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首页> 外文期刊>Evidence-based medicine >In-home palliative care increased patient satisfaction and reduced use and costs of medical services
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In-home palliative care increased patient satisfaction and reduced use and costs of medical services

机译：在家中的姑息治疗提高了患者满意度，并减少了医疗服务的使用和成本

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Setting: 2 HMOs in Hawaii and Colorado, USA. Patients: 310 patients (mean age 74 y, 51% men) who had a primary diagnosis of congestive heart failure, chronic obstructive pulmonary disease, or cancer; had a life expectancy =< 12 months; had visited the emergency department or hospital within the previous year; and scored =< 70% on the Palliative Performance Scale. Intervention: in-home palliative care (IHPC) plus usual care (n = 155) or usual care alone (n = 155). IHPC was provided by an interdisciplinary team including the patient and family; a physician, nurse, and social worker with expertise in symptom management and biopsychosocial intervention; and other team members as needed (eg, spiritual counsellor, pharmacist, dietician). The team coordinated care across all settings and provided assessment, planning, care delivery, follow-up, education, and support. Physicians conducted home visits and were available, along with nursing services, on a 24-hour on-call basis.
机译：地点：美国夏威夷和科罗拉多州的2个HMO。患者：310名初次诊断为充血性心力衰竭，慢性阻塞性肺疾病或癌症的患者（平均年龄74岁，男性51％）;预期寿命= <12个月;前一年曾去过急诊科或医院;并在姑息表现量表上得分= <70％。干预：家庭姑息治疗（IHPC）加上常规护理（n = 155）或仅常规护理（n = 155）。 IHPC由包括患者和家人在内的跨学科团队提供;具有症状管理和生物心理社会干预专业知识的医师，护士和社会工作者;以及其他需要的团队成员（例如，精神顾问，药剂师，营养师）。该团队在所有环境下协调护理工作，并提供评估，计划，护理提供，随访，教育和支持。医生进行了家访，并在24小时全天候提供护理服务。

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