Development of the indicators and benchmark for evaluating the quality of medical and long-term care associated with transitioning care from institutions to the home.

2021 Fiscal Year Final Research Report

• Project/Area Number: 17K12416
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Gerontological nursing
• Research Institution: The Japanese Red Cross Akita College of Nursing
• Principal Investigator: Mayuko Ono 日本赤十字秋田看護大学, 看護学部看護学科, 准教授 (50723243)
• Co-Investigator(Kenkyū-buntansha): 夏原 和美 東邦大学, 看護学部, 教授 (00345050)
• Project Period (FY): 2017-04-01 – 2022-03-31
• Keywords: 在宅シフト後評価指標 / 看護職 / 在宅シフト支援能力 / ベンチマーク

Outline of Final Research Achievements

The present study aimed to develop indicators and benchmark for evaluating the transition of medical and long-term care from institutions (hospitals and long-term care health facilities) to the home. The indicators were developed based on the healthcare quality assurance framework, consisting of “structure,” “process,” and “outcome.” The indicators consisted of 17 “structure” items and 11 “outcome” items for medical care and 15 “structure” items and 13 “outcome” items for long-term care. The “process” was based on an existing scale with validated reliability and validity practiced by nurses when supporting institution-to-home transitions.
Fifty-two nursing directors, 1090 nurses, and 611 patients/families nationwide were asked to complete a survey. Future work will include analysis of the characteristics of the developed evaluation indicators and construction of benchmark indicators.

Free Research Field

医歯薬学

Academic Significance and Societal Importance of the Research Achievements

地域包括ケアシステムで推進される医療・介護現場での在宅シフトを「構造」「プロセス」「アウトカム」の枠組みで開発した「在宅シフトに関する医療・介護の質評価指標」は、地域包括ケアシステムにおける日本独自の在宅シフトの指標として活用できる。看護職の在宅シフト支援尺度と「構造」「アウトカム」指標の関連が明らかになれば、住み慣れた地域での暮らしを継続するために必要な看護職の具体的な在宅シフト支援が明確になる。さらに、標準値や目標値といったベンチマーク指標を構築し、活用されることによって地域包括ケアシステムで求められている在宅支援の強化が期待できる。