作为主要临终关怀的临终关怀机构提供者的增加:五年回顾式图表审查
Mary Onderdonk1, Adam Herman1, Erin Klinkman1
1Rochester Regional Home Care and Hospice, Rochester, New York, USA.
Journal of palliative medicine
|September 16, 2025
概括
患者越来越多地选择临终关怀机构医生作为其主要的护理提供者. 这一趋势凸显出,在终身护理管理中,机构附属医生越来越受青.
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
背景情况:
- 临终关怀医生对于患者护理至关重要,由患者或代孕母亲选择.
- 临终关怀机构的医生往往缺乏与患者的先前关系,与社区医生不同.
研究的目的:
- 分析选择临终关怀医生的趋势.
- 确定日益增长的临终关怀机构提供者对临终医生角色的利用情况.
主要方法:
- 回顾住院住院的回顾性图表审查.
- 从2020年至2024年间的罗切斯特地区临终关怀 (RRH) 护理中收集的数据.
- 对12328例临终关怀住院病人的分析,包括常规和住院护理.
主要成果:
- 在选择宿舍机构医生的患者中观察到显著的上升趋势.
- 在五年内,利用代理机构提供者作为临床医生入住临终关怀医院的病例增加了26.7%.
- 在研究期间,年平均入院人数为2,465人.
结论:
- 选择宿舍机构医生的患者不断增加.
- 需要进一步的研究来了解这种护理模式转变的驱动因素和后果.
- 调查患者选择因素对于优化宿舍护理提供至关重要.
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