Division of General Pediatrics, Department of Pediatrics, Lucile Packard Children's Hospital, Stanford University School of Medicine, 770 Welch Road, Suite 100, Palo Alto, CA 94304, USA.
Pediatric Palliative Care and Pediatric Hematology/Oncology, Dana-Farber Cancer Institute and Boston Children's Hospital, Harvard Medical School, 450 Brookline Avenue, Boston, MA 02215, USA.
Pediatr Clin North Am. 2014 Aug;61(4):719-33. doi: 10.1016/j.pcl.2014.05.002.
Under increasing pressure to contain costs, hospitals are challenged to provide high-quality care to an increasingly complex group of children with life-threatening illness (LTI) that often worsen over time. Pediatric palliative care is an essential component of optimal hospital care delivery for these children and their families. This article describes (1) the current landscape of pediatric hospital care for children with LTI, (2) the connection between palliative care and hospital care for such children, and (3) the relationship between health care reform and palliative care for children with LTI.
在控制成本的压力不断增加的情况下,医院面临着为越来越多患有危及生命的疾病(LTI)的复杂儿童提供高质量护理的挑战,这些儿童的病情往往随着时间的推移而恶化。儿科姑息治疗是为这些儿童及其家庭提供最佳医院护理的重要组成部分。本文描述了(1)患有 LTI 的儿童的当前儿科医院护理现状,(2)姑息治疗与此类儿童的医院护理之间的联系,以及(3)医疗改革与患有 LTI 的儿童的姑息治疗之间的关系。