Broadbent Andrew, McKenzie Jenny
Palliative Care, Braeside Hospital, 340 Prairievale Road, Prairiewood, New South Wales 2176, Australia.
Aust J Rural Health. 2006 Oct;14(5):219-24. doi: 10.1111/j.1440-1584.2006.00813.x.
This paper reports on and discusses the development of a visiting palliative medicine specialist outreach service for Wagga Wagga New South Wales, Australia, and presents initial data and three case vignettes for reflection. The visiting doctor was flown from Sydney each fortnight for a day and integrated with the local nursing based palliative care team.
Demographic data was collected over the initial 12 months of service, which included the location of the consult (hospital, home, nursing home), whom the consult was from (specialist, GP), age of the patient, location of death, type of cancer, as well as the complexity of consultation from the perspective of one of the authors.
The majority of referrals were for advice on cancer pain control (62.3%) and other symptoms (26.7%) confirming the expectation. Those patients referred were considered appropriate, with over 75% having a palliative care issue that was considered appropriate for direct patient contact by the specialist in palliative medicine.
The provision of a visiting palliative medicine specialist to rural areas has been developed over the last few years in New South Wales and the reporting of the success of this particular service aims to provide evidence for the need and the development of further services, as it is expected that this service would continue but with an increasing number of referrals as the service became increasingly known.
本文报告并讨论了为澳大利亚新南威尔士州沃加沃加市开发的姑息医学专科医生外展服务，并展示了初步数据和三个病例 vignettes 以供思考。来访医生每两周从悉尼飞来一天，并与当地以护理为基础的姑息治疗团队整合。
在服务的最初 12 个月收集人口统计学数据，包括会诊地点（医院、家中、养老院）、会诊来源（专科医生、全科医生）、患者年龄、死亡地点、癌症类型，以及从其中一位作者的角度来看会诊的复杂性。
大多数转诊是关于癌症疼痛控制的建议（62.3%）和其他症状（26.7%），这证实了预期。那些被转诊的患者被认为是合适的，超过 75% 的患者存在姑息治疗问题，这些问题被认为适合姑息医学专科医生直接与患者接触。
在过去几年里，新南威尔士州已为农村地区提供了来访姑息医学专科医生服务，报告这项特定服务的成功旨在为进一步服务的需求和发展提供证据，因为预计这项服务将继续，但随着服务知名度的提高，转诊数量会增加。
