Quality of Hospice Care at Home Versus in an Assisted Living Facility or Nursing Home
Quality of Hospice Care at Home Versus in an Assisted Living Facility or Nursing Home
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DOI：
10.1111/jgs.15260
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发表时间：
2018-04-01
影响因子：
6.3
通讯作者：
Callahan, Christopher M.
中科院分区：
文献类型：
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作者：
Unroe, Kathleen T.;Stump, Timothy E.;Callahan, Christopher M.
目的通过对家庭成员死后调查的分析，描述居住在家中或疗养院（NH）或辅助生活设施（ALF）的个人对临终关怀护理质量的感知差异。设计回顾性队列研究，使用临终关怀医疗记录数据和临终关怀护理家庭评估（FEHC）调查数据。国家临终关怀提供者。在接受常规临终关怀护理时死亡的个人和完成死后护理质量调查的家庭照顾者。测量7，采用方差分析和卡方检验对510名个体进行分析。结果总的调查应答率为27%;临终关怀ALF患者家属中有34.5%、27.4%和22.9%的人回答了调查（P
ObjectivesTo describe differences in perceived quality of hospice care for individuals living at home or in a nursing home (NH) or assisted living facility (ALF) through analysis of after-death surveys of family members.DesignRetrospective cohort study using hospice medical record data and Family Evaluation of Hospice Care (FEHC) survey data.SettingLarge, national hospice provider.ParticipantsIndividuals who died while receiving routine hospice care and family caregivers who completed after-death quality-of-care surveys.MeasurementsSurvey results for 7,510 individuals were analyzed using analysis of variance and chi-square tests. Logistic regression was used to assess relationship between location of care and overall service quality.ResultsThe overall survey response rate was 27%; 34.5% of families of individuals in ALFs in hospice, 27.4% of those at home, and 22.9% of those in NHs returned the survey (P