Analysis of Hospital Services for Elderly Inpatients

Chang, Hyun Sook

Journal of Korean Society Quality Assurance Health Care 2000;7(1): 18.
Published online May 30, 2000.

노인 입원환자 병원서비스 분석

장현숙

한국보건산업진흥원

Analysis of Hospital Services for Elderly Inpatients

Hyun Sook Chang

Department of Health Services and Management Korea Health Industry Development Institute

Abstract

Background
This study is to identify the inappropriate hospital services for elderly inpatients over 65 years in general hospital with acute care functioning. Consequently elderly inpatient care and the management of long-term care facilities are key issues for current government health policy. Method : The survey was conducted for two months for all inpatients over 65 in 7 general hospitals, 6 work sampling days randomly selected. In each survey day, the subjective judgement by medical staff on the degree of acute care needs and by nursing unit manager on hospital services of each inpatients was also conducted.
Result
The total number of cases collected are 2,541 elderly inpatients, according to subjective judgements by medical staff on inpatient condition. However 46.8% of cases are turned out to be non-acute care group. The frequency of medical services provided to non-acute group are 2~3 vital sign checks per day 78.2%, IV injection 40.1%, antibiotics medication 20.2%.
Conclusion
Lots of elderly patients' who are staving in acute hospitals, at present need to be transferred to long-term care facilities. However, there was been shortage of long-term care facilities. It is expected to identify the need of elderly inpatients and therefore, to provide cost-effective, appropriate and good quality health services to elderly inpatients depending on their needs.

Key words Elderly inpatients;Hospital services;Long-term care;