公共卫生和息护理
Sarah H Cross1, Dio Kavalieratos1
1Division of Palliative Medicine, Department of Family and Preventive Medicine, Emory University, 1518 Clifton Road Northeast, Atlanta, GA 30322, USA.
Clinics in geriatric medicine
|June 29, 2023
概括
解决终身护理 (EOL) 是公共卫生重点. 目前的临终关怀政策造成了不平等,需要新的息护理模式来公平地管理痛苦.
科学领域:
- 公共卫生 公共卫生
- 抚慰性护理是一种缓解性护理.
- 卫生政策 卫生政策
背景情况:
- 终身护理 (EOL) 是一个重要的公共卫生 (PH) 问题.
- 公共卫生方法在EOL护理提供中未得到充分利用.
- 目前的宿舍模式,由成本制驱动,加剧了在获取和质量的差异.
研究的目的:
- 突出当前终身护理政策对公共卫生的影响.
- 为了确定受现有的临终关怀法规不利的人群.
- 倡导创新的息护理模式,确保严重疾病的公平护理.
主要方法:
- 美国临终关怀系统的政策分析.
- 对EOL护理利用率和质量数据的检查.
- 审查有关息护理和健康差异的现有文献.
主要成果:
- 专注于控制成本的临终关怀政策导致了EOL护理的差异.
- 非癌症诊断的个人,少数群体和较低的社会经济地位面临不利条件.
- 尚未有资格接受临终关怀的患者服务不足.
结论:
- 公平的EOL护理需要公共卫生框架.
- 目前的临终关怀政策使弱势群体处于不利地位.
- 新的临终关怀和非临终关怀息护理模式对于公平地解决痛苦至关重要.
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