Becker Todd D, Cagle John G
115980University of Maryland School of Social Work, Baltimore, MD, United States.
Omega (Westport). 2023 Mar;86(4):1235-1253. doi: 10.1177/0030222821997602. Epub 2021 Apr 6.
Although the Medicare Hospice Benefit mandates that hospices offer bereavement support services to families for at least 1 year following the death of a patient, it does not stipulate which services they should offer. As a result, little is known about what bereavement support services hospices provide, especially on a national scale. The current study recruited a national sample of hospice representatives who responded to an open-ended question that asked, "What types of bereavement support services does your hospice provide to families?" Seventy-six viable responses were recorded and content analyzed. Four overarching domains emerged: (a) timing of support, (b) providers of support, (c) targets of support, and (d) formats of support. Other notable findings included the underutilization of bereavement support services and the utility of informal support formats. These findings present implications for future study regarding which specific aspects of hospice bereavement support services are most beneficial to bereaved families.
尽管医疗保险临终关怀福利规定临终关怀机构要在患者去世后至少为其家属提供1年的哀伤支持服务，但并未规定应提供哪些服务。因此，对于临终关怀机构提供何种哀伤支持服务，尤其是在全国范围内，人们知之甚少。当前的研究对全国范围内的临终关怀机构代表进行了抽样调查，他们回答了一个开放式问题：“你们的临终关怀机构为家属提供哪些类型的哀伤支持服务？” 记录并分析了76条有效回复的内容。出现了四个总体领域：（a）支持的时间安排，（b）支持的提供者，（c）支持的对象，以及（d）支持的形式。其他显著发现包括哀伤支持服务利用不足以及非正式支持形式的效用。这些发现为未来研究临终关怀哀伤支持服务的哪些具体方面对丧亲家庭最有益带来了启示。
