脉检查:关于儿科息和临终关怀社区覆盖的状态更新
Meaghann S Weaver1, Alix Ware2, Deborah Fisher3
1Department of Pediatrics, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Journal of palliative medicine
|September 24, 2025
概括
社区组织正在增加儿科息治疗和临终关怀,但儿童代表性仍然不足,特别是在非大都市地区. 障碍包括人员短缺和资金问题,阻碍扩大护理覆盖范围.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 临终关怀医院的护理
- 儿童医疗保健 获得 儿童医疗保健 获取
背景情况:
- 儿科文献强调了社区息和宿舍组织在扩大儿童护理方面的作用.
- 在疫情后对这些服务的更新理解至关重要.
研究的目的:
- 提供美国社区组织中儿科息和临终关怀服务和人员配置的当前快照.
- 确定儿科终身护理的趋势和挑战.
主要方法:
- 一项在线调查分发给美国国家家庭护理联盟的组织成员.
- 从所有50个州和华盛顿特区的295个息和临终关怀组织收集了数据.
主要成果:
- 近一半的组织增加了儿科患者的接受率;2020年后6%的新接受儿科患者.
- 创伤是儿童医疗招生越来越多的原因,而非大都会地区提供的服务较少.
- 医疗补助是主要的补偿 (47%),员工短缺,推率低,资金作为主要障碍.
结论:
- 儿童在基于社区的临终关怀中代表性不足,在非大都会地区的差异正在扩大.
- 建议对培训,人员配置和融资模式进行进一步的研究,以改善儿科息治疗和临终关怀的准入.
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