A Situation of Long-term Patients in the Hospital Who Could Not Be Discharged

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Srisupha Kaewprapran Sarintip Saengsartra Khanittha Booranaphansak Kamolset Kanggerrure Naparat Anekboon Somsiri Boonsiri

Abstract

Background: In Thailand, the situation of prolonged stay patients tends to increase, especially at the secondary and tertiary care hospitals. The study aims to state this problems and give guidelines to develop management system that could set a standard for health care service.


Objectives: To study social background information about the prolonged-stay patients that will lead to planning guideline assisting the prolonged-stay patients with multiple medical condition. Promote medical personnel specialist to use their potential worthily and study guideline to develop network resources and discharge plan efficiently.


Methods: A questionnaire-based survey study used data from patient records collected by medical social works. Data analysis was used descriptive statistics.


Results: Of the long-term patients in hospitals, 86.8% were stayed for a year; 1.6% were stayed longer than 10 years. Most of patients were diagnosed with stroke (39.5%), unable to assist themselves (36.4%), and unsupported from the family (65.9%). These factors were caused difficulties in discharging them from the hospital. Social work intervention were used and found that some of patients were still remained in the wards and it needs network resources to transfer them through facing a lot of limitations.


Conclusions: Because of patients unable to self-care by themselves, these mentioned reasons makes the family and government foster home refuse to take care. Moreover, they not have the knowledge of care management. The only solution being done was referral to the government foster home which so difficult to being served.

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How to Cite
Kaewprapran, S., Saengsartra, S., Booranaphansak, K., Kanggerrure, K., Anekboon, N., & Boonsiri, S. (2018). A Situation of Long-term Patients in the Hospital Who Could Not Be Discharged. Ramathibodi Medical Journal, 41(4), 1-10. https://doi.org/10.14456/rmj.2018.37
Section
Original Articles

References

1. Kaewprapra S. Medical social worker training. Presented at: New York-Presbyterian Hospital and Mount Sinai Hospital; May-June, 2004; New York, USA.

2. The Thai Medical Social Workers Association, Medical Social Worker Conference; August 13-15, 2014; Bangkok, Thailand.

3. National Health Security Office (NHSO). National Health Insurance Act 2007. https://www.acfs.go.th/km/download/act_healthy_2550.pdf. Published March 19, 2007. Accessed September 20, 2018.

4. Meangboon P, Apisarnthanarak A. Nosocomial infection in community hospital. Moh Chao Ban; 2007. https://www.doctor.or.th/clinic/detail/7476. Accessed June 14, 2016.

5. Moongkhetklang V. Financial Expenditure of Patients with Stroke [master’s thesis]. Bangkok, Thailand: Mahidol University; 1998.

6. Manasvanich B, Chatkaew P, Sriratatana P, et al. Situational analysis of difficulty in discharging inpatients from tertiary care hospitals and development of guideline to facilitate discharge processes and downstream referrals; phase 1. Health Systems Research Institute (HSRI), Faculty of Medicine, Chulalongkorn University; 2015. https://kb.hsri.or.th/dspace/handle/11228/4416?show=full. Accessed September 20, 2018

7. Prajantasen Y, Phimpdeed J. From abandonment to community. Khon Kean, Thailand: Khon Kean Rachanakharin Psychiatrist Hospital; 2006. https://www.jvkk.go.th/researchnew/qrresearch.asp?code=2504. Accessed September 20, 2018.

8. Bureau of the Permament Sercretary of MOPH; Hifocus Website. https://www.hfocus.org/content/2016/08/12512. Published August 8, 2016. Accessed September 10, 2018.