获得门诊息护理:密歇根州的见解
Andrew E Russell1, Maria J Silveira1,2
1Division of Geriatric & Palliative Medicine, University of Michigan, Ann Arbor, MI, USA.
The American journal of hospice & palliative care
|April 10, 2025
概括
在密歇根州,门诊息护理的获取是有限的,特别是在农村地区. 许多诊所不为非癌症患者或儿童提供服务,并且往往缺乏必要的跨学科团队来提供综合护理.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 门诊息治疗支持社区住院的患有严重疾病的患者,与临终关怀资格不同.
- 关于这些诊所所提供的特定服务和患者群体的数据有限.
研究的目的:
- 描述密歇根州的门诊息护理服务.
- 为了确定该州内的服务缺口和访问限制.
主要方法:
- 这是一项对密歇根州19个息护理计划的横截面调查.
- 数据收集的重点是2021年诊所运营,患者人口统计,人员配置和服务领域.
- 使用了描述性统计和地理信息系统 (GIS) 地图.
主要成果:
- 密歇根州有33个门诊息护理诊所,主要在城市/郊区设置.
- 诊所平均每周有3个半日,每年有119名新患者;93%的人提供远程医疗.
- 接受非癌症诊断 (59%),儿科患者 (41%) 和慢性疼痛 (5%) 的情况各不相同;工作人员往往缺乏完整的跨学科团队.
结论:
- 密歇根州的门诊息护理存在重大进入障碍,特别是在农村地区.
- 许多诊所限制了资格标准,不包括非癌症和儿科病例.
- 相当多的诊所缺乏为最佳的息护理提供所需的综合跨学科团队.
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