Rural-Urban Differences in End-of-Life Care: Implications for Practice

被引：28

作者：

Waldrop, Deborah ^{[1
]}

Kirkendall, Abbie M. ^{[2
]}

机构：

[1] SUNY Buffalo, Sch Social Work, Buffalo, NY 14260 USA

[2] Christopher Newport Univ, Social Work Program, Newport News, VA 23606 USA

来源：

SOCIAL WORK IN HEALTH CARE | 2010年 / 49卷 / 03期

关键词：

advanced chronic illness; end-of-life care; home health; hospice; HOME HEALTH-CARE; OLDER-ADULTS; DECISIONS; SERVICES; ACCESS; FAMILY;

D O I：

10.1080/00981380903364742

中图分类号：

C916 [社会工作、社会管理、社会规划];

学科分类号：

1204 ;

摘要：

Most older adults with advanced illnesses express the wish to die at home. Home-based care from home health and hospice agencies makes this possible, but there are great geographic variations in utilization. Interviews and focus groups with key constituents in home health and hospice agencies across the 8-county region of Western New York State were used to explore how rural-urban location and agency type (home health or hospice) influence variations in end-of-life care. Emergent themes were: Rural-Urban Differences (geographic challenges, market forces, and programming issues) and End-of-life Care Issues (macrosocial, mezzosocial, and microsocial factors). Implications for social work practice are discussed.

引用

页码：263 / 289

页数：27

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