Hosp Case Manag. 2012 Apr;20(4):49-51.
Case managers are being challenged to find a discharge destination for patients who are uninsured or underinsured and who need services after hospitalization.These patients often stay in the hospital longer than necessary, at the hospital's expense. Case managers should develop a network of community resources that can assist with care for unfunded patients after discharge. In some cases, it makes sense for the hospital to pay for a lower level of care rather than keeping patients in acute care beds that could be occupied by paying patients. Case managers often are under pressure to move patients through the continuum of care, making it a challenge to create an effective discharge plan for patients with limited financial resources. Many unfunded patients are eligible for financial assistance with their healthcare needs, but they aren't aware of it and don't know how to apply.
病例管理员面临着为未参保或保险不足且出院后需要服务的患者寻找出院去处的挑战。这些患者往往在医院停留的时间超过必要时长，费用由医院承担。病例管理员应建立一个社区资源网络，以协助为出院后的无资金支持患者提供护理。在某些情况下，医院支付较低水平的护理费用比让患者占用付费患者可能使用的急症护理床位更合理。病例管理员常常面临促使患者完成连续护理的压力，这使得为经济资源有限的患者制定有效的出院计划成为一项挑战。许多无资金支持的患者有资格获得医疗保健需求方面的经济援助，但他们对此并不知晓，也不知道如何申请。
