Snyder Sara, Hazelett Susan, Allen Kyle, Radwany Steven
Summa Health System, Akron, OH 44304, USA.
Am J Hosp Palliat Care. 2013 Aug;30(5):419-24. doi: 10.1177/1049909112452467. Epub 2012 Jul 12.
To evaluate primary care physicians' understanding of and experience with advance care planning (ACP), palliative care, and hospice and how this might affect their utilization of these services.
Investigator-generated survey.
Older age, more years in practice, and more personal and professional experience with ACP were correlated with an increase in the percentage of patients with progressive, chronic life-limiting diseases with whom physicians discussed advance directives. Overall, 97.5% of physician's expressed comfort in discussing ACP yet reported discussing advance directives with only 43% of appropriate patients.
Often, discussions about ACP or referrals to palliative care or hospice do not occur until the patient is near the end of life. Our results indicate that primary care physician's personal and professional experience with ACP may be contributing to some of the barriers to these discussions.
评估初级保健医生对预先护理计划（ACP）、姑息治疗和临终关怀的理解及经验，以及这可能如何影响他们对这些服务的利用。
由研究者制定的调查。
年龄较大、从业年限较长以及有更多关于ACP的个人和专业经验，与医生讨论过预先指示的进行性慢性生命受限疾病患者比例的增加相关。总体而言，97.5%的医生表示在讨论ACP时感到自在，但报告称仅与43%的合适患者讨论过预先指示。
通常，关于ACP的讨论或转介至姑息治疗或临终关怀，直到患者接近生命末期才会进行。我们的结果表明，初级保健医生关于ACP的个人和专业经验可能是这些讨论存在一些障碍的原因之一。
