[ti:More Americans Dying at Home than in Hospitals] [00:00.00]如果您也喜欢 恒星英语学习网 www.hxen.com 请与您的朋友分享... [00:00.04]For the first time since the early 1900s, [00:03.84]more Americans are dying at home than in hospitals in the United States. [00:11.28]A new report says this shows that more people are receiving [00:16.36]the kind of end to their lives that most Americans say they want. [00:22.80]The report notes that deaths in nursing homes also have decreased. [00:30.20]The findings were published earlier this month in The New England Journal of Medicine. [00:37.88]Haider Warraich is a doctor with the Veterans Affairs Boston Healthcare System. [00:45.24]He was the lead writer of the report. [00:49.16]Warraich said the fact that more Americans dying at home is "a good thing. [00:56.80]Death has become overly medicalized over the last century" [01:01.60]and this shows a turn away from that, he said. [01:05.88]Betsy McNair is a tour guide who now lives in Mexico. [01:12.32]She told The Associated Press she is pleased [01:15.92]with the ending she helped give her father, Robert McNair. [01:21.92]He died at home in Belle Haven, Virginia in 2009, [01:27.52]just six weeks after learning he had lung cancer. [01:33.08]He was 83 years old. [01:36.72]Betsy McNair remembers, "I made him exactly what he wanted to eat, whenever he wanted it. [01:44.52]He had a scotch every night, he had a very high quality of life. [01:50.48]If he woke up at 2 o'clock in the morning and wanted to have coffee and pie, that's what we did." [01:58.92]Warraich and Duke University graduate student Sarah Cross [02:04.08]used U.S. government health information on deaths from natural causes. [02:11.16]They studied records for the period from 2003 through 2017. [02:18.52]They found that deaths in hospitals fell from 40% to 30% over that period [02:26.24]and in nursing homes from 24% to 21%. [02:32.48]Deaths in homes rose from 24% to 31%. [02:39.32]Researchers said they had no way to tell if some assisted living centers [02:44.96]may have been counted as homes. [02:48.88]Cancer patients were more likely to die at home than in a hospital. [02:54.76]People suffering from memory loss, lung diseases [02:58.48]or who lived in a nursing home were more likely to die in a hospital. [03:04.80]Betsy McNair noted that the kind of disease matters. [03:09.96]She helped care for a brother who had amyotrophic lateral sclerosis (ALS) in his 50s. [03:17.36]ALS causes the death of neurons controlling voluntary muscles in the body. [03:25.32]She also helped care for her mother, [03:28.12]who died at age 92 in a nursing home after her health worsened. [03:35.44]McNair said "they were all completely different experiences." [03:41.84]She added that sometimes it is not possible to effectively care for a family member at home. [03:51.08]Warraich said the rise of home hospice services [03:55.36]has helped more people spend their last days at home. [04:01.24]Hospice care is set up to help those who are very sick. [04:07.16]Warraich said, "I have met many patients who just want to spend one day at home, [04:13.88]around their dog, in their bed, able to eat home food." [04:19.96]He added, "Ideally we'd like to see people live longer and with fewer disabilities. [04:27.80]We have work to do there." [04:31.16]I'm Jonathan Evans.如果您也喜欢 恒星英语学习网 www.hxen.com 请与您的朋友分享...