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Post-acute care and intermediate care 

Post-acute care and intermediate care
Chapter:
Post-acute care and intermediate care
Author(s):

Liang-Kung Chen

DOI:
10.1093/med/9780198701590.003.0035
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date: 24 August 2019

Post-acute care (PAC), interchangeable with intermediate care, is the key to the success of healthcare services for older people. Due to the need for longer periods of recovery from acute insults, PAC provides the opportunities for these patients to regain functional independence, as well as reduction in hospital readmission and premature long-term care placement. Moreover, the functional recovery obtained from PAC services is associated with the reduction in one-year mortality by 62%. Different models of PAC services have been developed internationally, including home care models, community hospitals, day hospitals, nurse-led units, and community rehabilitation teams. The success of PAC depends on person-centred care with a multidisciplinary approach and comprehensive geriatric assessment, which is consistent in different PAC models. Some specific clinical conditions occurring in PAC possess unique characteristics and impact on PAC outcomes. These conditions are not exclusive to PAC, but their presence may strongly influence quality of care.

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