入院患者の死亡率の変化:イギリスにおける人口ベースの横断的研究,1993年−2012年
Katherine Sleeman1, Joanna Davies1, Julia Verne2
1King's College London, London, UK.
Lancet (London, England)
|August 28, 2015
まとめ
英国のホスピスケアへのアクセスが 高齢者や癌でない患者にとって改善されています しかし,ホスピスで亡くなった人々の貧困の傾向は,さらなる調査を必要としています.
科学分野:
- 緩和ケアに関する研究
- 医療サービス研究
- 終末期ケアに関する研究
背景:
- 英国ではホスピスケアが 最適な終末期ケアです
- 年齢,診断,社会経済的地位に基づいてホスピスケアへの公平なアクセスに関する懸念があります.
- この研究は,イングランドにおけるホスピスでの死亡の人口動向を調査しています.
研究 の 目的:
- 英語のホスピスで死亡する人々の人口統計的特徴を記述する.
- 時間の経過 (1993年−2012年) に関するこれらの特徴の変化を評価する.
- ホスピスケアへのアクセスに関する傾向を特定する.
主な方法:
- イギリスの入院ホスピスの成人死亡に関する人口ベースの研究 (1993年−2012年).
- 年齢,性別,婚姻状況,死因を含む人口統計学的要因の分析
- 多変量ポアソン回帰は,期間を比較し,欠乏を評価するために使用されます.
主要な成果:
- ホスピスでの死亡率は 1993年から2012年の間に 3.4%から6.0%に増加しました
- 85歳以上の人はホスピスで死ぬ可能性が高くなります
- 癌でない方や 貧困地域からの方には ホスピスでの死亡の可能性が高くなります
結論:
- 診断によるホスピスへのアクセスにおける不平等は減少していますが 癌以外の症例は依然として少ない割合です
- 高齢者や貧困層のホスピス利用が増加していることが観察されています.
- ホスピスで亡くなった人の 貧困の傾向はさらなる研究を必要としています
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