安宁疗护与非安宁疗护家庭健康服务提供者高科技服务提供经验之比较。

L W Kaye, J K Davitt
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引用次数: 6

摘要

本研究检视国家安宁疗护与非安宁疗护家庭照护机构样本(N = 154)在提供技术强化服务给失能长者时,呈现不同组织型态与处理不同病人能力问题的程度。安宁疗护机构比非安宁疗护机构雇用更多的兼职员工,进行更多的家访,接待更多高科技病人,并提供更广泛的高科技服务。指数数据的因子分析证实安宁疗护人员在疗护的法律/伦理层面有更多经验(p < 0.05)。具体来说,临终关怀院更经常处理“死亡权”问题(p < 0.05),但不涉及“授权”和“病人权利”问题。这两类机构中有更多的机构制定了处理维持生命治疗决策的政策,而不是处理决策能力有问题的患者的政策。需要的机构政策,以处理有限的病人决策能力在临终关怀和非临终关怀的家庭护理机构进行审查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of the high-tech service delivery experiences of hospice and non-hospice home health providers.
This study examined the degree to which national samples of hospice and non-hospice home health care agencies (N = 154) present different organizational profiles and grapple with different patient capacity issues when delivering technology-enhanced services to incapacitated elderly. Hospice agencies employ more part-time staff, make more in-home visits, see more high-tech patients, and provide a wider range of high-tech services than non-hospice providers. Factor analysis of index data confirms that hospice staff have more experience (p < .05) addressing the legal/ethical dimensions of care. Specifically, hospices deal with "right to die" issues more often (p < .05), but not with "delegation of authority" and "patient rights" issues. More agencies of both types have policies for handling decisions about life-sustaining treatment than for dealing with patients having questionable decision-making capacity. Needed agency policies for dealing with limited patient decision-making capacity in hospice and non-hospice home care agencies are reviewed.
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