Doctoroff Lauren
Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.
J Hosp Med. 2017 Jun;12(6):467-471. doi: 10.12788/jhm.2750.
Over the past 10 years, postdischarge clinics have been introduced in response to various health system pressures, including the focus on rehospitalizations and the challenges of primary care access. Often ignored in the discussion are questions of the effect of postdischarge physician visits on readmissions. In addition, little attention has been given to other clinical outcomes, such as reducing preventable harm and mortality. A review of dedicated, hospitalist-led postdischarge clinics, of the data supporting postdischarge physician visits, and of the role of hospitalists in these clinics may be instructive for hospitalists and health systems considering the postdischarge clinic environment. Journal of Hospital Medicine 2017;12:467-471.
在过去10年里，为应对各种卫生系统压力，包括对再入院的关注以及初级保健可及性的挑战，出院后诊所应运而生。在讨论中常常被忽视的是出院后医生随访对再入院的影响问题。此外，对于其他临床结局，如减少可预防的伤害和死亡率，关注甚少。对由住院医师主导的专门出院后诊所、支持出院后医生随访的数据以及住院医师在这些诊所中的作用进行综述，可能会对考虑设立出院后诊所环境的住院医师和卫生系统有所启发。《医院医学杂志》2017年；12:467 - 471。
