James C S
Department of Social Work, Melbourne University, Parkville, Australia.
Soc Work Health Care. 1987 Summer;12(4):47-59. doi: 10.1300/J010v12n04_04.
Ambiguities in definitions of discharge planning hinder clarification of the social work role. An ecological approach defines discharge planning as interprofessional, client-organization, and often interorganizational activity, focused on ensuring high quality care in a patient's transition from hospital to community. The resourcing, allocation and integration of its component tasks throughout the health-care continuum are influenced by significant and interacting environmental variables requiring further study: the strength of discharge planning policy; the point of access for planning; the patient's state and personal network; the nature of the treatment organization and its resource network.
出院计划定义中的模糊性阻碍了对社会工作角色的明确。一种生态方法将出院计划定义为跨专业、客户与组织之间且通常是组织间的活动,其重点是确保患者从医院过渡到社区时能获得高质量护理。在整个医疗保健连续过程中,其组成任务的资源配置、分配和整合受到重大且相互作用的环境变量影响,这些变量需要进一步研究:出院计划政策的力度;计划的接入点;患者的状态和个人网络;治疗机构的性质及其资源网络。