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Annals of Geriatric Medicine and Research  https://doi.org/10.4235/agmr.19.0009
Post-Acute Care as a Key Component in a Healthcare System for Older Adults
Yu-Chun Wang1, Ming-Yueh Chou1,2,3, Chih-Kuang Liang1,2,3, Li-Ning Peng2,3,4, Liang-Kung Chen2,3,4, Ching-Hui Loh3,5,6
1Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
2Aging and Health Research Center, National Yang Ming University, Taipei, Taiwan
3Department of Geriatric Medicine, National Yang Ming University, Taipei, Taiwan
4Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan
5Center for Aging and Community Health, Hualien Tzu Chi Hospital, Hualien, Taiwan
6School of Medicine, Tzu Chi University, Hualien, Taiwan
Correspondence to: Corresponding Author:
Ching-Hui Loh, MD, PhD
Center for Aging and Community Health, Hualien Tzu Chi Hospital, 707, Sec. 3, Chung-Yang Rd., Hualien 970, Taiwan
E-mail: twdoc1960@gmail.com
Received: February 19, 2019; Revised: March 23, 2019; Accepted: March 26, 2019; Published online: May 15, 2019.
© The Korean Geriatrics Society. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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-athome 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: Post-acute care, Elderly, Referrals, Intermediate care facilities, Interdisciplinary health team

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