Howard D J
Health Trends. 1986 Feb;18(1):12-4.
A discharge letter which has been introduced into the South and Central Birmingham Geriatric Service is described. This letter combines the features of a discharge notification and a discharge summary. For speed of communication, a handwritten version accompanies the patient on discharge from hospital and a typed copy is posted subsequently. The letter is structured and includes details of the medical assessment, medication, the recommended follow up, the need for support outside the hospital, the relatives involved and the unresolved problems. It has reduced the work of the hospital doctor and the secretaries, has speeded communication with general practitioners (GPs), and is acceptable to most GPs as a substitute for a conventional discharge summary.
介绍了一份已引入伯明翰南部和中部老年病服务机构的出院信。这封信结合了出院通知和出院小结的特点。为加快沟通速度，患者出院时会附上一份手写版信件，随后会邮寄一份打印版。这封信结构清晰，包含医疗评估、用药、建议的随访、院外支持需求、相关亲属以及未解决问题等细节。它减轻了医院医生和秘书的工作负担，加快了与全科医生（GP）的沟通，并且大多数全科医生都认可它可替代传统的出院小结。
