Tasmuth Tiina, Saarto Tiina, Kalso Eija
Cancer Society of Finland.
Acta Oncol. 2006;45(3):325-31. doi: 10.1080/02841860500423898.
The aim of this study was to find out how palliative care is organised between the Helsinki University Central Hospital (University Hospital) and primary care. The study consisted of 102 patients whose oncological treatment was terminated and the responsibility of palliative care was transferred to primary care. The patients were interviewed by phone using a structured questionnaire. Another questionnaire form was sent to the primary care physicians. Half of the patients were treated in more than one primary care unit. One third of the outpatients were unaware who was responsible for the care. Most of the patients wanted to be at home but this was achieved in less than half of the cases. Most patients were symptomatic while leaving the University Hospital and no improvement was seen thereafter. Every third patient reported of poor quality of palliative care in the primary care. Also the physicians reported a need for training in palliative care.
本研究的目的是了解赫尔辛基大学中心医院（大学医院）与初级保健机构之间的姑息治疗是如何组织的。该研究包括102名肿瘤治疗已结束且姑息治疗责任已转移至初级保健机构的患者。通过使用结构化问卷对患者进行电话访谈。另一种问卷形式发送给了初级保健医生。一半的患者在不止一个初级保健单位接受治疗。三分之一的门诊患者不知道谁负责护理。大多数患者希望在家中接受治疗，但不到一半的情况能够实现。大多数患者在离开大学医院时仍有症状，此后未见改善。每三名患者中就有一名报告初级保健中的姑息治疗质量较差。医生们也表示需要接受姑息治疗方面的培训。
