Post-Acute Care as a Key Component in a Healthcare System for Older Adults

Ann Geriatr Med Res. 2019 Jun;23(2):54-62. doi: 10.4235/agmr.19.0009. Epub 2019 Jun 30.

Abstract

Older adults often experience functional decline following acute medical care. This functional decline may lead to permanent disability, which will increase the burden on the medical and long-term care systems, families, and society as a whole. Post-acute care aims to promote the functional recovery of older adults, prevent unnecessary hospital readmission, and avoid premature admission to a long-term care facility. Research has shown that post-acute care is a cost-effective service model, with both the hospital-at-home and community hospital post-acute care models being highly effective. This paper describes the post-acute care models of the United States and the United Kingdom and uses the example of Taiwan's highly effective post-acute care system to explain the benefits and importance of post-acute care. In the face of rapid demographic aging and smaller household size, a post-acute care system can lower medical costs and improve the health of older adults after hospitalization.

Keywords: Elderly; Interdisciplinary health team; Intermediate care facilities; Post-acute care; Referrals.

Publication types

  • Review