在加拿大探索医生提供的息护理的定义:叙述性审查
John M Lapp1, Media Mokhtarnia1, Kieran L Quinn1,2,3,4,5
1Department of Medicine, Sinai Health and University Health Network, Toronto, Canada.
Journal of palliative medicine
|October 9, 2025
概括
加拿大的息护理定义和费用代码在各省之间存在很大差异. 标准化是必要的,以改善基本的终身护理的获取和提供.
科学领域:
- 卫生政策 卫生政策
- 医学经济学 医学经济学
- 息护理研究 息护理研究
背景情况:
- 息治疗非常重要,但在加拿大未得到充分利用.
- 不一致的省/地区定义和费用代码阻碍了比较分析和护理协调.
研究的目的:
- 探索和分析加拿大各省和地区的息护理定义和相关费用代码.
- 确定医生提供的息护理如何定义和报销的变化.
主要方法:
- 进行了对省/地区福利计划的叙述性审查.
- 对息护理定义进行了定性比较分析,对费用代码进行了描述性统计分析.
- 数据来自加拿大的11个省和地区 (不包括北克和努纳武特).
主要成果:
- 在11个省/地区中,只有7个 (64%) 提供了有关息治疗的公开定义.
- 定义通常将息护理描述为终端,以舒适度为重点和时间有限.
- 在不同司法管辖区,特定的息护理费用代码的数量从4个到32个不等.
结论:
- 在加拿大,医生提供的息护理的定义和费用代码存在显著的变化.
- 建议制定一个标准化的国家框架来定义息治疗的定义和费用代码.
- 标准化可以在全国范围内提高获得和提供息护理服务的机会.
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