Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Geriatric Research Education and Clinical Center, James J. Peters VA Medical Center, Bronx, New York, USA.
J Palliat Med. 2021 May;24(5):656-658. doi: 10.1089/jpm.2020.0670. Epub 2020 Dec 30.
The sudden and unprecedented increase in seriously ill patients with COVID-19, coupled with both the lack of core palliative care training and expertise among frontline providers and the specialty-trained palliative care workforce shortage, produced immediate challenges to meet the needs of this novel seriously ill patient population. In this article, we describe the rapid expansion and creation of new specialty palliative care services across a health system to meet demands of the COVID-19 surge in New York City. During April 2020, 1019 patients received inpatient specialty palliative care consultations across the Mount Sinai Health System. This overview demonstrates how palliative care services can be titrated up rapidly to meet the acute increase in hospitalized persons with serious illness due to COVID-19, and how these services tailored to the changing needs across a health system.
COVID-19 严重病患数量突然且前所未有地增加，再加上一线医护人员缺乏核心舒缓疗护培训和专业知识，以及专业舒缓疗护人员短缺，这立即给满足这一新的严重病患群体的需求带来了挑战。在本文中，我们描述了在整个医疗系统中迅速扩展和创建新的舒缓疗护专科服务，以满足纽约市 COVID-19 激增的需求。在 2020 年 4 月期间，西奈山卫生系统共为 1019 名住院患者提供了专科舒缓疗护咨询服务。这一概述展示了舒缓疗护服务如何能够迅速扩大规模，以满足因 COVID-19 而导致的严重疾病住院人数的急剧增加，以及这些服务如何根据整个医疗系统的变化需求进行调整。
