A plan for post-discharge patient care formulated by the section in charge of post-discharge coordination a T nuclear hospitals in a secondary medical care zone; and an analysis of the capability of full-time nurses in coordinating it

1.目前的研究重点是二级医疗保健区的核医院，旨在检验社区与利用负责这种协调的护士提供的出院后服务的患者特征之间的相关性模型。1)对2002年使用出院协调服务的252例出院患者的出院后流程协调天数的影响因素进行搜索：使用相关系数对待出院时间、协调出院天数和住院时间进行检验。以协调出院所需天数为诱导变量，以患者属性和出院机构为自变量，按组织功能对患者出院机构进行分类，并进行多元回归分析。(1) 2001-2003年使用出院协调服务的883例患者的出院后地址及按功能分类的医疗服务区组织：按功能分类患者的出院设施；按二级医疗护理区、城市、城镇或村庄对患者的地址和出院设施的位置进行分类，以找出由在家接受治疗的患者组成的区域组织，并计算出院后患者在这些居住区使用设施位置的百分比。1)住院时间与请求协调出院所需时间、协调出院所需天数有较强的相关性（r=0.843、r=0.639， p均<0.01）。提出出院协调请求所需时间与协调出院天数之间无显著相关（r=0.124）。经证实，后者差别很大，取决于医疗管理和疾病及设施分类。在以这三个因素为自变量的多元回归分析中，贡献率为0.224的解释是：“设有普通病房或普通病房兼康复病房的医院”、“设有康复病房兼护理的医院”、“医疗护理管理”、“设有精神科病房、康复病房及护理设施的医院”、“设有普通病房、康复病房及护理的医院”。2)患者地址分布在11个市、镇、村的4个二级医疗区。这些病人出院的医院在4个二级医疗服务区共有39家。总体而言，75.1%的患者出院到7家“设有普通病房、康复病房和提供护理病房的医院”。当限于调查区域时，77.9%排放到2个相同类型的设施。居住区域内出院者占83.9%。少

1.Outline of the studyThe current study, which focuses on nuclear hospitals in a secondary medical care zone, is intended to examine a model for correlation between the community and the characteristics of the patients who utilize post-discharge services offered by nurses in charge of such coordination.1) Search of factors affecting the number of days required to coordinate the post-discharge process for 252 patients who were discharged, using the discharge coordination service in 2002 : the duration when discharge was pending, the number of days for coord inating discharge and the length of stay at the hospital were examined by using correlation coefficients. The facilities to which the patients were discharged to were classified by their organizational functions and a multiple regression analysis was conducted, using the number of days required for coordinating discharge as an induced variable and patient attributes and the facilities to which they were discharged as independent vari … More ables.1)The after-discharge addresses of the 883 patients who utilized the 2001-2003 discharge coordination service and the organization of the medical service zones classified by their functions : The facilities to which the patients were discharged were classified by the ir functions: the patients' addresses and the locations of the facilities to which they were discharged were sorted by secondary medical care zone, city, town or village to find the organization of the zone formed by those who are cared for at home and to compute the percentage of locations of the facilities used by post-discharge patients within these residential zones.2.Outline of the results1)A strong correlation between the length of stay at a hospital and the time needed to make a request for coordination of one's discharge and the number of days needed to coordinate one' s discharge was noted (r=0.843 and r=0.639, respectively ; both with p<0.01). There was no significant correlation between the time needed to make a request for coordination for one' s discharge and the number of days needed to coordinate one' s discharge (r=0.124). It was confirmed that the latter varies significantly, depending on medical care management and disease and facility classification. In the multiple regression analysis using these three factors as independent variables, the contribution rate of 0.224 was explained by the following: "hospitals having a general ward or a general ward as well as a convalescent ward," "hospitals with a convalescent ward and one for nursing care," "medical care management," "hospitals with a psychiatric ward, convalescent ward and nursing facility," and "hospitals with a general ward, convalescent ward and nursing care."2)The patients' addresses were scattered over 4 secondary medical care zones located in 11 cities, towns or villages. The facilities to which these patients were discharged numbered 39 in 4 secondary medical service zones. Overall, 75.1% of the patients were discharged to 7 "hospitals having a general ward, a convalescent ward and a ward where nursing care was offered." When limited to the zone of the survey area, 77.9% were discharged to 2 facilities of an identical type. Those discharged within the zone of their residence was 83.9%. Less