Rhymes J
Department of Medicine, University of Chicago, IL.
JAMA. 1990 Jul 18;264(3):369-72.
Hospice care, an appropriate way of caring for many terminally ill patients, now is reimbursed by Medicare and other insurance systems. However, access to hospice care is limited by unavailability, ignorance, Medicare regulations, and internally imposed restrictions. Reasons for the barriers to hospice care and other appropriate terminal care are discussed, together with potential actions that might improve care for dying patients.
临终关怀是照顾许多绝症患者的一种恰当方式，目前已由医疗保险和其他保险系统进行报销。然而，临终关怀的可及性受到服务缺失、认知不足、医疗保险规定以及机构内部限制等因素的制约。本文讨论了临终关怀及其他适当的终末期护理存在障碍的原因，以及可能改善临终患者护理的潜在行动。
