COVID-19 大流行对住院和社区姑息治疗服务使用的影响。
Impact of the COVID-19 pandemic on the use of an inpatient and community palliative care service.
机构信息
Northside Clinical school-University of Queensland, Palliative Care, Department, St Vincent's Private Hospital Brisbane, Brisbane, Australia.
Palliative Care Department, St Vincent's Private Hospital Brisbane, Brisbane, Australia.
出版信息
Int J Palliat Nurs. 2024 Mar 2;30(3):138-145. doi: 10.12968/ijpn.2024.30.3.138.
BACKGROUND
The COVID-19 pandemic disrupted the usual provision of healthcare, changing models of care, clinical loads, service provision and patient behaviour.
AIMS
This study assesses the impact of COVID-19 on community and inpatient palliative care service provision.
METHODS
A retrospective audit and comparison of service use conducted over two defined periods, before and during the COVID-19 pandemic, 2019-2020.
FINDINGS
The community palliative care service had a 9% increase in referrals, with a lower proportion of referrals (2.4%) from subacute/palliative care hospitals during the COVID-19 pandemic. Provision of care during the pandemic included less face-to-face contact with patients (24.1% versus 30.2% before), and markedly more contact with patients via videoconference (2.1% versus 0.1% before the pandemic).
CONCLUSION
The community specialist palliative care service was busier during the pandemic period, and experienced a shift in mode of care delivery, while the inpatient unit experienced no difference in service use.
背景
COVID-19 大流行扰乱了常规医疗保健服务，改变了护理模式、临床工作量、服务提供和患者行为。
目的
本研究评估了 COVID-19 对社区和住院姑息治疗服务提供的影响。
方法
在 COVID-19 大流行前后的两个定义时期内，对服务使用情况进行回顾性审计和比较，即 2019-2020 年。
发现
社区姑息治疗服务的转介量增加了 9%，来自亚急性/姑息治疗医院的转介比例（2.4%）在 COVID-19 大流行期间有所下降。大流行期间的护理提供包括与患者的面对面接触减少（24.1%比大流行前的 30.2%），通过视频会议与患者的接触明显增加（2.1%比大流行前的 0.1%）。
结论
在大流行期间，社区专科姑息治疗服务更加繁忙，护理提供模式发生转变，而住院病房的服务使用没有差异。
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