目的：為提升病人的臨床預後與降低醫療成本，欲建立標準化且有效的營養介入模式，以早期發現及改善住院老年病人的營養狀態，進而降低相關醫療風險與負擔。方法：以中部某醫學中心老年醫學病房住院病人為營養照護對象；以MUST與MNA工具評估營養狀態，由跨專業團隊（醫師、營養師、護理師）提供個別化營養介入指導及追蹤。結果：營養照護率從46%提升至96%，亦顯著降低病人功能退化、增加熱量與蛋白質攝取量，並改善營養狀態與日常生活活動功能；透過藥物整合減少病人服藥數量，也間接提高病人飲食意願與攝取量及營養狀態。結論：專案優化流程後整體達成改善臨床預後並降低醫療負擔之目標。

Objective: To improve clinical outcomes and reduce medical costs, this study aimed to establish a standardized nutritional intervention model for the early detection of poor nutritional status among hospitalized older patients. Methods: Hospitalized patients in the geriatric ward of a medical center in central Taiwan were received nutritional interventions. Nutritional status was assessed using the Malnutrition Universal Screening Tool (MUST) and the Mini Nutritional Assessment (MNA) , and individualized nutritional interventions and follow-up were provided by a multidisciplinary team consisting of physicians, dietitians, and nurses. Results: The percentage of older patients with adequate nutritional status increased from 46% to 96% after the intervention. Medication reconciliation was associated with reduced functional decline, enhanced caloric and protein intake, improved nutritional status, better quality of life, and greater dietary diversity. Conclusion: Following project optimization, the overall goals of improving clinical outcomes and reducing medical burden were achieved.