Roberts Benjamin, Robertson Mariah, Ojukwu Ekene I, Wu David Shih
Department of Medicine, Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, MD USA.
Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD USA.
Curr Geriatr Rep. 2021;10(4):141-147. doi: 10.1007/s13670-021-00372-8. Epub 2021 Nov 25.
To summarize key recent evidence regarding the impact of Home-Based Palliative Care (HBPalC) and to highlight opportunities for future study.
HBPalC is cost effective and benefits patients and caregivers across the health care continuum.
High-quality data support the cost effectiveness of HBPalC. A growing literature base supports the benefits of HBPalC for patients, families, and informal caregivers by alleviating symptoms, reducing unwanted hospitalizations, and offering support at the end of life. Numerous innovative HBPalC models exist, but there is a lack of high-quality evidence comparing specific models across subpopulations. Our wide literature search captured no research regarding HBPalC for underserved populations. Further research will also be necessary to guide quality standards for HBPalC.
总结近期关于居家姑息治疗（HBPalC）影响的关键证据，并强调未来研究的机会。
HBPalC具有成本效益，且在整个医疗保健过程中使患者和护理人员受益。
高质量数据支持HBPalC的成本效益。越来越多的文献表明，HBPalC通过缓解症状、减少不必要的住院以及在生命末期提供支持，对患者、家庭和非正式护理人员有益。存在许多创新的HBPalC模式，但缺乏比较不同亚群体中特定模式的高质量证据。我们广泛的文献检索未找到关于为服务不足人群提供HBPalC的研究。还需要进一步研究以指导HBPalC的质量标准。
