Jak těžké je změnit trajektorii pacientů s terminální progresí nevyléčitelného onemocnění v péči záchranné služby?

Abstract

Home would be preferred place of end-of-life care for eighty percent of the Czech population.
However, the reality is quite the opposite: 60 % of deaths occur in hospitals and 19 % in social
services institutions. There is neither relevant clinical nor economical explanation for the fact that anticipatable deaths related to life-shortening diseases occur mostly during short-term, terminal acute hospitalization. Following an increased public interest, dying in Czechia is now undergoing a significant change. This case series study shows that clinical decision-making of the medical dispatching and field response units can play a crucial role in end-of-life trajectories.