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生命最后三个月内最多两周上门居家护理的费用:基于英国东南部临终关怀居家服务的社区护理试点研究。

The Cost of Visit-based Home Care for up to Two Weeks in the Last Three Months of Life: APilot Study of Community Care Based at a Hospice-at-home Service in South East of England.

机构信息

Hospice at Home, Rennie Grove Hospice Care , Tring, UK.

Faculty of Health, Education and Society, University of Northampton , Northampton, UK.

出版信息

J Community Health Nurs. 2020 Oct-Dec;37(4):203-213. doi: 10.1080/07370016.2020.1809856.

DOI:10.1080/07370016.2020.1809856
PMID:33150810
Abstract

The cost of visit-based community care based around a 24/7 hospice-at-home (HatH) service in the last 3 months of life was assessed. Thirty families completed a health and social carediary of at-home visits over two-weeks following contact with the HatH night service. Diaries captured 333 days of care provision, averaging 11 diary days per family, 708 health care professional and carer visits, lasting 604 hours at a cost of £20,192 ($24,946). Hat H care, integrated with community support, seems an economic proposition but highlights the complexities of assessing cost of end of life care.

摘要

对基于就诊的社区护理的成本进行了评估,该护理以 24/7 居家临终关怀(HatH)服务为基础,服务时间为生命的最后 3 个月。在与 HatH 夜间服务联系后的两周内,有 30 个家庭完成了居家就诊的健康和社会护理日记。日记记录了 333 天的护理服务,平均每个家庭有 11 天的日记,708 次医护人员和护理人员的就诊,持续 604 小时,费用为 20192 英镑(24946 美元)。HatH 护理与社区支持相结合,似乎是一种经济的选择,但也凸显了评估临终关怀成本的复杂性。

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