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首页> 外文期刊>Journal of pain & palliative care pharmacotherapy >Costs of End-of-Life Care
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Costs of End-of-Life Care

机译：报废医疗费用

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End-of-life care, defined as medical care of patients with terminal illnesses or conditions that have become advanced and incurable, has been linked to high cost for more than 30 years (1-5). About 10% of health care expenditures are for end-of- life procedures (6). But, higher cost is not proportional to improvement in outcomes (7,8).Economics and bioethics are at conflict when end-of-life care is discussed. Patients' families may have unrealistic expectations from the doctors; cultural and religious practices may vary, and poor communications between doctors and patients' families about planning of the patient's management occur. These factors can contribute to families wanting aggressive hospital treatment for patients (9) and that can lead to underutilization of palliative care. Additionally, there is defensive medicine, i.e., interventions ordered by the doctor to prevent lawsuits (10), that can further increase the cost of end-of-life services (9).
机译：生命终期护理被定义为对晚期疾病或已变得晚期且无法治愈的疾病的患者进行的医疗护理，与高昂的成本联系了30多年（1-5）。大约10％的医疗保健支出用于报废程序（6）。但是，更高的成本并不与改善结果成正比（7,8）。在讨论生命终结护理时，经济学和生物伦理学存在冲突。患者家属对医生的期望可能不切实际。文化和宗教习俗可能会有所不同，医生与患者家属之间就患者管理计划的沟通不畅。这些因素可能导致希望为患者提供积极的住院治疗的家庭（9），并且可能导致姑息治疗利用不足。此外，还有防御医学，即医生命令采取的预防诉讼的干预措施（10），这可能会进一步增加报废服务的成本（9）。

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