Why do doctors discharge their patients

Discharge from the hospital

After a stay in the hospital and a successful recovery, many patients are of course particularly looking forward to the day of discharge. Healthy again, you can return to the family circle and normal everyday life with new strength. In order for the discharge to go smoothly, there are a few things that patients should consider.

Particularly in the case of more serious illnesses or injuries, you should pay close attention to the instructions and recommendations for follow-up examinations, medications or check-up appointments. As a rule, the one issued on the day of discharge clarifies Discharge letter from the attending physician all questions and peculiarities that the patient should consider in the period after the hospital stay

As a rule, your attending ward doctor will inform you at least one day before your discharge date that you can leave the hospital. The discharge usually takes place at lunchtime, but other times are possible in exceptional cases and by prior arrangement.

Do not forget: On the day of discharge, you should return all items that you may have borrowed during your stay (phone cards, medical equipment, books from the hospital library ...). Since 2017, hospitals have also been obliged to provide a corresponding Further supply of patient care. If, for example, rehabilitation measures are necessary after a stay, the hospital will initiate these for the patients.

Even in the case of special ones Dependency Nursing services or domestic help are organized to support and care for the patients until they have recovered completely.


The discharge papers

On the day of your discharge, you will receive all kinds of documents in the form of a discharge letter that document your stay in the hospital. If necessary, these documents can also be sent to the doctor who will carry out further treatment so that he or she knows as precisely as possible about your medical history. The hospital will take care of this and send the documents to your doctor by post.

You can use the following list to check that it is complete.


The following data should be given in the discharge letter:

  • Reason for admission & date
  • Documented course of the stay
  • Examinations and treatments carried out
  • Medication & medication plan, any necessary change in diet, medical equipment (wheelchairs, crutches, ventilators for lung diseases)
  • List of possible complications that require an emergency doctor to be contacted if they occur
  • Recommendations for the time after discharge
  • Appointments for follow-up examinations
  • If you need sick leave for your employer, the attending physician can issue you with a certificate of occupancy


It should be noted here that the contents of the discharge letter can be very individual depending on the patient and the treatment that has taken place.

It is also not uncommon for patients to initially receive a shortened form of the discharge letter. In these cases, the complete discharge letter will then be forwarded by post. Patients who subsequently require rehabilitation or care measures receive a nursing discharge letterthat documents the need for care.


Dismissal on weekends and holidays

For many patients, the question arises whether hospitals also issue discharges on weekends or public holidays. In principle, this is possible at most clinics. However, being laid off at the weekend also carries a certain risk. For some clinical pictures, further treatment by a resident doctor is necessary, and the practices of such doctors are usually on weekends closed.

So if complications or complaints arise, patients cannot spontaneously go to the doctor for a check-up, but have to go back to the hospital in case of doubt to be treated. In the event of severe complaints or relapses, patients should contact the hospital's emergency department, which is open around the clock, to be on the safe side.

In the event that further treatment medication is necessary, these will be given to you in limited Given scope. Here it is important that you get enough supplies after the weekend or the public holidays, if necessary.


Dismissing yourself - does that make sense?

Patients have the right to to discharge yourself at any time. This is the basis here Right of self-determination.

Patients who want to discharge themselves earlier must be fully informed by the attending physician. The discharge must be confirmed in writing by the patient.

Important: Those who discharge themselves from the hospital earlier take on all of the associated costs Risks. The hospital can for the possible consequences not responsible provided that the patient has been informed beforehand about the dangers and risks of early discharge.


Patients are allowed to Not even fired if

  • an infectious disease is present
  • they have just had a fresh operation
  • a risk to strangers is to be feared in the case of mental illnesses

It is advisable for patients to trust the expertise and assessment of the doctors. In any case, you are covered and you avoid unnecessary complications.


Discharge after giving birth

After a normal birth, the mother and child usually stay in the hospital for 3 to 4 days. It is usually a few more days after a caesarean section.

Mothers are usually discharged when the firstPreventive examinations (U1) have completed, the wound is healing well, and the mother and child are in good general health. Often the new mothers also discharge earlier in order to recover from the birth at home in the familiar environment. In this case one speaks of one "Early discharge". In this case, the health insurance company will help you and cover the costs of a midwife who will look after and support you and your baby in the coming days.

As a rule, babies need another one in the coming days after they are born second check-up (U2) be subjected. The mothers who are already at home should then come back to the clinic, or at least to a medical practice. If the U2 is not to take place in the hospital, an appointment should be organized with a corresponding specialist as soon as possible so that the U2 can take place promptly.

The discharge documents after childbirth document the course, any complications that may have occurred, as well as information and recommendations for follow-up examinations of mother and child. There are also contact addresses for midwives, paediatricians and all kinds of information material for parents.


What should be considered after discharge

Depending on the type and severity of the disease being treated, there are a few things that patients must keep in mind even after they have been in hospital. Medication plays a special role. The discharge letter provides information on the exact dose and frequency of intake.

In addition, patients should find a means of transport in good time so that they can get home safely and safely on the day of discharge. Friends and family can provide support here or, if this is not possible, for example a taxi service that can take the patients home. If the patient is bedridden due to the illness, an ambulance must be considered accordingly.

Also one Sick leave for your employer may be required if necessary. Usually the certificate that the hospital issues you on the day of discharge is sufficient. You can read about what you should pay attention to in our article on sick leave.


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