Caton C L, Goldstein J M, Serrano O, Bender R
Hosp Community Psychiatry. 1984 Mar;35(3):255-62. doi: 10.1176/ps.35.3.255.
The authors studied the discharge planning process at four inpatient facilities and its impact on 119 chronic schizophrenic patients over a one-year period. Adequacy of discharge planning varied significantly among the inpatient units; the authors attributed this variance to communication between inpatient and outpatient staff, staff-patient ratios, and staff effort. Overall, staff were most thorough in planning drug treatment and aftercare and least thorough in planning living arrangements in the community. The authors found that adequacy of discharge planning for aftercare treatment as well as patients' economic situations significantly influenced both treatment compliance at three-month follow-up and rates of early rehospitalization.
作者研究了四个住院机构的出院计划流程及其在一年时间里对119名慢性精神分裂症患者的影响。各住院单元的出院计划充分性差异显著；作者将这种差异归因于住院和门诊工作人员之间的沟通、工作人员与患者的比例以及工作人员的努力程度。总体而言，工作人员在规划药物治疗和后续护理方面最为全面，而在规划社区生活安排方面最不全面。作者发现，后续护理治疗的出院计划充分性以及患者的经济状况，对三个月随访时的治疗依从性和早期再住院率均有显著影响。
