在息治疗中实施尊严治疗的成本考虑:洞察力和影响
Raed Al Yacoub1, Andrea P Rangel2, Adriana Shum-Jimenez1
1Department of Medicine, College of Medicine, University of Florida, Gainesville, FLUSA.
Palliative & supportive care
|August 11, 2023
概括
尊严治疗 (DT) 的实施成本因提供者和地点而异. 了解这些成本对于将DT纳入临床实践和未来研究至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 卫生经济学 卫生经济学
背景情况:
- 尊严疗法 (DT) 用于改善生命末期的体验和培养意义.
- 在现实环境中实施DT的实际成本没有得到充分的记录.
研究的目的:
- 检查与实施尊严治疗相关的成本.
- 识别成本组件,包括转录,遗留文档编辑和治疗师时间.
主要方法:
- 对六个地点的随机对照试验的分析.
- 使用了阶梯形设计,牧师或护士提供DT.
主要成果:
- 平均转录成本为84.30美元 (SD=24.0美元),需要52.3分钟 (SD=14.7).
- 牧师领导的DT面试比护士领导的更加昂贵和耗时.
- 每个DT协议的总成本在331美元至356美元之间.
- 在研究地点之间观察到转录成本和时间的显著差异.
结论:
- 尊严治疗的实施成本受提供者类型和特定的临床场所的影响.
- 这些发现对于在临床环境中更广泛地采用DT以及指导未来研究工作非常有价值.
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