Connie S Cole, Amy Jackson, C Robert Bennett, Regina M Fink, Kathleen T Unroe, Cari R Levy, Joan G Carpenter
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引用次数: 0
Abstract
Despite evidence that specialized care for seriously ill nursing home (NH) residents is needed, barriers to accessing palliative care (PC) remain. A significant issue is the complexity of the referral process that inhibits timely and equitable access to care. This qualitative descriptive study explored the PC referral process in NHs. Using rapid qualitative analysis with semi-structured interview data from NH staff, primary care, and specialty PC providers (N = 17) in six states, this study outlines a multistep referral process along with barriers and proposed solutions. Key recommendations include comprehensive PC education program development, implementation of an evidence-based PC screening tool, and the holistic integration of PC services in NHs.
尽管有证据表明，重病疗养院（NH）居民需要专门的姑息关怀，但获得姑息关怀（PC）的障碍依然存在。一个重要的问题是转介过程的复杂性阻碍了及时、公平地获得关怀。这项定性描述性研究探讨了养老院的姑息关怀转介流程。通过对六个州的 NH 工作人员、初级保健和专科 PC 提供者（N = 17）的半结构式访谈数据进行快速定性分析，本研究概述了多步骤转诊流程以及存在的障碍和建议的解决方案。主要建议包括制定全面的 PC 教育计划、实施循证 PC 筛查工具以及在 NHs 中全面整合 PC 服务。
期刊介绍：
The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.
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