政策推动死亡的医疗化及其对地球健康的影响
Hayden P Nix1, Myles Sergeant2, Nabha Shetty1
1Dalhousie University, Halifax, Nova Scotia, Canada.
Healthcare management forum
|June 19, 2025
概括
大多数加拿大人希望在家中死去,但由于促进死亡医疗化的医疗保健政策,超过50%的人死于医院. 这导致低价值的护理和环境损害,尽管患者的偏好.
科学领域:
- 卫生政策 卫生政策
- 抚慰性护理是一种缓解性护理.
- 环境健康 环境健康
背景情况:
- 大多数加拿大人更喜欢在家进行终身护理,但超过一半的人死于医院.
- 医院死亡往往与以患者为中心的护理偏好相冲突,并导致环境污染.
研究的目的:
- 分析医疗保健政策如何无意地促进医院死亡.
- 确定这些政策如何促进低价值护理和环境影响.
- 为卫生领导人提供有关改善终身护理和地球健康的信息.
主要方法:
- 对影响终身护理决策的医疗保健政策的分析.
- 检查导致医院死亡的因素,包括护理难以获得和支持不足.
- 说明案例研究,以证明政策对护理轨迹的影响.
主要成果:
- 医疗保健政策"推动"死亡的医疗化,增加医院死亡人数.
- 诸如有限的初级/息护理和家庭支持不足等障碍使医院死亡延续.
- 这些系统性问题导致低价值的护理和大量的温室气体排放.
结论:
- 改革医疗保健政策可以使终身护理与患者在家死亡的偏好保持一致.
- 解决政策驱动的障碍可以提高护理质量并减少对环境的影响.
- 有机会提高终身护理,支持患者的愿望,促进地球健康.
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