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Understand the current situation of palliative care services in Chengdu, analyze existing problems, and provide policy recommendations for further promoting the development of palliative care.
Relying on the Chengdu Municipal Palliative Care Quality Control Center to conduct a cross-sectional survey and collect city-wide data related to palliative care.
Thirty-three medical institutions provide palliative care services, offering a total of 512 beds, with 188 physicians, 325 nurses, 179 nursing aides, 59 social workers, and 145 volunteers. Medical staff with a master’s degree or higher and those with an associate senior title or higher account for 8.96% and 10.92%, respectively. The establishment rates of psychology and nutrition departments are 24.24% and 51.52%, respectively. Outpatient palliative care services include four items such as condition assessment and medication consultation, while inpatient services cover eight items including symptom control and comfort care. Home-based palliative care services consist of four items such as communication guidance and condition assessment. In 2022, a total of 2 295 palliative care patients were admitted, with an average length of stay of 18.02 days and an average cost per admission of 9 840 yuan.
There is a relative shortage of highly qualified health professionals in palliative care, a severe insufficiency in psychological and nutritional support services, and underutilization of palliative care resources. It is imperative to improve the palliative care service system, strengthen the training of specialized personnel, place greater emphasis on nutritional and psychological support services, and enhance the efficiency of palliative care resource utilization.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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