Adams Carolyn E, Bader Julia, Horn Kathryn V
Robert H. Hoy Distinguished Professor, School of Nursing, University of Texas at El Paso.
Home Health Care Manag Pract. 2009 Feb 1;21(2):109-116. doi: 10.1177/1084822308323440.
Generally, satisfaction with timing of hospice referral was measured in mortality follow back surveys of patients who died in hospice. In contrast in this study, investigators assessed timing of the hospice referral in patients/families enrolled in hospice for a minimum of two weeks. About 1/3 of patients/families identified it would have been easier if they started hospice earlier. Barriers to early hospice access were associated primarily with access to the healthcare system.
一般来说,临终关怀转诊时机的满意度是在对死于临终关怀机构的患者进行的死亡率随访调查中衡量的。相比之下,在本研究中,研究人员评估了入住临终关怀机构至少两周的患者/家庭的临终关怀转诊时机。约1/3的患者/家庭认为,如果他们更早开始接受临终关怀会更容易。早期获得临终关怀的障碍主要与医疗保健系统的可及性有关。