[在地面上太薄了吗? 德国临终关怀和息护理的区域差异]
Beate Apolinarski1, Stephanie Stiel1, Franziska A Herbst1
1Institut für Allgemeinmedizin und Palliativmedizin, Medizinische Hochschule Hannover, Hannover, Deutschland.
概括
德国地区临终关怀和息护理的可用性分布不均. 人口规模和年龄影响服务人数,但不能完全解释差异,特别是在人口老龄化的农村地区.
科学领域:
- 医疗保健服务研究 医疗保健服务研究
- 空间分析 空间分析
- 人口统计学 人口统计学
背景情况:
- 德国门诊和住院临终关怀和息护理服务的显著扩张.
- 增加日托服务与息护理的整合.
- 服务可用性的区域差异很大,并未完全理解.
研究的目的:
- 探索区域人口结构与德国临终关怀和息护理服务的可用性之间的关系.
- 确定影响建立日托息服务的因素.
- 了解护理需求与提供的地理分布.
主要方法:
- 利用波桑回归模型分析人口指标 (人口统计,就业,收入,教育,健康) 与息护理服务人数之间的相关性.
- 采用后勤回归来识别推动日托服务建立的因素.
- 从INKAR数据库和德国息医学协会指南中在地区层面汇总的数据.
主要成果:
- 居民人数,定居点密度和平均年龄是缓解护理服务可用性的关键预测指标.
- 大都会地区的门诊息护理和息护理单位的可用性更高.
- 门诊临终关怀服务和住院临终关怀与较高的居民人数相关,无论人口密度如何.
结论:
- 区域人口结构部分解释了临终关怀和息护理服务的分布不均.
- 人口密度较低,老年人口的地区,尽管需求较高,但服务较少.
- 未来的医疗保健规划需要考虑人口规模以外的多样性特征,以改善区域医疗保健的获取.
相关概念视频
Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
Ethical Issues
856
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
856
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Specialized Care Centers and Settings-II
716
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
716
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Specialized Care Centers and Settings-I
934
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
934


