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电子舒缓治疗协调系统(EPaCCS)的实践应用:是否有益?

Electronic palliative care coordination system (EPaCCS) in practice: A useful tool?

机构信息

Whitehall Surgery, Leeds, UK

出版信息

BMJ Support Palliat Care. 2021 Jun;11(2):146-148. doi: 10.1136/bmjspcare-2019-001897. Epub 2019 Aug 16.

Abstract

OBJECTIVES

First, to assess if Electronic Palliative Care Coordination Systems (EPaCCS) was used by different organisations as a tool to share information; second, to assess whether there was a measurable benefit with patients dying at their preferred place of death.

METHODS

A retrospective analysis of the 65 decedents from last 12 months in the registered list of a single practice in Leeds was conducted.

RESULTS

EPaCCS was present in 24 patients (36.9%). It was used by more than one organisation in 17 cases (70.9%). It facilitated death at the preferred place in 19 of the 20 cases (95%) were preferences were recorded.

CONCLUSIONS

EPaCCS within the organisation was not used as widely as it could have been presumed. Having a patient with an EPaCCS in the electronic medical records did not imply there was sharing of information among the different organisations involved. Although there was a clear impact on individuals dying at their preferred place of death, preferences were not necessarily recorded in EPaCCS.

摘要

目的

首先,评估电子姑息治疗协调系统(EPaCCS)是否被不同组织用作信息共享工具;其次,评估患者在其首选死亡地点死亡是否有可衡量的益处。

方法

对利兹市一家诊所注册名单中过去 12 个月的 65 名死者进行回顾性分析。

结果

24 名患者(36.9%)使用了 EPaCCS。在 17 例(70.9%)中,它被多个组织使用。在记录了首选地点的 20 例中,有 19 例(95%)患者在首选地点死亡。

结论

组织内的 EPaCCS 并没有被广泛使用。在电子病历中有 EPaCCS 的患者并不意味着参与的不同组织之间有信息共享。尽管在个人在其首选的死亡地点死亡方面有明显的影响,但这些偏好并不一定在 EPaCCS 中记录。

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