长期急症医院的息护理服务:一项国家调查研究
Anil N Makam1, David L O'Riordan2, Rachael Heitner3
1Division of Hospital Medicine (A.N.M.), San Francisco General Hospital, Department of Medicine, University of California, San Francisco, California, USA; UCSF Philip R. Lee Institute for Health Policy Studies (A.N.M., J.S.), San Francisco, California, USA; UCSF Action Research Center for Health Equity (A.N.M.), San Francisco, California, USA.
Journal of pain and symptom management
|March 26, 2025
概括
在超过一半的长期急性护理医院 (LTACHs) 中,有息护理 (PC) 计划,但面临人员和融资障碍. 需要扩展和培训,以改善重病患者的PC接入.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健管理的管理
- 医院管理局 医院管理局
背景情况:
- 长期急性护理医院 (LTACHs) 服务于重症患者.
- 这些患者通常有资格接受息治疗 (PC).
研究的目的:
- 评估LTACHs中的PC程序的范围,结构和人员配置.
- 在LTACHs中识别PC实施的障碍.
主要方法:
- 对LTACH领导人的描述性横截面调查.
- 对公开可用的医院数据的分析.
- 在没有PC服务的LTACH中对领导者的看法进行调查.
主要成果:
- 57%的受访LTACH表示有PC程序.
- 个人电脑服务通常是外包的,由医生领导的,并且受到好评.
- 障碍包括人员配置,融资和领导力买入;只有10%的人符合跨学科团队的定义.
结论:
- 医疗保健系统中的LTACH更有可能拥有PC服务.
- 在PC程序结构,扩展和培训机会中存在变化.
- 克服人员和融资障碍对于在LTACHs建立PC至关重要.
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