Evaluation and Standardization of Medical Coordination System at University Hospitals

为了了解42所国立大学医院的医疗协调工作，我们调查了数字医院基准，对所有医疗协调工作进行了汇总和分类，并对其实施情况进行了评估，对出院支持系统的细节进行了评估。此外，我们还进行了家庭护理支持评估。结果：1)基准数字随时间的推移而增加，但医院差异显著。2)医疗协调工作全部113个项目的实施情况如下：最大值、中值和最小值分别为111、94、60。3)医院间差异在出院计划筛查执行率和出院支持患者数量方面尤为突出。在家庭护理支持的评价中，我们尝试了定性评价，并考察了院内和院外人员共同参加的开放式出院支持会议的效果。

In order to understand the medical coordination works of 42 National University Hospitals, we investigated 1) the numeric hospital benchmarks, 2) piled up and categorized all medical coordination works and evaluated their implementation status, 3) assessed the detail of the discharge support system. Additionally we entertained home care support assessment.RESULTS: 1) The benchmark figures had increased with time, but the hospital disparities was remarkable. 2) The status of implementation of all 113 items in the medical coordination works was as follows. The maximum, median and minimum values are 111, 94, 60, respectively. 3) Hospital disparities was especially prominent in the discharge planning screening implementation rate and the number of discharge- supported patients. In the evaluation of home care support, we tried qualitative assessment and examined the effect of the open discharge support conference that both hospital and out-hospital staff participate.