农村南阿巴拉契亚地区同时提供临终关怀对儿童初级保健就诊的影响。
Impact of Concurrent Hospice Care on Primary Care Visits Among Children in Rural Southern Appalachia.
出版信息
J Pediatr Health Care. 2022 Sep-Oct;36(5):438-442. doi: 10.1016/j.pedhc.2022.05.005. Epub 2022 May 30.
INTRODUCTION
The purpose of the study was to test the effect of receiving pediatric concurrent hospice care on primary care visits.
METHOD
This retrospective study was limited to pediatric decedents younger than 21 years with a hospice service claim from 2011 to 2013. Our outcome of interest concerned whether concurrent hospice care impacted primary care visits.
RESULTS
Of the 460 pediatric decedents in rural Southern Appalachia, 42% continued to visit their primary care provider during hospice enrollment, whereas 51% received concurrent hospice care. Concurrent hospice care was significantly related to pediatric primary care visits (β = 2.31; p < .001).
DISCUSSION
Findings revealed that receipt of concurrent hospice care impacted primary care. Children in concurrent care were twice as likely to continue to receive care from their primary care provider. This finding is consistent with our hypothesis; however, the magnitude of the finding was unexpected given their residence in medically underserved areas.
引言
本研究旨在检验接受儿科同期临终关怀对初级保健就诊的影响。
方法
本回顾性研究仅限于 2011 年至 2013 年期间有临终关怀服务索赔的 21 岁以下儿科死者。我们感兴趣的结果是关注同期临终关怀是否会影响初级保健就诊。
结果
在阿巴拉契亚南部农村的 460 名儿科死者中，42%的人在接受临终关怀登记时继续接受其初级保健提供者的治疗，而 51%的人接受了同期临终关怀。同期临终关怀与儿科初级保健就诊显著相关（β=2.31；p<.001）。
讨论
研究结果表明，接受同期临终关怀会影响初级保健。接受同期护理的儿童继续接受其初级保健提供者治疗的可能性是其两倍。这一发现与我们的假设一致；然而，鉴于他们居住在医疗服务不足的地区，这一发现的幅度是出乎意料的。
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