安宁疗护机构提供者作为主要安宁疗护出席者的增加:五年回顾图表回顾。

IF 2.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Mary Onderdonk, Adam Herman, Erin Klinkman
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引用次数: 0

摘要

简介:安宁疗护主治医师在安宁疗护的管理与提供中扮演重要角色。在这个角色中,主治医生是由患者或医疗保健代理人选择的,是关于患者医疗状况和需求的资源。执业护士和医师助理也可以在这方面发挥作用。研究承认病人与安宁疗护人员之间关系的重要性,但安宁疗护人员的角色通常是由安宁疗护机构的照护人员来担任,而这些照护人员通常与病人没有先前的关系。方法:我们对2020年至2024年在纽约州罗切斯特市罗切斯特地区临终关怀(RRH)护理中心登记的所有患者进行回顾性图表回顾。结果:我们对2020年至2024年12,328例安宁疗护入院患者进行了全面回顾,包括接受常规安宁疗护和住院安宁疗护的患者,没有排除。年平均录取人数为2465人。在这五年间,选择安宁疗护机构提供者作为主要主治医师的安宁疗护入院人数增加了26.7%,显示这种疗护模式有显著的上升趋势。结论:结果显示选择安宁疗护机构医师作为主要安宁疗护服务提供者的病患持续增加。进一步的调查是必要的,以确定影响这一选择的因素,并更好地了解其对临终关怀提供的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Increase in Hospice Agency Providers as Primary Hospice Attending: A Five-Year Retrospective Chart Review.

Introduction: The hospice attending physician plays an essential role in the management and delivery of hospice care. In this role, the attending physician is chosen by the patient or health care surrogate and is a resource regarding the patient's medical condition and needs. Nurse practitioners and physician assistants may also act in this capacity. Research recognizes the importance of the relationship between the patient and hospice attending through the end of life, but often the hospice attending role is filled by an attending from the hospice agency who generally does not have a prior relationship with the patient. Methods: We conducted a retrospective chart review for all patients enrolled in Rochester Regional Hospice (RRH) Care from 2020 to 2024 in Rochester, New York. Results: We conducted a comprehensive review of 12,328 hospice admissions from 2020 to 2024, encompassing patients receiving both routine and inpatient hospice care, with no exclusions applied. The annual average admissions totaled 2465. Over this five-year period, hospice admissions electing to use hospice agency providers as their primary attending physicians increased by 26.7%, indicating a significant upward trend in this care model. Conclusions: The results demonstrate a consistent increase in patients choosing hospice agency physicians as their primary hospice attending providers. Further investigation is warranted to identify the factors influencing this selection and to better understand its implications for hospice care delivery.

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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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