Barnabé Cheryl, Kirk Peter
University of Manitoba, Faculty of Medicine Winnipeg Manitoba, Canada.
J Palliat Care. 2002 Fall;18(3):175-84.
Recent calls for increased palliative care education of physicians and a need to improve the effectiveness of palliative care delivery in rural areas are the stimuli for this study. The needs assessment evaluated educational needs and preferences of physicians practicing in three Regional Health Authorities in southern Manitoba in 2000, as well as semi-structured interviews with health care workers in seven rural communities. Physicians report their knowledge of symptom management issues as adequate, although for other issues in palliative care such as bereavement, psychosocial aspects of dying, and professional issues, they have less confidence. Physicians prefer learning through case studies, lectures, and self-directed learning, in settings close to their community, on the weekend. Qualitative analysis from the semi-structured interviews revealed themes related to the role of physicians in rural palliative care: i) a need for physician education, ii) physician participation within the palliative care team, and iii) physician involvement in patient-centered care.
近期要求加强医生姑息治疗教育以及提高农村地区姑息治疗服务有效性的呼声，是开展本研究的动因。需求评估在2000年对马尼托巴省南部三个地区卫生局执业医生的教育需求和偏好进行了评估，同时还对七个农村社区的医护人员进行了半结构化访谈。医生们表示他们对症状管理问题的了解足够，但对于姑息治疗的其他问题，如丧亲之痛、临终心理社会问题和专业问题，他们信心不足。医生们更喜欢通过案例研究、讲座和自主学习的方式，在周末于靠近其社区的场所进行学习。半结构化访谈的定性分析揭示了与医生在农村姑息治疗中角色相关的主题：i）医生教育的必要性，ii）医生在姑息治疗团队中的参与，以及iii）医生参与以患者为中心的护理。
