从浦东新区老年医院发展看地区机构临终关怀服务的可持续发展

目的：通过调查分析上海市浦东新区老年医院近30年的临终关怀服务发展历程，为机构临终关怀服务的可持续发展提供参考。方法：通过查阅资料、定性访谈和查阅文献的方法，调查浦东新区老年医院临终关怀开展情况。结果：浦东新区老年医院设置临终关怀科经历了3个发展阶段，目前有10张病床。2010—2015年医护人员数量增长缓慢，护工人数平均为68人；临终关怀科收治患者共146例，大于80岁的患者88例（60.27%），在院死亡124例（84.93%）；146例临终关怀患者人均住院天数29 d；6年来医院临终关怀科业务总收入有所增加，但收支结果仍为负值。结论：临终关怀发展受多种因素影响，应加强临终关怀技术力量培养，完善医疗保险及运营政策保障，促进机构临终关怀可持续发展。

To see the sustainable development of hospice care in the regional medical institutions from the perspective of development process of Geriatric Hospital of Pudong New District

Objective:To investigate and analyze the development of hospice care in the Geriatric Hospital of Pudong New District in Shanghai in recent 30 years to provide the reference for the sustainable development of hospice care of the medical institutions.Methods: By means of consulting data, qualitative interview and literature review, the development of Hospice Care of Geriatric Hospital of Pudong New District has been investigated.Results: GeriatricHospital of Pudong New District has experienced three stages to set up the Department of Hospice Care, and now has 10 hospice beds. From 2010 to 2015, the medical personnel number increased slowly and the average number of nursing workers was 68. The Department of Hospice Care treated 146 patients totally. The patients over 80-year-old were 88(60.27%), and 124 patients(84.93%) died in the hospital. The per capita hospitalization days of the 146 patients were 29 days. The total business revenue of the Department of Hospice Care increased in 6 years, but the balance of payments remained negative results.Conclusion: The development of hospice care is inlfuenced by many factors. We should strengthen the cultivation of hospice service technology and perfect the medical insurance policy and operation to promote the sustainable development of hospice care of the institutions.