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J Am Geriatr Soc:在自身生命的最后一个月,有多少医生会选择临终关怀?

2016-07-11 zhaoshuang 译 MedSci原创

根据发表在Journal of the American Geriatrics Society的研究表明,与普通人群相比,美国的医生更倾向于在他们生命的最后一个月使用临终关怀,重症护理或重症监护病房。科 罗拉多大学的Daniel D. Matlock博士和同事进行了一项回顾性队列研究,纳入9947名生前为医生的死者和192006的享有医疗保险的死者,均为有偿服务的医疗保险受益 人。他们使用

根据发表在Journal of the American Geriatrics Society的研究表明,与普通人群相比,美国的医生更倾向于在他们生命的最后一个月使用临终关怀、重症护理或重症监护病房。

科 罗拉多大学的Daniel D. Matlock博士和同事进行了一项回顾性队列研究,纳入9947名生前为医生的死者和192006的享有医疗保险的死者,均为有偿服务的医疗保险受益人。他们使用住院保险评估在2008到2010中,生命最后6个月的住院时间和临终关怀情况。

结果显示,医生和一般人群在住院时间的使用和在医院中死亡发生几率没有显着差异。但是,医生更倾向于使用临终关怀,医生vs非医人群在生命的最后6个月选择临终关怀为46.4% VS. 43.2% (P<0.001)。他们在重症监护病房或重症监护病房的平均差异为0.35天(P <0.001)。

“医生在临终时更倾向于使用临终关怀及ICU监护,但这并不意味着医生需要高强度的医院护理。”他们总结道。

原始出处:

Matlock DD, et al. .How U.S. Doctors Die: A Cohort Study of Healthcare Use at the End of Life.J Am Geriatr Soc. 2016;doi:10.1111/jgs.14112

Physicians more likely to use hospice, ICU care at end of life
.Healio.July 8, 2016


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  2. [GetPortalCommentsPageByObjectIdResponse(id=2021532, encodeId=20d82021532fd, content=<a href='/topic/show?id=31e8e9669d' target=_blank style='color:#2F92EE;'>#GER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7966, encryptionId=31e8e9669d, topicName=GER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=48732500158, createdName=12498c32m68暂无昵称, createdTime=Mon Jun 19 16:42:00 CST 2017, time=2017-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106274, encodeId=6f691062e495, content=深度好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sun Aug 28 12:19:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=105718, encodeId=566f105e1839, content=好文,值得学习,赞一个。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat Aug 27 16:55:00 CST 2016, time=2016-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1353222, encodeId=c1f613532221c, content=<a href='/topic/show?id=33292309808' target=_blank style='color:#2F92EE;'>#临终关怀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23098, encryptionId=33292309808, topicName=临终关怀)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Wed Jul 13 01:42:00 CST 2016, time=2016-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570813, encodeId=4be115e0813c7, content=<a href='/topic/show?id=ace42309edc' target=_blank style='color:#2F92EE;'>#临终#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23097, encryptionId=ace42309edc, topicName=临终)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d35015719835, createdName=bbjsj_1984, createdTime=Wed Jul 13 01:42:00 CST 2016, time=2016-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92780, encodeId=793492e80de, content=我希望倘若可以,能选择安乐死, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9ebb1716792, createdName=黑心天使, createdTime=Mon Jul 11 16:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92759, encodeId=a58592e597f, content=了解一下,医生就是医别人,对自己反而放不开手脚, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Mon Jul 11 13:54:00 CST 2016, time=2016-07-11, status=1, ipAttribution=)]
    2016-08-28 ylzr123

    深度好文,值得学习,赞!

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2021532, encodeId=20d82021532fd, content=<a href='/topic/show?id=31e8e9669d' target=_blank style='color:#2F92EE;'>#GER#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7966, encryptionId=31e8e9669d, topicName=GER)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=48732500158, createdName=12498c32m68暂无昵称, createdTime=Mon Jun 19 16:42:00 CST 2017, time=2017-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=106274, encodeId=6f691062e495, content=深度好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sun Aug 28 12:19:00 CST 2016, time=2016-08-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=105718, encodeId=566f105e1839, content=好文,值得学习,赞一个。, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat Aug 27 16:55:00 CST 2016, time=2016-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1353222, encodeId=c1f613532221c, content=<a href='/topic/show?id=33292309808' target=_blank style='color:#2F92EE;'>#临终关怀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23098, encryptionId=33292309808, topicName=临终关怀)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Wed Jul 13 01:42:00 CST 2016, time=2016-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1570813, encodeId=4be115e0813c7, content=<a href='/topic/show?id=ace42309edc' target=_blank style='color:#2F92EE;'>#临终#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23097, encryptionId=ace42309edc, topicName=临终)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d35015719835, createdName=bbjsj_1984, createdTime=Wed Jul 13 01:42:00 CST 2016, time=2016-07-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92780, encodeId=793492e80de, content=我希望倘若可以,能选择安乐死, beContent=null, objectType=article, channel=null, level=null, likeNumber=97, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9ebb1716792, createdName=黑心天使, createdTime=Mon Jul 11 16:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92759, encodeId=a58592e597f, content=了解一下,医生就是医别人,对自己反而放不开手脚, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=73441710184, createdName=明崖, createdTime=Mon Jul 11 13:54:00 CST 2016, time=2016-07-11, status=1, ipAttribution=)]
    2016-08-27 ylzr123

    好文,值得学习,赞一个。

    0

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    2016-07-13 bbjsj_1984
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    2016-07-11 黑心天使

    我希望倘若可以,能选择安乐死

    0

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    2016-07-11 明崖

    了解一下,医生就是医别人,对自己反而放不开手脚

    0

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