Yeung Ho-Man
Section in Hospital Medicine, Department of Medicine, Temple University Hospital, PA, 19104, USA.
J Community Hosp Intern Med Perspect. 2023 May 8;13(3):6-9. doi: 10.55729/2000-9666.1188. eCollection 2023.
Medical students and residents often have difficulty with discharge planning and determining appropriate post-hospitalization level of care. As the discharge planning process can be complex, physicians in-training often do not engage until late into the hospitalization or near day of discharge. This paper offers a simple pyramid construct that categorizes common discharge needs into 4 areas or tiers. As the topic of discharge planning is not formally taught in medical education, most trainees learn through experience and by trial and error. Using a simple pyramid and a basic flow chart to guide students and residents, the discharge planning process can be introduced as soon as possible during the hospitalization.
医学生和住院医师在出院计划制定以及确定合适的出院后护理级别方面常常存在困难。由于出院计划制定过程可能很复杂，接受培训的医师通常直到住院后期或临近出院时才参与其中。本文提供了一个简单的金字塔结构，将常见的出院需求分为4个领域或层级。由于出院计划制定这一主题在医学教育中并未正式讲授，大多数实习生通过经验以及反复试验来学习。利用一个简单的金字塔和基本流程图来指导学生和住院医师，出院计划制定过程可以在住院期间尽早引入。
