在终身护理中的不合理变化以及使用电子协调系统的影响
Karen Chumbley1, Tim Wilson2, Erica Ison2
1St Helena Hospice, Barncroft Close, Colchester, CO49JU, UK. kchumbley@sthelena.org.uk.
Research in health services & regions
|August 23, 2024
概括
埃塞克斯东北部的终身护理变化显示了死亡地点的差异,特别是在贫困人口中. 电子生命终端协调工具与患者在他们喜欢的护理场所死亡相关.
科学领域:
- 医疗保健管理的管理
- 息护理研究 息护理研究
- 公共卫生政策 公共卫生政策
背景情况:
- 终身护理的提供表现出显著的地理和人口差异.
- 了解这些变化对于公平的医疗保健服务至关重要.
- 患者对死亡地点的偏好并不总是得到满足.
研究的目的:
- 调查北东埃塞克斯地区终身护理的差异.
- 确定影响死亡地点的因素.
- 评估电子生命终端协调工具对护理公平性的影响.
主要方法:
- 分析医院记录,官方死亡记录和电子生命终结协调工具数据.
- 与死亡原因和社会经济贫困相比,死亡地点的比较.
- 工具使用与首选护理场所之间的相关性分析.
主要成果:
- 观察到死亡地点的显著差异,医院死亡比偏好的更常见.
- 死亡原因和剥夺与死亡地点的不平等有关.
- 在使用电子工具和实现首选死亡地点之间发现了积极的相关性.
结论:
- 政策制定者应该解决终身护理中发现的差异,以满足需要的领域.
- 实施电子生命终结协调工具可以减少不必要的死亡地点变化.
- 公平的终身护理需要有针对性的干预措施和技术支持.
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