住院患者死亡的变化人口统计:英格兰1993-2012年以人口为基础的横截面研究
Katherine Sleeman1, Joanna Davies1, Julia Verne2
1King's College London, London, UK.
Lancet (London, England)
|August 28, 2015
概括
在英格兰,老年人和没有癌症诊断的人可以获得更好的临床护理. 然而, 临终关怀患者的贫困趋势需要进一步调查.
科学领域:
- 缓和护理研究
- 医疗服务研究
- 终身护理研究
背景情况:
- 在英格兰,临终关怀是最受欢迎的终身护理机构.
- 人们担心因年龄,诊断和社会经济地位而无法平等获得临终关怀.
- 这项研究调查了英格兰住院死亡的人口趋势.
研究的目的:
- 描述英格兰临终医院死亡的人口特征.
- 评估这些特征随着时间的推移 (1993-2012) 的变化.
- 找出临终关怀的发展趋势.
主要方法:
- 在英格兰住院病人死亡的基于人口的研究 (1993-2012).
- 分析人口因素,包括年龄,性别,婚姻状况和死亡原因.
- 用于比较时间段和评估贫困的多变量波桑回归.
主要成果:
- 在1993年至2012年期间,英格兰的临终医院死亡人数从3.4%增加到6.0%.
- 对于85岁以上的人来说,临终关怀死亡的可能性增加.
- 对于非癌症患者和来自较贫困地区的人来说, 临终关怀死亡的可能性增加.
结论:
- 通过诊断减少了临终关怀的不平等, 但非癌症病例仍然很少.
- 在老年人和贫困人口中, 临终关怀的使用率越来越高.
- 临终关怀患者的贫困趋势需要进一步研究.
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