5Eleanor M, Kathleen K, Kathleen C. Continuity of care: Advancing the Concept of Discharge Planning[M]. 1985.
6Gianfranco D, Bruno F, Antonella V, et al. Hospital discharge planning and continuity of care for aged people in an Italian local health unit:does the care-home model reduce hospital readmission and mortality rates? [J]. BMC Health Services Research, 2009,9 : 22.
7Ebun A, Michael E, Lieve V, et al. Transitions between care settings at the end of life in The Netherlands:results from a nationwide study[J]. Palliative Medicine, 2010,24 (2) : 166-174.
8Robinson A, Street A. Improving networks between acute care nurses and an aged care assessment team[J]. Journal of clinical nursing, 2004,13 (4) :486-496.
9Marianne M,Jorunn L,Olav S, et al. Unwanted incidents during transition of geriatric patients from hospital to home: a prospective observational study[J]. BMC Health Services Research, 2010,10 ( 1 ): 1-10.
10Penny S, Susan P, Rod S,et al. Patient and carer perceptions of case management for long-term conditions[J]. Health and Social Care in the Community. 2007,15(6):511-519.
