由顾问领导的英国儿科息护理服务:专业配置,服务,资金
Andre Bedendo1, Sebastian Hinde2, Bryony Beresford3
1Department of Health Sciences, University of York, York, UK andre.bedendo@york.ac.uk.
BMJ supportive & palliative care
|August 9, 2023
概括
大多数英国专门的儿科息护理团队缺乏足够的专业人员,并严重依赖慈善基金的资金. 只有三分之一的人符合最低团队标准,这突出了儿科息护理的重大资源挑战.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗保健服务研究
- 儿科医疗保健 儿科医疗保健
背景情况:
- 专门的儿科息护理 (SPPC) 团队对于患有生命限制疾病的儿童至关重要.
- 了解这些团队的组成和资金对于服务改进至关重要.
研究的目的:
- 系统地收集有关英国顾问领导的SPPC团队专业成员,服务,资金和患者人群的数据.
- 评估SPPC团队遵守国家卫生和护理卓越研究所 (NICE) 的指导方针.
主要方法:
- 在英国各地的SPPC团队的医疗和财务领导人进行了两部分在线调查.
- 在所有17个医疗线索中实现了100%的响应率.
主要成果:
- 只有六个 (35%) 的SPPC团队符合NICE的最低专业团队标准.
- 所有团队都提供了基本服务,如症状管理和生命终结规划.
- 13个团队使用慈善资金至少一个专业职位;只有一个NHS服务是完全由NHS资助的.
结论:
- 很大一部分SPPC团队没有达到推的专业人员配置水平.
- 慈善资金在支持SPPC团队职位方面发挥着至关重要的作用,这表明法定来源的潜在资金不足.
- 需要进一步投资,以确保所有SPPC团队符合最低标准并提供全面的护理.
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