Social Work in Health Care · 1989 · 13 citations · 4 references
Health ProfessionsSocial WorkSurgeryHealthcare Organizational BehaviorHospital AdministrationMedical Social WorkDischarge PlanningHospital CoordinationHospital Operations ManagementHospital SystemsInpatient CareSocial Care IntegrationCoordinated Discharge PlanningDecision ProblemsDelayed DischargeHospital Discharge PathwaysHospital-based Social WorkOrganizational Factors AnalysisPatient Discharge PlanningTertiary Care Organization
A study of social work-coordinated discharges from medical and surgical units at a 387-bed tertiary care hospital in Seattle, Washington examines social, medical and organizational factors associated with overstays. Social and medical variables included an absence of social supports, multiple diagnoses, and patient/family decision-making problems. Though organizational factors within and outside the hospital were identified, the most frequent systems delay was due to lack of post-hospital beds.
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