背景:全球北部地区的人口老龄化与多种慢性疾病的患病率增加有关,这些疾病将受益于综合姑息治疗。在这种情况下,至关重要的是要考虑卫生保健系统的有效性,以满足居住在农村地区的老年人口的需求,包括获得姑息治疗服务。了解姑息治疗计划的可用性和姑息治疗系统的特征对于在农村地区创建有用的健康干预措施非常重要。
目的:本研究旨在为农村地区的姑息治疗提供国际视野。将进行一项探索明尼苏达州南部提供的姑息治疗服务的研究,建立在先前在奥索纳进行的研究的基础上,西班牙。将比较两项研究的结果,提供洞察每个系统的优势,并确定增长领域。
方法:本研究将使用定性案例研究方法进行。使用与西班牙研究中使用的方法相似的方法,姑息治疗服务将在明尼苏达州南部类似规模的农村地区进行探索。这将通过(1)审查与明尼苏达州南部姑息治疗系统相关的现有文献和(2)确定美国姑息治疗系统中的主要提供者,他们将被邀请参加半结构化访谈。研究参与者将被问及理想的综合姑息治疗系统服务和现有的补充姑息治疗服务之间的差距,以及在COVID-19大流行期间演变的道德问题和困境。
结果:在伦理批准本方案后,数据收集预计将于2022年春季或夏季开始,预计需要6个月的时间。数据收集之后将在2022年秋季进行数据分析。最后,研究人员计划在2023年春季传播这些发现。
结论:比较明尼苏达州和奥索纳的两个规模相似但文化不同的农村姑息治疗系统,将提供综合姑息治疗系统如何影响老年人和慢性病患者的见解。研究结果将有助于加强病人护理,组织改进,政策变化,以及对不同医疗保健系统模式的影响的理解。
■PRR1-10.2196/36037。
BACKGROUND: The aging population in the Global North is associated with an increased prevalence of multiple chronic diseases that would benefit from integrated palliative care. In this context, it is vital to consider the effectiveness of health care systems\' response to the needs of the older population residing in rural areas, including access to palliative care services. Understanding palliative care program availability and palliative care system characteristics is important in creating useful health interventions in rural areas.
OBJECTIVE: This study aims to provide an international view on palliative care in rural areas. A study exploring palliative care services offered in Southern Minnesota will be carried out, building on a previous study conducted in Osona, Spain. Findings from both studies will be compared, providing insights into the strengths of each system and identifying areas for growth.
METHODS: This study will be performed using qualitative
case study methodology. Using a similar methodology to the one used in the Spanish study, palliative care services will be explored in a similarly sized rural area in Southern Minnesota. This will be accomplished by (1) reviewing available literature related to the Southern Minnesota palliative care system and (2) identifying key providers in this US palliative care system who will be invited to participate in semistructured interviews. The study participants will be asked about the gaps between ideal integrated palliative care system services and the existing complementary palliative care services, and the ethical issues and dilemmas that evolved during the COVID-19 pandemic.
RESULTS: Following ethical approval for this protocol, data collection is anticipated to begin in spring or summer 2022 and is expected to take 6 months. Data collection will be followed by data analysis in fall 2022. Finally, the researchers plan to disseminate the findings in spring 2023.
CONCLUSIONS: Comparing 2 similarly sized but culturally different rural palliative care systems in Minnesota and Osona will provide insights into how integrated palliative care systems impact the older population and those with chronic illnesses. Study findings will contribute to enhanced patient care, organizational improvements, policy change, and an understanding of the impact of different health care system models.
UNASSIGNED: PRR1-10.2196/36037.