Becker Janet E
School of Social Work, Hunter College, New York, USA.
Health Soc Work. 2004 Feb;29(1):36-45. doi: 10.1093/hsw/29.1.36.
Members of the Association of Oncology Social Workers completed a survey, which included the Hospice Philosophy Scale (HPS) assessing the likelihood of the worker referring a terminally ill patient to hospice, background and experience, and demographics. The respondents held overwhelmingly favorable attitudes toward hospice philosophy and care, yet the average proportion of terminally ill patients whom they referred to hospice was only 49.5 percent. The worker's HPS score was related significantly, although weakly, to the likelihood of referral. A follow-up study was undertaken to determine the reasons for the discrepancy between the workers' self-reported favorable attitudes toward hospice and their relatively low rate of patient referral. The factor identified most frequently was resistance from families because of the requirement that hospice patients discontinue active treatment.
肿瘤社会工作者协会的成员完成了一项调查，其中包括临终关怀理念量表（HPS），用于评估工作者将绝症患者转介至临终关怀机构的可能性、背景和经验以及人口统计学信息。受访者对临终关怀理念和护理持压倒性的积极态度，但他们转介至临终关怀机构的绝症患者平均比例仅为49.5%。工作者的HPS得分与转介可能性显著相关，尽管相关性较弱。随后进行了一项后续研究，以确定工作者自我报告的对临终关怀的积极态度与相对较低的患者转介率之间存在差异的原因。最常被提及的因素是家属的抵触，原因是临终关怀患者需要停止积极治疗。
