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摘要

一项新的研究表明,将临终关怀纳入养老院可以减少临终老人的住院治疗。布朗大学的研究人员比较了9000多名医疗保险临终关怀住院患者和27500名非临终关怀住院患者的住院情况。总的来说,24%的临终关怀病人和44%的非临终关怀病人在生命的最后一个月住院。非临终关怀的居民也受益于疗养院的临终关怀,可能是由于这些设施的临终关怀理念和实践。与住在没有安宁疗护设施的居民相比,住在安宁疗护使用率低的设施的非安宁疗护居民住院的可能性低18%,而住在适度安宁疗护设施的居民住院的可能性低29%(定义为5%或更多的安宁疗护居民)。(摘自2001年7月《美国医学杂志》)
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Hospice news
A new study indicates that integrating hospice care into nursing homes reduces hospitalizations among nursing home residents who are dying. Researchers from Brown University compared hospitalizations of over 9,000 Medicare hospice residents with 27,500 nonhospice residents with similar lengths of nursing home stays. Overall, 24 percent of hospice and 44 percent of nonhospice residents were hospitalized in the last month of life. Nonhospice residents also benefited from being in nursing homes with hospice care, likely due to the hospice philosophy and practice in those facilities. Compared with residents in facilities with no hospice, hospitalization was 18 percent less likely for nonhospice residents in facilities with low hospice use and 29 percent less likely for those facilities with moderate hospice use (defined by 5 percent or more residents in hospice). (From the American Journal of Medicine, July 2001.)
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