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首页> 外文期刊>The American journal of hospice and palliative care >Charity at the deathbed: impacts of public funding changes on hospice care.
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Charity at the deathbed: impacts of public funding changes on hospice care.

机译：临终关怀的慈善事业：公共资金变化对临终关怀的影响。

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摘要

A core hospice value is caring for dying individuals regardless of their ability to pay. Historically, a stable source of government funding has provided the financial cushion necessary to extend care to indigent patients. Recently however, 2 factors have challenged the charitable-care value. First, financial reserves have been constrained by regulatory actions limiting admissions, lengths of stay, and reimbursement levels. Second, the number of uninsured individuals has increased. This study of hospices in 17 states found that hospices (1) remain committed to indigent care despite deep concerns about inadequate financial resources, (2) are encountering increased demand for services from indigent patients, (3) are currently covering indigent-care costs, but are pessimistic about their future ability to do so, and (4) are pursuing alternative funding with mixed results.
机译：临终关怀的核心价值在于照顾垂死的人们，而不管其支付能力如何。从历史上看，稳定的政府资金来源为扩大对贫困患者的护理提供了必要的财务缓冲。但是，最近有两个因素挑战了慈善护理的价值。首先，财务储备受到监管行动的限制，这些行动限制了入学，住院时间和报销水平。第二，未投保的个人数量有所增加。这项对17个州的临终关怀的研究发现，临终关怀（1）尽管对财政资源不足深表担忧，但仍然致力于贫困护理;（2）贫困患者对服务的需求不断增加;（3）目前正在支付贫困护理费用，但对他们的未来能力感到悲观，（4）寻求替代性资金，但成效参差。

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