Bruder M B, Cole M
Mental Retardation Institute, New York Medical College, Valhalla.
Child Health Care. 1991 Winter;20(1):40-9. doi: 10.1207/s15326888chc2001_7.
The continued expansion of NICU's and the subsequent increase in the survival rate of infants and children with special health care needs warrants an examination of the variables that contribute to a successful transition from hospital to home. While best practices have been identified for both families and professionals, many of the 1150 NICU's across the country are not in a position to implement such practices, primarily because of fiscal and time constraints. This article presents an overview of a project designed to identify and facilitate critical elements of transition that can be implemented at minimum cost for all families transitioning from hospital to home care in Connecticut. The identified elements include: (a) the use of a parent to parent support network, (b) the use of a standard discharge summary form to enhance communication among family and care providers, (c) the use of a continuing care plan to facilitate the accessibility of community services, and (d), the identification of on-going training activities for both families and providers.
新生儿重症监护病房（NICU）的持续扩张以及随之而来的有特殊医疗需求的婴幼儿存活率的提高，使得有必要对有助于从医院顺利过渡到家庭的各种变量进行研究。虽然已经为家庭和专业人员确定了最佳做法，但全国1150家新生儿重症监护病房中的许多都无法实施这些做法，主要是由于财政和时间限制。本文概述了一个项目，该项目旨在识别并推动过渡的关键要素，这些要素可以以最低成本为康涅狄格州所有从医院过渡到家庭护理的家庭实施。确定的要素包括：（a）利用家长对家长的支持网络；（b）使用标准出院总结表以加强家庭与护理提供者之间的沟通；（c）使用持续护理计划以促进社区服务的可及性；以及（d）为家庭和提供者确定持续培训活动。
