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Updated: Jun 10, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
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影响临终服务医疗援助获取的因素:综合性审查
Jayne Hewitt1,2,3, Michael Wilson4, Ann Bonner1,5
1School of Nursing and Midwifery, Griffith University, Southport, Queensland, Australia.
概括
获得临终医疗援助 (MAID) 受医疗保健系统供需因素的影响. 政策和职业负担可能会阻碍获取,需要创新的终身护理模式.
科学领域:
- 医疗保健政策 医疗保健政策
- 终身护理研究 终身护理研究
- 医学伦理 医学伦理
背景情况:
- 在法律允许的情况下,死亡医疗援助 (MAID) 被整合到医疗保健系统中.
- 关于供需动态如何影响MAID访问的证据有限.
研究的目的:
- 综合在法律管辖区对MAID访问的经验研究.
- 确定供需因素对符合条件的成年人获取机会的影响.
主要方法:
- 对1998年至2024年的研究进行综合性审查.
- 在主要的健康数据库 (CINAHL,PubMed,PsycINFO,Embase) 进行系统的搜索.
- 使用概念框架和叙事合成的演分析.
主要成果:
- 包括58项研究,重点关注供应 (32),需求 (16),或两者 (10).
- 供应侧的发现表明,医疗服务政策可能会阻碍MAID访问.
- 需求侧研究强调了在决策,规划和护理人员协助方面需要支持.
结论:
- MAID的获取取取决于卫生服务和专业人员,但受到阻碍性政策和劳动力成本的阻碍.
- 需要创新的模式来确保高质量,富有同情心的终身护理和MAID访问.
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