人员配置对美国医院姑息治疗可及性的影响
Impact of Staffing on Access to Palliative Care in U.S. Hospitals.
作者信息
Dumanovsky Tamara, Rogers Maggie, Spragens Lynn Hill, Morrison R Sean, Meier Diane E
机构信息
1 Center to Advance Palliative Care , New York, New York.
2 Spragens & Associates , Durham, North Carolina.
出版信息
J Palliat Med. 2015 Dec;18(12):998-9. doi: 10.1089/jpm.2015.0436. Epub 2015 Nov 10.
BACKGROUND
Over the past decade over two-thirds of U.S. hospitals have established palliative care programs. National data on palliative care program staffing and its association with operational outcomes are limited.
OBJECTIVE
The objective of this report is to examine the impact of palliative care program staffing on access to palliative care in U.S. hospitals.
METHODS
Data from the National Palliative Care Registry™ for 2014 were used to calculate staffing levels, palliative care service penetration, and time to initial palliative care consultation for 398 palliative care programs operating across 482 U.S. hospitals.
RESULTS
Hospital-based palliative care programs reported an average service penetration of 4.4%. Higher staffing levels were associated with higher service penetration; higher service penetration was associated with shorter time to initial palliative care consultation.
DISCUSSION
This report demonstrates that operational effectiveness, as measured by staffing and palliative care service penetration, is associated with shorter time to palliative care consultation.
背景
在过去十年中，超过三分之二的美国医院建立了姑息治疗项目。关于姑息治疗项目人员配备及其与运营结果之间关系的全国性数据有限。
目的
本报告的目的是研究姑息治疗项目人员配备对美国医院姑息治疗可及性的影响。
方法
使用2014年全国姑息治疗登记处™的数据，计算了美国482家医院中398个姑息治疗项目的人员配备水平、姑息治疗服务普及率以及首次姑息治疗咨询的时间。
结果
基于医院的姑息治疗项目报告的平均服务普及率为4.4%。人员配备水平越高，服务普及率越高；服务普及率越高，首次姑息治疗咨询的时间越短。
讨论
本报告表明，以人员配备和姑息治疗服务普及率衡量的运营效率与缩短姑息治疗咨询时间相关。
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