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社区教学医院医生对姑息治疗的态度。

Physician attitudes toward palliative care at a community teaching hospital.

作者信息

Alaeddini J, Julliard K, Shah A, Islam J, Mayor M

机构信息

Lutheran Medical Center, 150-55th Street, Room 3711, Brooklyn, NY 11220, USA.

出版信息

Hosp J. 2000;15(2):67-86.

PMID:11271160
Abstract

The goals of the study were to explore physicians' attitudes and opinions about palliative care and its implementation. Four focus groups composed of attending physicians were conducted by a professional facilitator at a community teaching hospital. The audio-tapes of the groups were carefully transcribed and analyzed according to rigorous qualitative methodology. Physicians perceived palliative care and pain control as important. Problems they perceived were a lack of education for physicians, residents, other health care professionals, and the general public; a lack of hospital support systems to implement palliative care appropriately, and a lack of knowledge and support regarding legal considerations. They believed that a palliative care unit was a reasonable tool to overcome many obstacles to good end-of-life care.

摘要

该研究的目的是探讨医生对姑息治疗及其实施的态度和看法。在一家社区教学医院,由一名专业主持人组织了四个由主治医生组成的焦点小组。对这些小组的录音进行了仔细转录,并根据严格的定性方法进行了分析。医生们认为姑息治疗和疼痛控制很重要。他们察觉到的问题包括:医生、住院医师、其他医护人员以及普通公众缺乏相关教育;缺乏适当实施姑息治疗的医院支持系统;以及在法律考量方面缺乏知识和支持。他们认为姑息治疗病房是克服优质临终关怀诸多障碍的合理工具。

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引用本文的文献

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Perceptions of healthcare professionals towards palliative care in internal medicine wards: a cross-sectional survey.内科病房医护人员对姑息治疗的看法:一项横断面调查。
BMC Palliat Care. 2021 Jun 30;20(1):101. doi: 10.1186/s12904-021-00787-2.
2
Palliative care utilization in oncology and hemato-oncology: a systematic review of cognitive barriers and facilitators from the perspective of healthcare professionals, adult patients, and their families.姑息治疗在肿瘤学和血液肿瘤学中的应用:从医疗保健专业人员、成年患者及其家属的角度来看认知障碍和促进因素的系统评价。
BMC Palliat Care. 2020 Apr 13;19(1):47. doi: 10.1186/s12904-020-00556-7.
3
Bereaved parents and siblings offer advice to health care providers and researchers.
失去亲人的父母和兄弟姐妹向医疗保健提供者和研究人员提供建议。
J Pediatr Hematol Oncol. 2013 May;35(4):253-9. doi: 10.1097/MPH.0b013e31828afe05.
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End-of-life care in Canada.加拿大的临终关怀。
CMAJ. 2006 Sep 12;175(6):619-20; author reply 620. doi: 10.1503/cmaj.1060101.