Walsh Mary Ellen
Fox Valley Hospice, Geneva, Illinois, USA.
Caring. 2003 Nov;22(11):26-8.
When the Medicare hospice benefit was enacted 20 years ago, many hospices greeted the news with great relief. This benefit helped many fledgling hospices start up and survive. However, a group of hospices realized that some of the people for whom they previously cared were not eligible for services under the Medicare hospice benefit. Thus, volunteer hospices filled that need, supporting and advocating for people who did not fit the hospice benefit criteria, but who wanted hospice support. Since volunteer hospices and Medicare-certified hospices play two very different roles in the hospice care delivery system, there are many opportunities for the two types of hospices to partner to meet patient care needs.
20年前,当医疗保险临终关怀福利法案颁布时,许多临终关怀机构听到这个消息后如释重负。这项福利帮助许多刚起步的临终关怀机构得以开办并生存下来。然而,有一批临终关怀机构意识到,他们之前照料的一些人不符合医疗保险临终关怀福利的服务资格。于是,志愿临终关怀机构满足了这一需求,为那些不符合临终关怀福利标准但又希望获得临终关怀支持的人提供支持和倡导。由于志愿临终关怀机构和获得医疗保险认证的临终关怀机构在临终关怀服务提供体系中扮演着截然不同的角色,这两类临终关怀机构有很多机会合作以满足患者的护理需求。