Hanley Eileen
Hospice and Palliative Care Association of New York State, NY, USA.
Care Manag J. 2004 Fall;5(3):151-7. doi: 10.1891/cmaj.2004.5.3.151.
This article addresses the increasing interest in end of life care and the need for improving access to palliative care services in patients/families served by the home care industry. The author discusses factors leading to this growing demand as well as some of the recent research conducted in the field of palliative care. The benefits of and underutilization of hospice services are discussed. The author addresses a variety of options for home care providers to consider expanding access to palliative care services including recent changes in regulation that allow for collaboration with Medicare certified hospice programs. A discussion of key topics to include in staff development initiatives related to palliative care is included as are education and clinical practice resources.
本文探讨了人们对临终关怀日益增长的关注,以及改善家庭护理行业所服务的患者/家庭获得姑息治疗服务的必要性。作者讨论了导致这种需求不断增长的因素,以及姑息治疗领域最近开展的一些研究。文中还讨论了临终关怀服务的益处及未得到充分利用的情况。作者阐述了家庭护理提供者可考虑扩大姑息治疗服务获取途径的多种选择,包括法规方面的近期变化,这些变化允许与医疗保险认证的临终关怀项目开展合作。文中还包括了与姑息治疗相关的员工发展倡议中应涵盖的关键主题讨论,以及教育和临床实践资源。