研究目的：本研究旨在分析某區域醫院在宅急症照護推動之分析。材料與方法：本文為回溯性研究，收集北部某區域醫院2024年7月至2025年3月符合在宅急症照護收案之病人為對象，分析其過程及結果。結果：共收案17位病人，男性7位，女性10位，平均年齡為78.2±9.2歲，病人收案來源以照護機構住民最多為52.9%，收案適應症以尿路感染最多達88.2%，結案資訊緩解完治聯繫原醫療團隊佔88.2%。進一步探討個案於結案後3天及14天因感染獲得控制未有轉急診或住院情況與健保署統計資料相符，另計算有超出計畫目標天數案件比率為6.67%，此為軟組織感染個案原治療目標為6天收案過程因發燒且感染範圍較大經醫師評估調整抗生素施打為7天，在本研究中，儘管有少數個案超過計畫目標天數，但整體結果顯示在宅急症照護能有效控制病情，且病人在照護過程中未出現需要轉急診或住院的情況，這一結果與健保署的統計資料相符，證實居家醫療照護可以成為傳統住院治療的一種有效替代方案。然而，居家醫療照護的成功實施依賴於病人生命徵象穩定且治療方案明確。在某些情況下，病人可能需要調整抗生素治療計劃，並延長治療時間，這需要醫療團隊在進行臨床決策時保持靈活性。但在推行過程中仍需關注病情變化風險的管理、治療方案的靈活調整，及對病人及家屬的全方位支持，以確保治療效果及病人的生活品質。

Background: With the global trend of population aging and increasing chronic diseases, there is a growing emphasis on Hospital at Home (HaH) models to allevi-ate the burden on healthcare systems and improve care efficiency. This study aims to explore the preliminary implementation and outcomes of acute care at home in a regional hospital in northern Taiwan. Objective: To analyze the sources of enroll-ment, indications, treatment outcomes, and post-discharge follow-up of patients en-rolled in the acute home care program from July 2024 to March 2025, and to evalu-ate the feasibility and effectiveness of home-based acute care as an alternative to hospitalization. Methods This retrospective study collected data from 17 patients who met the criteria for acute home care enrollment. Patient demographics, care processes, treatment outcomes, and emergency department visits or hospitalizations within 3 and 14 days post-discharge were analyzed. Results: A total of 17 patients (7 males and 10 females) were enrolled, with a mean age of 78.2 ± 9.2 years. The ma-jority of patients (52.9%) were residents of care facilities. The most common indi-cation for enrollment was urinary tract infection (88.2%). Among all cases, 88.2% achieved clinical resolution and were referred back to their original medical teams. No patients required emergency visits or hospitalization within 3 or 14 days after discharge, aligning with the national health insurance data. One case (6.67%) ex-ceeded the target treatment duration due to the need for extended antibiotic therapy for soft tissue infection. Conclusion: The results suggest that acute home care can effectively control infections without increasing the risk of emergency department visits or hospitalization. Successful implementation requires stable patient vital signs, clear treatment plans, flexible clinical decision-making, and comprehensive support for patients and families. Home-based acute care could serve as a viable al-ternative to traditional inpatient care.