公共卫生与姑息治疗。
Public Health and Palliative Care.
机构信息
Division of Palliative Medicine, Department of Family and Preventive Medicine, Emory University, 1518 Clifton Road Northeast, Atlanta, GA 30322, USA.
Division of Palliative Medicine, Department of Family and Preventive Medicine, Emory University, 1518 Clifton Road Northeast, Atlanta, GA 30322, USA.
出版信息
Clin Geriatr Med. 2023 Aug;39(3):395-406. doi: 10.1016/j.cger.2023.04.003. Epub 2023 May 15.
Meeting the needs of people at the end of life (EOL) is a public health (PH) concern, yet a PH approach has not been widely applied to EOL care. The design of hospice in the United States, with its focus on cost containment, has resulted in disparities in EOL care use and quality. Individuals with non-cancer diagnoses, minoritized individuals, individuals of lower socioeconomic status, and those who do not yet qualify for hospice are particularly disadvantaged by the existing hospice policy. New models of palliative care (both hospice and non-hospice) are needed to equitably address the burden of suffering from a serious illness.
满足生命末期（EOL）人群的需求是公共卫生（PH）关注的问题，但 PH 方法尚未广泛应用于 EOL 护理。美国的临终关怀设计侧重于成本控制，导致 EOL 护理的使用和质量存在差异。非癌症诊断、少数族裔、社会经济地位较低的个人以及那些尚未符合临终关怀条件的个人，由于现有临终关怀政策而处于特别不利的地位。需要新的姑息治疗（包括临终关怀和非临终关怀）模式，以公平地应对严重疾病带来的痛苦负担。
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