2000年至2010年美国临终关怀机构志愿者使用情况趋势
Trends in the Use of Volunteers in US Hospices: 2000 to 2010.
作者信息
Apenteng Bettye A, Linder Daniel F, Opoku Samuel T, Lawrence Raymona H, Upchurch Linda A L
机构信息
Department of Health Policy and Management, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA
Department of Biostatistics, Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, USA.
出版信息
Am J Hosp Palliat Care. 2016 Apr;33(3):256-63. doi: 10.1177/1049909114557351. Epub 2014 Nov 2.
PURPOSE
Using a longitudinal sample of freestanding Medicare-certified hospices in the 50 US states and the District of Columbia, this study sought to explore the factors associated with volunteer demand and describe how volunteer use has changed from 2000 to 2010.
RESULTS
A temporal decline in the extent of use of volunteers in freestanding hospices was observed over the study period. Findings indicated that both organizational and environmental factors influence the use of volunteers in US freestanding hospices.
CONCLUSION
Given the importance of volunteers, both in the preservation of hospices' philanthropic traditions and in reducing health care expenditure at the end of life, research is needed to further evaluate the factors associated with this decline. Emphasis should be placed on improving the retention of the existing hospice volunteer workforce.
目的
本研究以美国50个州和哥伦比亚特区独立的医疗保险认证临终关怀机构为纵向样本，旨在探究与志愿者需求相关的因素，并描述2000年至2010年期间志愿者使用情况的变化。
结果
在研究期间，观察到独立临终关怀机构中志愿者使用程度呈时间性下降。研究结果表明，组织因素和环境因素都会影响美国独立临终关怀机构中志愿者的使用情况。
结论
鉴于志愿者在维护临终关怀机构的慈善传统以及减少临终医疗支出方面的重要性，需要开展研究以进一步评估与这种下降相关的因素。应着重提高现有临终关怀志愿者队伍的留存率。
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