PDF(Pubmed)
Abstract：
Prolonged hospital stays can significantly impede patients\' recovery, negatively affecting anything from physical health via issues like hospital-acquired infections and increased complications due to immobility to psychological health. Several studies investigated the psychosocial impact of prolonged hospital stays, revealing a variety of patient perspectives, such as feeling uncertain and frustrated about their conditions, which can erode their trust in healthcare providers. Delayed discharges not only affect patients but also have multifaceted effects on healthcare providers, potentially reducing physician efficiency and contributing to higher rates of burnout among healthcare professionals. This article investigates the consequences of delayed versus early discharge on physicians, patients, and the overall hospital system. We conducted an extensive search through PubMed and Google Scholar using the keywords \"delayed discharge,\" \"hospital discharge,\" and \"bed blocking\" to identify all the recent studies highlighting the dynamics of patient discharge. Our results support the hypothesis that reducing delayed discharge rates will not only improve patient outcomes but also have widespread fiscal impacts. This review also outlines measures to reduce delayed discharges, ultimately leading to a significant enhancement in the healthcare system.
摘要：
延长住院时间会显著阻碍患者的康复，通过医院获得性感染和由于不活动而导致的并发症增加等问题对身体健康产生负面影响。几项研究调查了长期住院的社会心理影响，揭示了不同的患者观点，比如对他们的状况感到不确定和沮丧，这会削弱他们对医疗保健提供者的信任。延迟出院不仅会影响患者，还会对医疗保健提供者产生多方面的影响，可能会降低医生的效率，并导致医疗保健专业人员中更高的倦怠率。本文调查了延迟出院与早期出院对医生的影响，病人,以及整个医院系统。我们通过PubMed和GoogleScholar进行了广泛的搜索，使用关键字“延迟出院，“\”出院，\"和\"床阻塞\"，以确定所有最近的研究强调病人出院的动态。我们的结果支持以下假设：降低延迟出院率不仅会改善患者预后，而且会产生广泛的财政影响。这项检讨亦概述减少延迟出院的措施,最终导致医疗保健系统的显着增强。
