了解加利福尼亚州照顾儿童的成人医院,2018-2021年
Heather A Davis1, Meaghann S Weaver2,3, Christy Torkildson4,5
1Health Policy Post-Doctoral Research Fellow, College of Nursing, University of Tennessee, Knoxville, TN, USA.
The American journal of hospice & palliative care
|September 29, 2023
概括
照顾儿童的成人住院在2018年至2021年期间,可用性下降了32%,特别是在北加州. 这一趋势并非由经济因素或工作人员对儿科临终关怀的熟悉程度所驱动.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 儿科医疗保健 儿科医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 成人宿舍越来越多地为缺乏儿科宿舍服务的地区的儿童提供护理.
- 对于服务于儿科患者的这些成人病房的特点,人们对其了解有限.
研究的目的:
- 描述2018年至2021年期间为儿童提供护理的加利福尼亚州成人住院的组织和运营特点.
- 确定影响儿童成人临终关怀可用性的趋势和潜在因素.
主要方法:
- 一个纵向的,回顾性描述性研究,使用来自加利福尼亚家庭卫生机构和宿舍年度利用报告 (2018-2021) 的公共数据.
- 分析市场,任务,运营和财务特征,以及服务区域数据 (度/经度).
- 2018年和2021年的宿舍位置地图生成以可视化地理分布.
主要成果:
- 确定了148个为儿童服务的成人宿舍,通常是农村和城市环境中具有广泛服务区域的小型组织.
- 主要是护士为这些儿科患者提供护理.
- 从2018年到2021年,在照顾儿童的成人住院的可用性下降了32%,北加州出现了显著的下降.
结论:
- 成人临终关怀儿童可用性下降与临终关怀经济,医疗补助熟悉度或员工舒适程度无关.
- 调查结果提供了对为儿科患者提供服务的成人住院的关键见解,并突出了儿童终身护理获取的重要政策考虑.
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