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相关概念视频

Restorative Care01:19

Restorative Care

Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Actuarial Approach01:20

Actuarial Approach

The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
Cancer Survival Analysis01:21

Cancer Survival Analysis

Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...

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相关实验视频

Updated: Jul 8, 2026

Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma
06:15

Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma

Published on: October 27, 2014

在医疗保险管理护理和因癌症而死亡的收费服务患者中使用临终关怀.

Ellen P McCarthy1, Risa B Burns, Quyen Ngo-Metzger

  • 1Department of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Mass 02215, USA. ellen_mccarthy@bidmc.harvard.edu

JAMA
|May 8, 2003
PubMed
概括

医疗保险管理护理的癌症患者比收费服务 (FFS) 患者更多地使用临终关怀,并且比收费服务 (FFS) 患者停留更长时间. 这表明,托管护理计划可能更好地促进终身临终关怀.

科学领域:

  • 在瘤学瘤学.
  • 医疗保健服务研究 医疗服务研究
  • 老年医学 老年医学

背景情况:

  • 医疗保险统一覆盖65岁以上癌症患者的临终关怀,旨在改善终身护理.
  • 低利用率和迟到的入学限制了许多癌症患者的宿舍福利.
  • 保险类型可能会影响临终关怀的使用模式.

研究的目的:

  • 为了比较医疗保险管理护理和收费服务 (FFS) 癌症患者的宿舍入院时间和停留时间.
  • 确定保险类型是否影响使用终身临终关怀服务.

主要方法:

  • 对260,090名66岁以上的医疗保险受益人进行了回顾性分析,他们患有原发性肺癌,结直肠癌,前列腺癌,乳腺癌,膀癌,胰腺癌,胃癌或肝癌.
  • 来自链接医疗保险瘤登记数据库 (1973-1998) 的数据.
  • 根据人口统计数据,癌症类型/阶段以及入院年份进行调整,以比较入院时间和住院时间.

主要成果:

  • 与FFS患者相比,管理护理患者的临终关怀使用率更高 (32.4% vs 19.8%) 和逗留时间更长 (32 vs 25天的中位数).
  • 调整后的分析证实,管理护理的住院入院率 (HR 1.38) 和住院时间 (HR 0.91) 较高.
  • 管理护理患者不太可能在死亡7天内注册,更有可能在死亡前180天内注册.

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Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma
06:15

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Published on: October 27, 2014

Therapeutic Massage for Psychological Well-being in Geriatric Oncology
03:59

Therapeutic Massage for Psychological Well-being in Geriatric Oncology

Published on: May 22, 2026

结论:

  • 与FFS相比,Medicare管理护理入学与更高的临终关怀利用率和更长的停留时间有关.
  • 研究结果表明,管理护理计划可能更有效地促进癌症患者的宿舍护理.
  • 差异可能反映了患者的偏好或成功的宿舍整合计划级策略.