Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Emerg Med Australas. 2013 Aug;25(4):334-9. doi: 10.1111/1742-6723.12099. Epub 2013 Jul 25.
Although the role of the ED in the management of patients needing palliative care is recognised internationally, there are little Australasian data on this issue. This study aimed to determine the current knowledge and attitude to the provision of palliative care in Australasian EDs.
All ED directors in Australasia were invited to complete an online survey about the provision of palliative care in their department. Quantitative data were described using counts and proportions, and qualitative data were summarised thematically.
Of 165 eligible ED directors, 35 completed the survey (22%; 95% CI, 15-28%). Only 17/35 (49%; 95% CI, 32-65%) believed that ED provided good palliative care, and 28/35 (80%; 95% CI, 67-93%) were unaware of international gold standard palliative care protocols. Most had access to hospital-based palliative care specialists 27/35 (77%; 95% CI, 63-91%); however, only 5/27 (19%; 95% CI, 4-33%) used them. Few EDs undertake formal training in palliative care 10/35 (29%; 95% CI, 16-45%). Respondents showed concern about the quality of palliative care they provide and advocated for more palliative care training.
Although limited by the low response rate, this survey indicates that there is a need and a desire for greater integration of the values and standards of high-quality palliative care in Australasian EDs.
尽管 ED 在管理需要姑息治疗的患者方面的作用在国际上得到认可，但关于这一问题在澳大拉西亚地区的数据很少。本研究旨在确定目前澳大拉西亚 ED 对姑息治疗的提供情况的认知和态度。
邀请所有澳大拉西亚 ED 主任完成一份关于其部门姑息治疗提供情况的在线调查。定量数据使用计数和比例进行描述，定性数据则通过主题进行总结。
在 165 名符合条件的 ED 主任中，有 35 名完成了调查（22%；95%CI，15-28%）。只有 17/35（49%；95%CI，32-65%）的人认为 ED 提供了良好的姑息治疗，28/35（80%；95%CI，67-93%）的人不知道国际姑息治疗金标准方案。大多数人可以接触到医院内的姑息治疗专家 27/35（77%；95%CI，63-91%）；然而，只有 5/27（19%；95%CI，4-33%）的人使用了他们。很少有 ED 进行姑息治疗的正规培训 10/35（29%；95%CI，16-45%）。受访者对他们提供的姑息治疗质量表示关注，并倡导更多的姑息治疗培训。
尽管由于回复率低而受到限制，但这项调查表明，在澳大拉西亚 ED 中，需要并渴望将高质量姑息治疗的价值观和标准更好地整合。
