Zarle N C
Aurora University, Illinois.
Nurs Clin North Am. 1989 Sep;24(3):697-705.
Continuing care planning and balancing care of elders are crucial components of health care today. The most sweeping change that has come with the advent of prospective pricing for the acute care setting is in the financing of health care for the aged and disabled. Prospective pricing, which uses the diagnosis-related group system, is the method chosen by federal agencies to restrain Medicare costs. For almost two decades, the hospital has been the reservoir for the impaired elderly who could not be returned home or to the community without support services. The system now encourages shortened hospital stays. Continuing care planning is the key to balancing the care of the elder through the process of discharge planning. We must assure patients and families that their needs will be met in the community when the patient is discharged. Balancing care of elders between health care settings through discharge planning is identified in three simple words: A Complex Process. As health care professionals, we must be ready to accept this challenge.
持续护理规划以及平衡老年人护理是当今医疗保健的关键组成部分。急性护理环境中实行前瞻性定价所带来的最重大变化在于老年人及残疾人医疗保健的融资方式。前瞻性定价采用诊断相关分组系统，是联邦机构用以控制医疗保险成本所选用的方法。近二十年来，医院一直是那些没有支持服务就无法回家或返回社区的受损老年人的收容场所。如今该系统鼓励缩短住院时间。持续护理规划是通过出院规划过程平衡老年人护理的关键。我们必须向患者及其家属保证，患者出院后其在社区的需求将得到满足。通过出院规划在不同医疗保健环境之间平衡老年人护理可用三个简单的词来概括：一个复杂的过程。作为医疗保健专业人员，我们必须准备好接受这一挑战。
