PDF(Pubmed)
Abstract：
Older adult patients account for 70% of all hospitalized patients in Japan, and intermediate care based on patient-centered care (PCC) that ensures continuity and quality of care at the interface between home services and acute care services and restores patient\'s independence and confidence is necessary for them to continue living independently. At present, no concept of intermediate care is established in Japan, and the implementation of PCC has been delayed. Thus, in this study, a Japanese version of the intermediate care evaluation index (patient-reported experience measure (PREM)) was created on the basis of the original PREM developed in the UK, and data in wards with intermediate care functions in Japan were collected to confirm internal consistency and validity from 2020 to 2022. The Japanese version of PREM was found to have a factor structure with two potential factors. Given the clear correlation with the shared decision-making evaluation index, which is the pinnacle of PCC, the theoretical validity of the Japanese version of PREM, which is based on PCC as a theoretical basis, was confirmed.
摘要：
在日本，老年成人患者占所有住院患者的70%，以及基于以患者为中心的护理(PCC)的中间护理，确保在家庭服务和急性护理服务之间的接口处的护理连续性和质量，并恢复患者的独立性和信心，这对于他们继续独立生活是必要的。目前,在日本没有建立中间护理的概念，PCC的实施已被推迟。因此，在这项研究中，在英国开发的原始PREM的基础上创建了日文版的中间护理评估指数（患者报告的经验测量（PREM）），收集了日本具有中级护理功能的病房的数据，以确认2020年至2022年的内部一致性和有效性。发现日本版本的PREM具有具有两个潜在因素的因素结构。鉴于与共享决策评价指标具有明显的相关性，这是PCC的顶峰，日本版本的PREM的理论有效性，它以PCC为理论基础，已确认。
