在晚期癌症的医疗保险受益人中,生命终端护理的当代模式
Youngmin Kwon1,2, Xin Hu3, Kewei Sylvia Shi2
1Department of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee.
JAMA health forum
|February 21, 2025
概括
这项研究发现,患有晚期癌症的医疗保险患者在临近死亡时接受了积极的护理,并很少使用支持性护理服务. 改善生命终端护理需要解决患者,医生和系统因素.
科学领域:
- 在瘤学瘤学.
- 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
背景情况:
- 改善晚期癌症患者的终身护理是优先事项.
- 过去提高护理质量的努力并未对其影响进行评估.
研究的目的:
- 检查癌症晚期患者生命终端护理的当前模式.
- 评估生命最后几个月急性,全身和支持性护理的利用情况.
主要方法:
- 使用链接的监测,流行病学和最终结果 (SEER) 和医疗保险数据的回顾性队列研究.
- 包括收费医疗保险的66岁以上的远期癌症 (乳腺癌,前列腺癌,胰腺癌,肺癌) 的死者,他们在2014-2019年间死亡.
- 在生命的最后6个月中,分析了急性护理,全身疗法,息护理,宿舍和高级护理计划的每月使用情况.
主要成果:
- 这项研究分析了33744名患有晚期癌症的医疗保险死者.
- 在生命的最后6个月中,急性护理访问,临终关怀,息护理和高级护理计划的使用增加了.
- 45.0%的死者在生命的最后30天经历了潜在的攻击性护理指标.
结论:
- 潜在的攻击性护理仍然普遍存在于临近死亡的晚期癌症患者中.
- 接受支持性护理服务,包括息和临终关怀服务的比例很低.
- 需要一项全面的战略来解决患者,医生和系统因素,以提高终身护理质量.
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