School of Social Science, University of Queensland Palliative Care, St Vincent's Brisbane, Brisbane,Queensland, Australia.
Intern Med J. 2012 Sep;42(9):1040-2. doi: 10.1111/j.1445-5994.2012.02879.x.
Recent literature has suggested that earlier referral to palliative care can improve quality of life and prognosis. The decision to refer to palliative care is a complex process that can involve an interplay of interpersonal, subjective and institutional factors. Negotiating this referral process can be challenging to a medical specialist from a professional and personal viewpoint. What remains unknown is what actually influences the individual clinician to refer a patient to palliative care.
最近的文献表明，更早地转介到姑息治疗团队可以提高生活质量和预后。决定转介到姑息治疗团队是一个复杂的过程，可能涉及到人际关系、主观和制度因素的相互作用。从专业和个人的角度来看，协商这个转介过程对医学专家来说是具有挑战性的。目前尚不清楚的是，究竟是什么因素影响了个别临床医生将患者转介到姑息治疗团队。
