Pediatrics. 2012 May;129(5):996-1005. doi: 10.1542/peds.2012-0606. Epub 2012 Apr 30.
Children and youth with complex medical issues, especially those with technology dependencies, experience frequent and often lengthy hospitalizations. Hospital discharges for these children can be a complicated process that requires a deliberate, multistep approach. In addition to successful discharges to home, it is essential that pediatric providers develop and implement an interdisciplinary and coordinated plan of care that addresses the child's ongoing health care needs. The goal is to ensure that each child remains healthy, thrives, and obtains optimal medical home and developmental supports that promote ongoing care at home and minimize recurrent hospitalizations. This clinical report presents an approach to discharging the child with complex medical needs with technology dependencies from hospital to home and then continually addressing the needs of the child and family in the home environment.
患有复杂医疗问题的儿童和青少年，尤其是那些需要技术支持的儿童，经常需要住院治疗，而且往往时间较长。对于这些儿童来说，出院是一个复杂的过程，需要深思熟虑，采取多步骤的方法。除了成功出院回家外，儿科医生还必须制定和实施跨学科和协调的护理计划，以满足儿童的持续医疗需求。目标是确保每个孩子保持健康、茁壮成长，并获得最佳的医疗家庭和发展支持，以促进在家中持续护理，并最大限度地减少再次住院。本临床报告介绍了一种将患有复杂医疗需求和技术依赖性的儿童从医院出院回家的方法，然后继续在家中满足儿童及其家庭的需求。
