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医疗保险终末期肾病(ESRD)福利与临终关怀的交叉点:面向家庭护理和临终关怀临床医生的概述

The intersection of the Medicare end-stage renal disease (ESRD) benefit and hospice: an overview for home care and hospice clinicians.

作者信息

Castner Debra, Bednarski Donna

机构信息

Jersey Coast Nephrology and Hypertension Associates, Brick, New Jersey, USA.

出版信息

Home Healthc Nurse. 2011 Sep;29(8):464-76. doi: 10.1097/NHH.0b013e31821fea6f.

Abstract

End-of-life care is underutilized in patients with kidney failure despite high mortality and multiple comorbid conditions. Recent revisions in the Medicare Benefit Policy Manual and the Conditions for Coverage for End-Stage Renal Disease provide a clearer understanding for referral to palliative and hospice care. There are recommendations to improve end-of-life care in this complicated population.

摘要

尽管死亡率高且存在多种合并症,但肾衰竭患者的临终关怀未得到充分利用。《医疗保险福利政策手册》和《终末期肾病承保条件》的最新修订为转介至姑息治疗和临终关怀提供了更清晰的认识。针对改善这一复杂人群的临终关怀有相关建议。

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