Guerriere Denise N, Coyte Peter C
Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, Health Sciences Building, 4th Floor, 155 College Street, Toronto, ON, Canada M5T 3M6.
J Aging Res. 2011;2011:374237. doi: 10.4061/2011/374237. Epub 2011 May 19.
Provision of end-of-life care in North America takes place across a multitude of settings, including hospitals, ambulatory clinics and home settings. As a result, family caregiving is characteristically a major component of care within the home. Accordingly, economic evaluation of the end-of-life care environment must devote equal consideration to resources provided by the public health system as well as privately financed resources, such as time and money provided by family caregivers. This paper addresses the methods used to measure end-of-life care costs. The existing empirical literature will be reviewed in order to assess care costs with areas neglected in this body of literature to be identified. The Ambulatory and Home Care Record, a framework and tool for comprehensively measuring costs related to the provision and receipt of end-of-life care across all health care settings, will be described and proposed. Finally, areas for future work will be identified, along with their potential contribution to this body of knowledge.
在北美，临终关怀在多种环境中开展，包括医院、门诊诊所和家庭环境。因此，家庭护理通常是家庭护理的主要组成部分。相应地，对临终关怀环境的经济评估必须同样考虑公共卫生系统提供的资源以及私人资助的资源，如家庭护理人员提供的时间和金钱。本文论述了用于衡量临终关怀成本的方法。将回顾现有的实证文献，以评估护理成本，并找出该文献中被忽视的领域。将描述并提出动态和家庭护理记录，这是一个用于全面衡量所有医疗环境中临终关怀提供和接受相关成本的框架和工具。最后，将确定未来工作的领域及其对这一知识体系的潜在贡献。
