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护理目标的及时性差异黑人居民在养老院的讨论

Jung A Kang¹, Andrew W Dick², Laurent G Glance^2,3

¹Center for Health Policy, Columbia University School of Nursing, New York, NY, USA.

The American journal of hospice & palliative care

|September 16, 2024

概括

养老院终身护理中的种族差异仍然存在. 较高比例的黑人居民与较少的及时治疗目标 (TGOC) 关于感染管理的讨论相关,特别是在美国西部和东北部地区.

科学领域:

老年学是一门学科.
医疗保健服务研究医疗服务研究
健康公平卫生公平

背景情况:

在美国,黑人与白人养老院居民的终身护理存在持续的差异.
与感染相关的管理显示出显著的种族差异.
及时的护理目标 (TGOC) 讨论对于改善生命终结结果至关重要,但它们的种族差异尚未得到充分理解.

研究的目的:

调查养老院中黑人居民比例与有关感染管理的TGOC讨论的发生之间的联系.
确定该协会中潜在的区域差异.

主要方法:

通过使用息护理调查数据和最小数据集3.0.0进行国家分析.
来自892个养老院的数据,代表了14981个设施的加权样本.
多变量分析评估了TGOC指数得分,与黑人居民的百分比相关 (≤2%,2.1%-15%,>15%).

主要成果:

拥有2.1%-15%黑人居民的养老院在西方地区的TGOC得分较低,为-0.97 (P < .05).
拥有>15%黑人居民的设施在西部的TGOC得分明显较低,为-3.86 (P < .01).
在东北地区,有2.1%-15%黑人居民的设施的TGOC分数较低1.29 (P < .05).

结论:

黑人居民在养老院中的比例影响了TGOC关于感染管理的讨论.
显著的区域差异凸显了有针对性的干预措施的必要性.
解决这些差异对于改善养老院终身护理平等至关重要.

关键词:

生命终端护理服务.护理目标讨论讨论养老院就是一个养老院.抚慰性护理是一种缓解性护理.种族差异是种族的差异.

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