人员的看法，确定主要障碍，并提出改进策略。
在这项定性横断面研究中，我们采访了49名医护专业人员，包括医生、护士和社会工作者，他们参与了两个试点项目。我们组织了焦点小组访谈，每组3 - 6名参与者，按出院支持项目类型和职业进行分组。对于数据分析，我们采用了现象学分析这一定性方法。
参与者认识到出院支持项目的重要性，并预期其益处。康复医院出院患者支持项目中医生的参与度比公共卫生 - 医疗协作系统项目更高。两个项目都强调了医生所指出的对更多工作人员和更好薪酬的迫切需求。护士和社会工作者提到了繁重的文件记录负担、患者和地方政府不合作的态度以及其他问题。他们还预期通过区域福利服务的标准化和作为福利服务监管者的地方政府更好的协调可以实现项目改进。所有组——医生、护士和社会工作者——都强调了推广这些项目的重要性。
出院支持项目对功能受损和患有严重疾病的患者至关重要，尤其是在确保护理连续性方面。政策支持对于这些项目在韩国的成功实施至关重要。
