美国养老院的医疗保险临终关怀：2006 年更新。
Medicare hospice care in US nursing homes: a 2006 update.
机构信息
Center for Gerontology and Health Care Research, Brown University, Rhode Island, USA.
出版信息
Palliat Med. 2011 Jun;25(4):337-44. doi: 10.1177/0269216310389349. Epub 2011 Jan 12.
INTRODUCTION
This research examines 2006 population-based data on persons who died in US nursing homes (NHs) and received hospice in the NH.
METHODS
We compared dying persons characteristics and lengths of hospice stay in five US states between 1992 and 1996 and in 2006. We also compared characteristics of dying persons in 2006 by whether they first entered hospice in the community (i.e. 'community-NH', N=12,950) or the NH (i.e. 'NH-only', N=159,065).
RESULTS
In five US states, dying persons who received NH hospice in 2006, compared to 1992-1996, were older, had more short hospice stays (≤7 days), and were less frequently diagnosed with cancer. Also, in 2006, dying persons receiving 'NH-only' versus 'community-NH' hospice were older, had more short stays, and were less frequently diagnosed with cancer.
DISCUSSION
Persons in 2006 who received hospice in the community and in the NH (vs. 'NH-only') were strikingly similar to hospice participants in 1992-1996. 2006 'NH-only' vs. 'community-NH' dying persons, more closely resemble U.S. NH residents.
引言
本研究调查了美国养老院（NH）中死亡并接受 NH 临终关怀的 2006 年人口数据。
方法
我们比较了 1992 年至 1996 年和 2006 年五个美国州的临终患者特征和临终关怀时间长度。我们还比较了 2006 年首次进入社区（即“社区-NH”，N=12950）或 NH（即“NH 仅”，N=159065）接受临终关怀的临终患者的特征。
结果
在五个美国州，与 1992-1996 年相比，2006 年在 NH 接受临终关怀的临终患者年龄更大，短期临终关怀时间（≤7 天）更短，癌症诊断率更低。此外，在 2006 年，接受“NH 仅”与“社区-NH”临终关怀的临终患者年龄更大，短期停留时间更长，癌症诊断率更低。
讨论
2006 年在社区和 NH（与“NH 仅”相比）接受临终关怀的患者与 1992-1996 年的临终关怀参与者非常相似。2006 年“NH 仅”与“社区-NH”临终患者与美国 NH 居民更相似。
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