Home care for children with multiple complex chronic conditions at the end of life: The choice of hospice versus home health

被引:16
|
作者
Lindley, Lisa C. [1 ]
Mixer, Sandra J. [1 ]
Mack, Jennifer W. [2 ,3 ,4 ]
机构
[1] Univ Tennessee, Coll Nursing, 1200 Volunteer Blvd, Knoxville, TN 37996 USA
[2] Harvard Med Sch, Dana Farber Canc Inst, Dept Pediat Oncol, Ctr Outcomes & Policy Res, Boston, MA USA
[3] Harvard Med Sch, Dana Farber Canc Inst, Ctr Outcomes & Policy Res, Div Populat Sci, Boston, MA USA
[4] Childrens Hosp, Div Pediat Hematol Oncol, 300 Longwood Ave, Boston, MA 02115 USA
关键词
Clinical practice: community and home care hospice programs; death and dying; home health care clinical practice;
D O I
10.1080/01621424.2016.1208133
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Families desire to bring their children home at end of life, and this creates a variety of unique care needs at home. This study analyzed the child and family factors associated with hospice versus home health care use in the last year of life among children with multiple complex chronic conditions. Using the Andersen Behavioral Healthcare Utilization Model, the predisposing, enabling, and need factors of the child and family were shown to be significant predictors of hospice and home health care use. Hospice and home health care have advantages, and families may wish to use the service that best fits their needs.
引用
收藏
页码:101 / 111
页数:11
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