Division of Community Geriatrics, Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.
Clin Geriatr Med. 2011 May;27(2):259-71. doi: 10.1016/j.cger.2011.02.004. Epub 2011 Apr 13.
This article reviews the literature on transitional care to and from the LTC environment, highlighting strategies to improve the quality of care transitions. Several factors are vital in the improvement of systems of care dealing with transitions. Key factors include communication with and among health care providers, effective medication reconciliation, advanced discharge planning, and timely use of palliative care.
本文回顾了有关长期护理环境中及向该环境过渡的过渡性护理文献，重点介绍了改善护理过渡质量的策略。有几个因素对于改善处理过渡问题的护理系统至关重要。关键因素包括与卫生保健提供者之间的沟通以及提供者之间的沟通、有效的药物重整、提前做好出院计划以及及时使用姑息治疗。
