Theory Application in Integrated Health Service Systems with Multidisciplinary Participation by Using the Concept of Hospital Transition to Home Care for Developing the Health Management System for Patients with Chronic Obstructive Pulmonary Disease at Maelao Hospital in Chiang Rai Province
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Abstract
Background: Chronic obstructive pulmonary disease (COPD) is one cause of hospital readmissions. The readmission rate to the hospital can be reduced by applying the integrated health service system with multidisciplinary participation, and an evaluation on readiness before discharge from the hospital
Methodology: This research was action research conducted with chronic obstructive pulmonary disease. The instruments consisted of the evaluation form on readiness preparation before discharge from the hospital, and the discharge planning model. The data were analyzed with descriptive statistics and testing statistics.
Results: The sample participants’ perception of readiness preparation before discharge from the hospital was found to be at the high level at 90.48%, and the readmission rate at the hospital within 28 days was significantly reduced.
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