부산대학교 도서관

Wipe and bathing, toilet activities, transfer (bed), transfer (toilet) and movement (walking)—the five motor skills included in the Functional Independence Measure (hereinafter abbreviated as FIM)—recorded lower values in the order from high to low of home discharge, nursing home transfer, chronic phase hospital transfer and acute phase hospital transfer. Lower values were observed in the dementia group than in the non-dementia group. The existence of dementia and the FIM value at the time of a patient’s admission affected the patient’s outcome. Histories of stroke, ischemic heart disease and bone fracture also affected outcomes. It is clear that the collaborative daily clinical pathway using BOM offers an important means of visualizing and analyzing cooperative medical process data on dementia, functional recovery and maintenance, complications and deterioration of comorbidity—factors that influence chronic medical need.