Region-based total medical care in a secondary medical service area : the care process model for return to ordinary life relayed by recovery phase hospitals

为了确定从急性期医院转移的患者的特征以及他们从恢复期医院出院后的通常目的地，我们对患者的病历进行了回顾性研究，并以目的地为因变量进行了比较检验，重点是二级医疗服务区的标准恢复期医院。老年人的年龄（按是否投保养老保险分层）、认知功能、日常生活活动能力和接受医疗操作史存在显著性差异，但医疗服务地区差异不显著。因此，老年护理保险的投保、生活自理程度、医疗需求是影响患者出院后去向的重要因素。

In order to identify the characteristics of patients transferred from acute phase hospitals and also their usual destinations after discharge from recovery phase hospitals, we conducted a retrospective study of the patients' medical records and performed a comparative test using the destination as a dependent variable, focusing on a standard recovery phase hospital in a secondary medical service area. There were significant differences in the age (stratified by application of Insurance of the Elderly Care), cognitive function, ADL and history of receiving medical procedures, but no significant differences in the medical service areas that the subjects lived in. Therefore, it is considered that application of Insurance of the Elderly Care, degree of self-support for living, and medical needs of patients are important factors affecting the patients' destinations after discharge.