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从医院角度看,缩短患者住院日期,提高病床周转率,似乎是加强经营管理的手段。但有时由于片面强调过早出院,而使患者出院后病情加重不得不再次入院,日本医院正在学习美国有关“出院计划”的经验,出院计划的目的是使医院有效率的经营与提高医疗质量有机的结合起来,具体做法是从患者入院开始到住院治疗接近结束时,由专人进行评估和制定出院计划,并为患者出院的的医疗、护理做出全面安排,减少再入院,顺利转为家庭医疗,并与老人医疗保险制度接轨,这就是出院计划的全部目的。
From the hospital’s point of view, shortening the hospitalization period of patients and improving the bed turnover rate seem to be a means to strengthen management. However, due to one-sided premature discharge from the hospital, the patient was forced to re-admit after discharge. Japanese hospitals are learning about the United States’ experience in the “discharge plan”. The purpose of the discharge plan is to enable the hospital to operate efficiently and improve the quality of medical care. The specific approach is that from the time the patient enters the hospital to the end of hospitalization, special personnel will perform assessments and develop discharge plans, and make comprehensive arrangements for the patient’s discharge of medical treatment and care, reduce re-admission, and smoothly transition to home medical care. , and with the medical insurance system for the elderly, this is the full purpose of the discharge plan.