Rubenstein L Z, Ouslander J G, Wieland D
UCLA School of Medicine.
Clin Geriatr Med. 1988 Aug;4(3):471-91.
Nursing homes and hospitals are dynamically interrelated, and there is much that the clinician can do to optimize patient transitions between institutions. This article approaches this topic in three sections: epidemiology of movement between hospitals and nursing homes, impacts of policy changes and financial incentives on patient transfers, and clinical strategies to reduce unnecessary hospitalizations of nursing home patients.
养老院和医院之间存在动态的相互关系，临床医生可以采取很多措施来优化患者在不同机构之间的转诊。本文分三个部分探讨这个主题：医院和养老院之间患者流动的流行病学、政策变化和经济激励措施对患者转诊的影响，以及减少养老院患者不必要住院的临床策略。
