Jenkins Todd M, Chapman Kathryn L, Ritchie Christine S, Arnett Donna K, McGwin Gerald, Cofield Stacey S, Maetz H Micheal
Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Am J Hosp Palliat Care. 2011 May;28(3):153-60. doi: 10.1177/1049909110380199. Epub 2010 Aug 27.
Few studies have evaluated barriers to hospice from a hospice provider perspective. We assessed such views via a postal survey to all licensed hospices in Alabama (N = 193)-response = 55.4%. Most providers considered physicians and health care professionals to be somewhat knowledgeable of hospice, but also indicated a lack of knowledge constituted the barrier with the most impact in their communities. Respondents also cited physician difficulties with discussing end of life with patients and prognosticating death within 6 months as leading barriers. Providers also described Medicare reimbursement cap issues that have resulted in barriers to hospice. Our findings were similar to previous investigations assessing provider perceptions. Future studies should explore how reimbursement cap issues affect the receipt and delivery of hospice care.
很少有研究从临终关怀提供者的角度评估临终关怀的障碍。我们通过对阿拉巴马州所有持牌临终关怀机构进行邮政调查来评估此类观点（N = 193，回复率 = 55.4%）。大多数提供者认为医生和医疗保健专业人员对临终关怀有所了解，但也指出知识的缺乏是他们所在社区中影响最大的障碍。受访者还将医生在与患者讨论生命终结以及预测患者在6个月内死亡方面的困难列为主要障碍。提供者还描述了医疗保险报销上限问题，这些问题导致了临终关怀的障碍。我们的研究结果与之前评估提供者看法的调查相似。未来的研究应探讨报销上限问题如何影响临终关怀服务的接受和提供。
