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01.12.2012 | Research article | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

Expansion of discharge planning system in Japan: Comparison of results of a nationwide survey between 2001 and 2010

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2012
Autoren:
Satoko Nagata, Hikari Tomura, Sachiyo Murashima
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-12-237) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

All authors contributed to the conception and design of the study and the acquisition of data. SN analyzed data and all authors contributed to interpretation of data. All authors contributed to drafting the article or revising it critically for important intellectual content, and final approval of the version to be submitted. All authors read and approved the final manuscript.

Abstract

Background

In response to the rapid aging of the population in Japan, many care systems have been created in quick succession. Establishment of discharge planning departments (DPDs) in hospitals is one of them. In this study, we compared the distribution and characteristics of DPDs and the characteristics of the hospitals that have DPDs between 2001 and 2010 in Japan.

Methods

We mailed a questionnaire about the characteristics of hospitals and existence and situation of DPDs to all general hospitals with 100 or more general beds in 2001 and in 2010.

Results

In 2001, of the 3,268 hospitals queried, 1,568 (48.0%) responded and 1,357 (41.5%) were selected for data analysis. In 2010, among 2,600 hospitals, 940 hospitals (36.1%) responded and 913 (35.1%) met the inclusion criteria. The percentage of hospitals with DPDs increased from 30% to more than 70% between the two surveys. More departments were under the direct control of the hospital director and more physicians participated in discharge planning activities in 2010 than in 2001. In 2001, private hospitals and hospitals with an affiliated institution or agency tended to have a DPD; however, the relationship between these factors and the presence of a DPD had disappeared in 2010. Larger hospitals and hospitals with more nurses per patient tended to have a DPD both in 2001 and 2010.

Conclusions

Since 2008, the establishment of a DPD has been directly connected to medical fees so hospital administrators might have recognized the DPD as a “necessary and paid for” department. Having a DPD was the majority’s policy in Japan, and we must recognize the importance of quality assurance through DPDs from now on, especially in small hospitals.
Zusatzmaterial
Additional file 1: Survey about the situation of discharge planning at all hospital in Japan (in 2001) originally in Japanese. (DOC 126 kb). (DOC 126 KB)
12913_2011_2102_MOESM1_ESM.doc
Additional file 2: Survey about the situation of discharge planning at all hospital in Japan (in 2010) originally in Japanese. (DOC 58 kb). (DOC 58 KB)
12913_2011_2102_MOESM2_ESM.doc
Authors’ original file for figure 1
12913_2011_2102_MOESM3_ESM.pdf
Literatur
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