Kuin Annemieke, Courtens Annemie M, Deliens Luc, Vernooij-Dassen Myrra J F J, van Zuylen Lia, van der Linden Barbara, van der Wal Gerrit
Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands.
J Pain Symptom Manage. 2004 Jan;27(1):53-60. doi: 10.1016/j.jpainsymman.2003.06.001.
Palliative care in The Netherlands is mainly provided by generalist professionals who are part of the regular health care system. In order to provide good quality palliative care, they need options for training and consultation. Therefore, Palliative Care Consultation (PCC) teams were established, which inform, support, and advise professional caregivers involved with patients in palliative care without taking over responsibility. This study is the first nationwide study on PCC teams. Investigated was the nature and effect of consultations by registration and evaluation of consultations given by 19 PCC teams during a one-year period. Sixty-one percent of the requesting caregivers were primary care professionals and the problems discussed covered the entire field of palliative care, although physical problems played a dominant role. Although the patient was often not seen by the consultant, the consultant appeared to be able to identify more problems than initially discussed by the requesting professional. The types of problems discussed were hardly related to patient characteristics but more related to the discipline of the professional caregiver. According to the requesting professionals, consultation was helpful and contributed to improving the quality of palliative care.
荷兰的姑息治疗主要由常规医疗保健系统中的全科专业人员提供。为了提供高质量的姑息治疗，他们需要培训和咨询选项。因此，成立了姑息治疗咨询（PCC）团队，这些团队为参与姑息治疗患者的专业护理人员提供信息、支持和建议，而不承担责任。本研究是关于PCC团队的第一项全国性研究。通过对19个PCC团队在一年期间提供的咨询进行登记和评估，调查了咨询的性质和效果。61%的提出咨询请求的护理人员是初级保健专业人员，讨论的问题涵盖了姑息治疗的整个领域，尽管身体问题占主导地位。尽管顾问通常不见患者，但顾问似乎能够识别出比提出咨询请求的专业人员最初讨论的更多问题。讨论的问题类型与患者特征几乎无关，而与专业护理人员的学科更相关。根据提出咨询请求的专业人员的说法，咨询是有帮助的，有助于提高姑息治疗的质量。
