| Title： | Evidence based Guidelines for hospital discharge planning |
| Edition： | Original |
| Classification： | Standard guideline |
| Field： | Administration |
| Countries and regions： | China |
| Guidelines users： | Front-line physicians, nursing staff, patients, family members and their caregivers who need follow-up care or are at risk of delayed discharge, social workers, policy makers, researchers, etc |
| Evidence classification method： | GRADE |
| Development unit： | Launch of the Campbell China Network、Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School、Nanjing Zhihuikangyang research institute、The Second Clinical Medical College of Nanjing Medical University、Nanjing Chuangjia Social Worker Office |
| Registration time: | 2024-04-23 |
| Registration number： | PREPARE-2024CN570 |
| Purpose of the guideline: | It aims to develop standardized guidelines for discharge preparation services. With the deepening reform of China's medical system and the improvement of medical and health standards, the utilization rate of medical resources has been significantly improved. In China's 2022 "Proposal on Standardizing the Policy on the Bed Turnover Rate of Seriously Ill Patients", it is proposed to improve the turnover rate of hospital beds and shorten the length of hospital stay under the condition of ensuring the safe discharge of patients, which also suggests that inpatients in China may face problems such as "early discharge" and "being discharged". When patients are transferred to the new rehabilitation environment, their bodies have not yet fully recovered or their nursing capacity is limited, and the system of hierarchical diagnosis and treatment in China has not yet been fully perfected, and the community-based treatment and rehabilitation nursing force is relatively weak. Discharge preparation services are important for patients to receive effective further rehabilitation and care after returning to their communities and families. Discharge preparation is an integrated process that involves the collaboration of healthcare professionals, patients, and primary caregivers to ensure that all patients receive a continuum of care after discharge, both in-hospital and out-of-hospital. Scientific and effective discharge preparation services have been confirmed by a number of studies to help control the length of hospital stay, reduce the risk of readmission, improve patients' own disease management ability, and help patients and their families to recover at home. Many relevant standards and guidelines have been published abroad for the implementation of discharge preparation services, but the development of discharge preparation services in China's inland areas is relatively late, and a unified concept definition and standardized process have not yet been formed. Based on the support of high-quality evidence, this paper aims to formulate standardized guidelines for discharge preparation services, provide reasonable guidance for the implementation of discharge preparation services in China, and ultimately promote the scientific and standardized development of discharge preparation services. |
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