Cedars Sinai Medical Center, Los Angeles, CA 90048, USA.
J Palliat Med. 2011 Dec;14(12):1333-8. doi: 10.1089/jpm.2011.0106. Epub 2011 Dec 2.
This study describes emergency physicians' perspectives on the challenges and benefits to providing palliative care in an academic, urban, public hospital in Los Angeles. Participants underwent a semi-structured interview on their training and experiences related to palliative care, perceptions of providing palliative care, and their recommendations for education and training in this area. Overall, respondents felt that palliative care is not prioritized appropriately, leading patients to be unaware of their options for end-of-life care. Providing educational materials and courses that have been developed from the ED perspective should be included in ongoing continuing medical education. Having a palliative care team that is responsive to the needs of the ED will further enhance collaboration with the ED. Future research should focus on understanding the range of benefits to having palliative care in the ED.
本研究描述了急诊医师在洛杉矶一所学术性、城市性、公立医院提供姑息治疗的挑战和益处的观点。参与者接受了有关姑息治疗培训和经验的半结构化访谈，包括对提供姑息治疗的看法，以及对该领域教育和培训的建议。总体而言，受访者认为姑息治疗没有得到适当的重视，导致患者不知道自己在临终关怀方面的选择。应将从急诊角度开发的教育材料和课程纳入正在进行的继续医学教育中。有一个对急诊需求有反应的姑息治疗团队将进一步加强与急诊的合作。未来的研究应侧重于了解在急诊室中提供姑息治疗的一系列益处。
