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首页> 外文期刊>BMC Palliative Care >Differences in do-not-resuscitate orders, hospice care utilization, and late referral to hospice care between cancer and non-cancer decedents in a tertiary Hospital in Taiwan between 2010 and 2015: a hospital-based observational study
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Differences in do-not-resuscitate orders, hospice care utilization, and late referral to hospice care between cancer and non-cancer decedents in a tertiary Hospital in Taiwan between 2010 and 2015: a hospital-based observational study

机译：一项基于医院的观察性研究，2010年至2015年台湾三级医院癌症患者与非癌症患者的不进行复诊的顺序，临终关怀的利用和临终关怀的差异

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In 2009, the Taiwanese national health insurance system substantially expanded hospice coverage for terminal cancer patients to include patients with end-stage brain, dementia, heart, lung, liver, and kidney diseases. This study aimed to evaluate differences in do-not-resuscitate (DNR) status and hospice care utilization between terminal cancer patients and advanced non-cancer patients after the policy change. Data were obtained from the Death and Hospice Palliative Care Database of Taipei Veterans General Hospital in Taiwan. The differences between cancer and non-cancer patients who died in this hospital between 2010 and 2015 were analyzed in terms of patient characteristics, rates of DNR orders, hospice care utilization, number of living days after DNR order, duration of survival (DOS) after hospice care enrollment, and the rate of late referral to hospice care. Data for 8459 patients who died of cancer and major non-cancer terminal diseases were included. DNR order rate, hospice care utilization rate, and DOS were significantly higher for cancer patients than for non-cancer patients (p?
机译：2009年，台湾国家健康保险体系大幅扩展了晚期癌症患者的临终关怀覆盖范围，将晚期脑，痴呆，心脏病，肺，肝和肾疾病患者纳入其中。这项研究旨在评估政策变更后晚期癌症患者和晚期非癌症患者在不复苏（DNR）状态和临终关怀的利用方面的差异。数据来自台湾台北荣民总医院的临终关怀临终关怀数据库。分析了2010年至2015年在该医院死亡的癌症患者与非癌症患者之间的差异，包括患者特征，DNR订单率，临终关怀利用率，DNR订单后的生活天数，术后生存时间（DOS）临终关怀的入学率，以及晚转诊至临终关怀的比率。包括了8459名死于癌症和主要非癌症晚期疾病的患者的数据。癌症患者的DNR订单率，临终关怀利用率和DOS显着高于非癌症患者（分别为p <0.001，p <0.001和p <0.001）。非癌症后遗症患者接受DNR命令后的生活天数和晚转诊率显着高于癌症后遗症患者（分别为p <0.001和p <0.001）。从2010年到2015年，癌症组的临终关怀利用率，拒绝接受DNR后的生活天数以及延迟转诊的比率呈显着增加的趋势（p <0.001，p = 0.001，p <0.001）。分别为0.001）。对于非癌症组，DNR次序，临终关怀利用率和DNR次序后的存活天数有显着增加的趋势（p <0.001，p <0.001，p = 0.029）。 ， 分别）。应制定进一步的指南，以帮助临床医生迅速将晚期癌症和非癌症患者转介至临终关怀。考虑到临终非癌症患者临终关怀利用率较低和对临终关怀护理的需求不断增长，决策者应考虑如何提高专业护理的相关水平，以提高台湾临终关怀护理的可及性和可用性。

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