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德国专业息护理服务的可用性:地理网络分析
Daniela Gesell1, Farina Hodiamont2, Claudia Bausewein2
1Department of Palliative Medicine, LMU University Hospital, LMU Munich, Munich, Germany. Daniela.gesell@med.uni-muenchen.de.
BMC health services research
|July 24, 2023
概括
德国的专业息护理 (SPC) 显示了息护理单位 (PCU) 和专业息家庭护理 (SPHC) 团队的良好空间分布. 然而,获得息治疗咨询 (PCA) 团队的机会仍然不足,这凸显了进一步实施的需要.
科学领域:
- 医疗保健服务研究 医疗保健服务研究
- 空间分析 空间分析
- 公共卫生 公共卫生
背景情况:
- 由于慢性疾病和人口结构的变化,人们对息护理的需求日益增加.
- 在德国扩大专业息护理 (SPC) 服务,包括息护理单位 (PCU),专业息家庭护理 (SPHC) 团队和息护理咨询 (PCA) 团队.
- 尽管扩张,目前的SPC提供面临着覆盖范围和旅行时间的挑战.
研究的目的:
- 分析SPC服务在德国的空间分布.
- 为了计算这些服务的可访问性.
- 确定潜在的空间供应不足的区域.
主要方法:
- 使用德国SPC服务区域分析的回顾性横截面研究.
- 地理编码SPC服务地址,并进行可访问性和网络分析.
- 计算60分钟驾驶时间内的人口比例.
主要成果:
- 673个SPC设施被确定,分布异质;27.4%的地区缺乏SPC服务.
- 息护理单位 (PCU) 和专业息家庭护理 (SPHC) 团队可以在30分钟内为近90%的人口提供服务,覆盖德国一半的面积.
- 43%的人口可以在30分钟内访问息治疗咨询 (PCA) 团队,仅占该地区的17%.
结论:
- 虽然息护理单位 (PCU) 和专业息家庭护理 (SPHC) 团队在德国表现出良好的空间分布,但整体的SPC提供还不够.
- 息护理咨询 (PCA) 团队,特别是医院的团队,显示出显著的空间供应不足.
- 进一步实施基于医院的息护理咨询 (PCA) 团队是必要的,以确保在全国范围内获得全面的SPC.
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