Noble Bill, Hughes Philippa, Ingleton Christine, Berg Jane, Clark David
University of Sheffield, Trent Palliative Care Centre, Sykes House, Little Common Lane, Abbey Lane, Sheffield S11 9NE, UK.
Int J Palliat Nurs. 2003 Dec;9(12):528-33. doi: 10.12968/ijpn.2003.9.12.11988.
The UK charity, Macmillan Cancer Relief, commissioned a 3-year pilot project employing 12 GP clinical facilitators (GPCFs). The aim was to raise the standard of generalist palliative care, provide extended clinical palliative care and provide a coordinated framework for commissioning specialist palliative and cancer care in Powys, rural Wales. As part of the comprehensive evaluation, surveys of GPCFs, GPs, district nurses and community hospital nurses were undertaken in order to record changes in palliative care activity, specialist palliative care services and training needs. Services providing 24-hour nursing and social services were perceived as in need of development. Referrals to Macmillan nurses increased by 40% and GPs reported that time spent on palliative care increased, on average, from a quarter of a day to half a day per week, although district nurses reported a reduction in palliative care activity. The majority of nurses thought that the GPCF's contribution was important. The use of local palliative care guidelines increased significantly among district nurses by the end of the project.
英国慈善机构麦克米伦癌症救助中心委托开展了一个为期三年的试点项目，雇佣了12名全科医生临床协调员（GPCFs）。其目的是提高全科姑息治疗的标准，提供扩展的临床姑息治疗，并为威尔士农村波伊斯郡委托开展专科姑息治疗和癌症护理提供一个协调框架。作为综合评估的一部分，对全科医生临床协调员、全科医生、 district护士和社区医院护士进行了调查，以记录姑息治疗活动、专科姑息治疗服务和培训需求的变化。提供24小时护理和社会服务的机构被认为需要发展。转介给麦克米伦护士的人数增加了40%，全科医生报告说，用于姑息治疗的时间平均每周从四分之一天增加到半天，尽管district护士报告说姑息治疗活动有所减少。大多数护士认为全科医生临床协调员的贡献很重要。到项目结束时，district护士对当地姑息治疗指南的使用显著增加。
