对临终关怀使用差异的多维叙述审查
Komal Patel Murali1, Gwenneth Wang1, Daniella Torres2
1NYU Rory Meyers College of Nursing, New York, NY, USA.
The American journal of hospice & palliative care
|February 19, 2026
概括
由于社会,系统和个人因素,各种人群之间仍然存在临终关怀差异. 多层次干预对于改善所有患者平等获得高质量的终身护理至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 在生命末期的护理.
背景情况:
- 临终关怀改善生活质量,并为生命末期的患者和家人提供支持.
- 在种族/民族少数群体,LGBTQ+个人和社会经济弱势群体中,宿舍护理利用率存在显著差异.
研究的目的:
- 检查临终关怀使用的差异.
- 利用社会生态模型探索导致这些差异的多层次因素.
- 提出改善住院护理获取和利用的策略.
主要方法:
- 一个以社会生态模型为指导的叙事综述.
- 分析社会,结构,医疗保健系统,人际关系和影响住院护理获取的个人因素.
主要成果:
- 临终关怀的差异受历史背景,政策,社会经济因素,临床医生沟通和文化信仰的影响.
- 跨多个层面的相互作用因素塑造了临终关怀获得和利用的模式.
- 系统级解决方案和加强临床医生沟通对于公平的宿舍护理至关重要.
结论:
- 协调,多层次的干预对于减少临终关怀差异至关重要.
- 政策变化,医疗保健系统整合,社区伙伴关系和改善沟通至关重要.
- 确保所有重病患者平等获得符合目标的高质量临终关怀护理至关重要.
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