Evaluation of an integrated model of discharge planning: achieving quality discharges in an efficient and ethical way.

Discharge planning has become increasingly important in an era of shortened lengths of stay in hospital. Prior research demonstrated that discharge practices presented resource and ethical problems. This evaluation of an integrated model of discharge planning (IMDP) included an assessment of resource utilization, respect for persons during decision-making, and the impact of the model in meeting the needs of elderly patients, families, and professionals. Two case studies involving a university and a community hospital were used to illustrate the context in which discharge planning occurs. Within and cross-case analyses of the discharge-planning process for 48 patients indicated that it is possible to implement the IMDP and that participants were satisfied. Further, hospital resources were used efficiently and patients were involved in decision-making. The study represents a successful implementation of a promising approach to discharge planning.