宿舍住院护理模型:横截面不平等调查
Suzanne Tween1, Roger William Smith2, Charlotte Chamberlain3
1Department of Primary Care, Royal Cornwall Hospitals NHS Trust, Truro, UK suzanne.tween@nhs.net.
BMJ supportive & palliative care
|July 2, 2024
概括
在英格兰西南部的宿舍住院病患单位 (IPU) 模型显示,床位可用性,劳动力和资金存在显著差异. 这凸显了潜在的不平等以及对最佳IPU结构及其对患者护理的影响的研究的需要.
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 医疗服务研究
- 医疗保健管理的管理
背景情况:
- 医院提供重要的住院病房 (IPU) 和家庭护理服务,每年有4万-5万名英国患者使用IPU.
- 有限的公布数据存在于各种模式的宿舍住院护理.
- 本研究侧重于英格兰西南部的IPU的结构,资金和运营方面.
研究的目的:
- 探索英格兰西南部的住院病房 (IPU) 的结构和资金变化.
- 评估COVID-19大流行对宿舍IPU运营的影响.
- 识别服务提供中的潜在不平等现象,并为未来的研究提供信息.
主要方法:
- 一项电子调查分发给英格兰西南部所有13个住院病房 (IPU).
- 收集的数据被整理,表格化,并与国家委托指南进行比较.
- 调查的响应率为92%.
主要成果:
- 在每25万人口 (2.5-18.2) 的临终关怀病床可用性方面观察到显著的区域差异.
- 劳动力组成,包括护士和顾问,显示出相当大的变化,有许多空缺职位.
- 国家卫生服务 (NHS) 资金占总成本的10%-75%,一些IPU在COVID-19期间减少了产能.
结论:
- 在临终关怀医院IPU床位的可用性方面存在巨大的区域差异,这表明患者获得的机会可能存在不平等.
- 劳动力和融资模式的变化表明缺乏标准化的最佳IPU模型.
- 进一步的研究至关重要,以了解这些变异对患者和家庭结果的影响,并探索整合机会.
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