在长期住院住户中,社区排放:排放策划者的视角
Kathleen Abrahamson1, Tetyana Shippee2, Heather Davila3
1College of Nursing, University of Wisconsin Oshkosh, Oshkosh, Wisconsin, USA.
Journal of gerontological social work
|June 9, 2025
概括
将长期停留的养老院居民送回社区面临挑战. 关键主题包括专注于新招生,早期规划,多学科投入,服务可用性,财务和安全.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 出院计划是短期养老院居民的标准.
- 对于长期居住的居民来说,康复后的社区免费是更复杂的.
- 一项全州范围的政策旨在增加长期居民社区出院率.
研究的目的:
- 分析出院规划人员关于促进长期住院住户社区出院的观点.
- 识别长期居民成功过渡的障碍和促进者.
主要方法:
- 对42名养老院出院规划人员的采访进行了定性分析.
- 专题分析以确定反复出现的模式和挑战.
主要成果:
- 出院规划人员经常优先考虑新入住的居民而不是长期居住的居民.
- 早期的多学科规划至关重要,但往往缺乏.
- 重要的障碍包括有限的社区服务,财务问题和居民安全考虑.
- 平衡居民的安全与他们回家的愿望是关键的紧张关系.
结论:
- 目前的出院规划实践可能无法充分支持长期居民过渡到社区生活.
- 解决系统性问题,如服务可用性和财务限制是必不可少的.
- 政策干预需要考虑长期居民的独特需求和复杂性.
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