Impact of Staffing on Access to Palliative Care in US Hospitals
Impact of Staffing on Access to Palliative Care in US Hospitals
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DOI：
10.1089/jpm.2015.0436
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发表时间：
2015-12-01
影响因子：
2.8
通讯作者：
Meier, Diane E.
中科院分区：
文献类型：
--
作者：
Dumanovsky, Tamara;Rogers, Maggie;Meier, Diane E.
背景：在过去的十年中，超过三分之二的美国医院建立了姑息治疗计划。关于姑息治疗项目人员配备及其与操作结果的关联的国家数据有限。目的：本报告的目的是检查姑息治疗计划人员配置对美国医院姑息治疗的影响。研究方法：2014年国家姑息治疗登记处的数据用于计算人员配备水平，姑息治疗服务渗透率以及美国482家医院运营的398个姑息治疗项目的初步姑息治疗咨询时间。结果：以医院为基础的姑息治疗计划报告的平均服务渗透率为4.4%。较高的人员配备水平与较高的服务渗透率;较高的服务渗透率与较短的时间，以初步姑息治疗咨询。讨论内容：这份报告表明，运营效率，衡量人员配备和姑息治疗服务的渗透，与姑息治疗咨询时间较短。
Background: Over the past decade over two-thirds of U.S. hospitals have established palliative care programs. National data on palliative care program staffing and its association with operational outcomes are limited. Objective: The objective of this report is to examine the impact of palliative care program staffing on access to palliative care in U.S. hospitals. Methods: Data from the National Palliative Care Registry for 2014 were used to calculate staffing levels, palliative care service penetration, and time to initial palliative care consultation for 398 palliative care programs operating across 482 U.S. hospitals. Results: Hospital-based palliative care programs reported an average service penetration of 4.4%. Higher staffing levels were associated with higher service penetration; higher service penetration was associated with shorter time to initial palliative care consultation. Discussion: This report demonstrates that operational effectiveness, as measured by staffing and palliative care service penetration, is associated with shorter time to palliative care consultation.