2Boockvar K,Vladeck BC.Improving the quality of transitional care for persons with complex care needs [J ].J Am Geriatr Soc, 2004,52 ( 5 ) : 855-856.
3Brooten D, Naylor MD, York R, et al.Lessons learned from testing the quality cost model of Advanced Practice Nursing (APN) transitional care[J].J Nurs Scholarsh, 2002,34(4) : 369-375.
10Graven C, Brock K, Hill K, et al.Are rehabilitation and/or care co- ordination interventions delivered in the community effective in reducing depression, facilitating participation and improving qual- ity of life after stroke'?. [J ]. Disabil Rehabil, 2011,33 (17) : 1501- 1520.