《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (06): 628-633.

• 特稿 •    下一篇

我国出院计划的现状及思考

李建军 1,2，唐丽 1,2，高峰 1,2，杨明亮 1,2，杜良杰 1,2，Sheila Purves3，黄卫平 3   

  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-06-25 发布日期:2015-06-25

Discharge Planning in China

LI Jian-jun1,2, TANG Li1,2, GAO Feng1,2, YANG Ming-liang1,2, DU Liang-jie1,2, Sheila Purves3, HUANG Wei-ping3   

  1. 1. Department of Spinal and Neural Function Reconstruction, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China; 2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 3. The Hong Kong Society for Rehabilitation - WHO Callaboration Center for Rehabilitation, Hong Kong, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-06-25 Online:2015-06-25

PDF (PC)

被引次数

6

摘要： 出院计划是成功实施连续医疗服务的基础保证，有助于缩短住院时间、提高医院床位周转率、降低再入院率、节省医疗成本，并改善患者生活质量。目前，美国、英国、加拿大、澳大利亚等发达国家已充分认识到出院计划的重要性，并在实践中取得成效，已纳入相关政策法规推动其发展。在我国，尽管香港、台湾均已正式颁布出院计划相关政策，大陆地区却仍处于出院计划的研究探索阶段，还存在诸多问题，如出院计划实施对象局限，计划内容有待充实，执行流程需进一步优化，专业人员及组织亟待建立，规范化标准化的出院计划指南缺乏等。随着由医院、公共卫生机构、基层医疗卫生机构等组成的覆盖城乡的医疗卫生服务体系的逐渐完善，分级就诊、急慢分治的制度逐渐建立，探讨我国出院计划实施的必要性、重要性、不利因素及措施具有重大意义。

关键词: 出院计划, 连续医疗服务, 康复

Abstract: Discharge planning is the basis of continuous medical service. It could shorten the length of hospital stay, improve bed occupancy, reduce readmission rate, save medical costs, and improve the quality of life. It's considered to be important and supplemented by relevant policies and regulations to promote development in the United States, the United Kingdom, Canada, Australia and other developed countries. In China, even though Hong Kong and Taiwan have issued discharge planning policies, the mainland is still at the stage of exploration. Discharge planning in Chinese mainland has problems like restricted objectives, imperfect content, un-optimized process, unestablished professionals and organizations and so on. Standardized discharge planning guide still needs further research. As the health service system including hospitals, public health institutions and primary health institutions coverd urban and rural gradually, and the new pattern of grading diagnosis and treatment established, it's necessary to analyze the necessity, importance, obstacles and measures of discharge planning in China.

Key words: discharge planning, continuity of healthcare, rehabilitation