Proctor E K, Morrow-Howell N, Kitchen A, Wang Y T
George Warren Brown School of Social Work, Washington University, St. Louis, MO 63130, USA.
Soc Work Health Care. 1995;22(1):1-18. doi: 10.1300/J010v22n01_01.
The complications encountered in discharge planning in an acute care pediatric hospital were documented. The cases of 105 children hospitalized on selected units of an acute care, regional, pediatric hospital in the Midwest were studied. The most frequently encountered complications were financial, family unavailability and lack of cooperation, family inability/unwillingness to learn patient care, custody issues, unexpected medical developments, and transportation problems. Team differences in understanding the child's psychosocial situation and custody disputes were associated with delays in discharge. Private insurance, late referral, and lack of family availability were associated with the adequacy of the discharge plan, as rated by the discharge planner at discharge. Results show discharge planning to be a complex process, affected by family, resource, and team work issues.
记录了一家急症护理儿童医院出院计划中遇到的并发症。对中西部一家地区性急症护理儿童医院特定科室收治的105名儿童病例进行了研究。最常遇到的并发症包括经济问题、家人无法到场及缺乏合作、家人无能力/不愿意学习患者护理、监护权问题、意外的医疗进展和交通问题。团队在理解儿童心理社会状况和监护权纠纷方面的差异与出院延迟有关。出院时，由出院计划制定者评估，私人保险、转诊延迟和家人无法到场与出院计划的充分性有关。结果表明，出院计划是一个复杂的过程，受到家庭、资源和团队合作问题的影响。
