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一份家庭护理临终关怀概况:描述、评估及成本分析。

A homecare hospice profile: description, evaluation, and cost analysis.

作者信息

Creek L V

出版信息

J Fam Pract. 1982 Jan;14(1):53-8.

PMID:6172544
Abstract

After analyzing its first year of operation, a homecare hospice staff describes its patient statistics (n = 70), its evaluations received from the patients' families, its inability to accept many referrals (n = 150), and its cost analysis. The mean patient longevity in the program was 42 days for a cost of $65 per patient day. The patients' families reported they were more than 90 percent satisfied with services rendered, although their level of satisfaction with their physicians was lowest (75 percent). Many referrals were not accepted into the caseload because contact came so late that the patient died before processing could be completed. The data indicate that the hospice program was urgently sought by the public and that the hospice reported in this study will be able to provide homecare services at a cost which is competitive with skilled nursing home care.

摘要

在分析了其运营的第一年之后,一家居家临终关怀机构的工作人员描述了其患者统计数据(n = 70)、从患者家属那里收到的评价、无法接收许多转诊患者(n = 150)的情况以及成本分析。该项目中患者的平均生存期为42天,每位患者每天的成本为65美元。患者家属报告称,他们对所提供的服务满意度超过90%,尽管他们对医生的满意度最低(75%)。许多转诊患者未被纳入病例量,因为联系时间太晚,以至于患者在手续办理完成前就去世了。数据表明,公众迫切需要临终关怀项目,并且本研究中报告的临终关怀机构将能够以与专业疗养院护理具有竞争力的成本提供居家护理服务。

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引用本文的文献

1
Measuring quality of palliative care: psychometric properties of the FAMCARE Scale.测量姑息治疗质量:FAMCARE量表的心理测量特性。
Qual Life Res. 2003 Mar;12(2):167-76. doi: 10.1023/a:1022236430131.
2
What does hospice cost?临终关怀的费用是多少?
Am J Public Health. 1984 Jul;74(7):689-97. doi: 10.2105/ajph.74.7.689.