姑息治疗会诊轨迹
Palliative care consultation trajectories.
作者信息
Kozlov Elissa, Carpenter Brian D, Thorsten Michael, Heiland Mark, Agarwal Anupam
机构信息
1Department of Psychology, Washington University, St Louis, MO, USA.
出版信息
Am J Hosp Palliat Care. 2014 Jun;31(4):459-63. doi: 10.1177/1049909113491455. Epub 2013 Jun 11.
BACKGROUND
Palliative care consultations teams (PCCTs) promote comprehensive health but only if the PCCT can influence actual care. The purpose of this study is to document the types of recommendations made by a PCCT, determine the rates at which recommendations are implemented, and identify the factors related to implementation.
RESULTS
The mean number of recommendations per patient was 1.44 (standard deviation = 1.81), and 57% of the recommendations were implemented. Discharge and goals of care recommendations were significantly more likely to be implemented than recommendations for pain, symptom management, and consultation of other services.
CONCLUSIONS
Although PCCTs may have suggestions about how to guide care, many of those recommendations are not implemented. Future research is needed to understand how to maximize the impact of PCCTs.
背景
姑息治疗会诊团队（PCCTs）促进全面健康，但前提是该团队能够影响实际护理。本研究的目的是记录PCCTs提出的建议类型，确定建议的实施率，并识别与实施相关的因素。
结果
每位患者的平均建议数为1.44（标准差=1.81），57%的建议得到实施。出院和护理目标建议比疼痛、症状管理及其他服务咨询建议更有可能得到实施。
结论
尽管PCCTs可能对如何指导护理有建议，但许多此类建议并未得到实施。需要开展进一步研究以了解如何最大限度地发挥PCCTs的作用。
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