Spencer D J, Daniels L E
Centre for Palliative Care, Education and Research, University of Central England, Edgbaston, UK.
Palliat Med. 1998 Jul;12(4):219-29. doi: 10.1191/026921698675529940.
This paper traces the development and evaluation of day care hospice provision through analysis of the available literature. The CD-ROM was utilized to access and review the Medline, CINAHL and Healthstar databases. In addition, a hand search of Progress in Palliative Care was conducted. The literature describes the provision of a service within a day hospice, and access to day hospice services. Issues regarding the provision of a day hospice as a mechanism to meet consumer needs are explored. The literature reveals little evaluation of evidence-based practice or of the cost-effectiveness of day hospice provision. There is a dearth of research relating to day care, evaluation studies in particular. It is clearly important that future research compares outcomes with other models of service provision.
本文通过对现有文献的分析,追溯了日间临终关怀服务的发展与评估情况。利用光盘检索并查阅了医学文献数据库(Medline)、护理学与健康领域数据库(CINAHL)以及健康之星数据库(Healthstar)。此外,还对《姑息治疗进展》进行了手工检索。文献描述了日间临终关怀机构内的服务提供情况以及获得日间临终关怀服务的途径。探讨了将日间临终关怀作为满足消费者需求机制的相关问题。文献显示,对循证实践或日间临终关怀服务成本效益的评估很少。关于日间护理的研究匮乏,尤其是评估研究。显然,未来的研究将结果与其他服务提供模式进行比较非常重要。