Kotiinpääsyyn

Kotiinpääsyyn is a Finnish term used to describe the process and authorization for a patient or resident to leave an institutional setting and return to their own home, continuing care there. The concept is most commonly encountered in health care, social services, and elder care, where discharge or transition planning aims to ensure safety and continuity of support after leaving hospital, rehabilitation, or a care facility.

In practice, kotiinpääsyyn involves collaboration among healthcare professionals, social workers, the patient, and the family or informal caregivers. It encompasses medical stabilization, assessment of the home environment, and arrangements for needed services or equipment. Planning typically covers medication management, follow-up appointments, rehabilitative activities, home-based care, and funding or reimbursement for services and aids. The term is used to emphasize that the goal is not merely leaving an institution, but enabling a sustainable return to home life.

The planning process relies on several criteria: the medical condition must be stable enough for home care, the patient must have or secure sufficient caregiver support, and the home environment must be safe and accessible. If challenges arise—such as inadequate caregiver availability, insufficient equipment, or complex medication regimens—alternative arrangements may be considered, including extended in-home care, temporary rehabilitation, or step-down facilities. Effective kotiinpääsyyn aims to reduce hospital stays while maintaining quality of life and safety.

See also: hospital discharge, discharge planning, home health care.