Impact of the Physician Orders for Life-Sustaining Treatment (POLST) Program Maturity Status on the Nursing Home Resident's Place of Death.
Impact of the Physician Orders for Life-Sustaining Treatment (POLST) Program Maturity Status on the Nursing Home Resident's Place of Death.
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DOI：
10.1177/1049909120956650
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发表时间：
2021-07
期刊：
影响因子：
--
通讯作者：
Stone PW
中科院分区：
文献类型：
--
作者：
Tark A;Agarwal M;Dick AW;Song J;Stone PW
生命维持治疗医生订单(POLST)计划是为了提高临终关怀的质量而制定的。尽管POLST计划的积极影响已经确定，但计划成熟度状态与疗养院居民在当前护理环境中死亡的可能性之间的关联仍未得到回答。本研究旨在评估POLST项目成熟度状况对养老院居民死亡地点的影响。使用多个国家级数据集，我们检查了595,152名居民和他们的死亡地点。结果表明，长期居住在该计划成熟状态的州的居民在养老院死亡的几率比不符合计划状态的居民高12%。居住在发展中计划状态的州的个人在养老院死亡的几率增加了11%。研究结果表明，一个结构良好的提前护理计划可能会提高养老院居民的护理结果。
The Physician Orders for Life-Sustaining Treatment (POLST) program was developed to enhance quality of care delivered at end-of-life. Although positive impacts of the POLST program have been identified, the association between a program maturity status and nursing home resident’s likelihood of dying in their current care settings remain unanswered. This study aims to evaluate the impact of the POLST program maturity status on nursing home residents’ place of death. Using multiple national level datasets, we examined 595,152 residents and their place of death. The result showed that the long-stay residents living in states where the program was mature status had 12% increased odds of dying in nursing homes compared that of non-conforming status. Individuals residing in states with developing program status showed 11% increase in odds of dying in nursing homes. The findings demonstrate that a well-structured advance care planning program may enhance care outcomes among nursing home residents.
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