Hosp Case Manag. 2014 Apr;22(4):41-3.
Case managers and social workers have to look for creative solutions as hospitals struggle with finding a safe discharge for uninsured, undocumented, and homeless patients. It's often more cost-effective for hospitals to pay for post-discharge care rather than keeping unfunded patients as inpatients after they no longer meet acute care criteria. Undocumented patients sometimes want to go back to their home country for post-discharge care, but many have families in this country who are willing to care for them. Some homeless patients have families who are looking for them, but some have been on the street for many years and want to be discharged to the only living situation they know.
病例管理人员和社会工作者必须寻找创造性的解决方案，因为医院在为无保险、无证和无家可归的患者寻找安全出院途径时面临困难。对医院来说，支付出院后的护理费用通常比在患者不再符合急性护理标准后仍将无资金支持的患者留作住院病人更具成本效益。无证患者有时想回国接受出院后的护理，但许多人在这个国家有愿意照顾他们的家人。一些无家可归的患者有家人在寻找他们，但一些人已经流落街头多年，希望出院后回到他们唯一熟悉的生活环境。
