Bergman Jonathan, Ballon-Landa Eric, Lorenz Karl A, Saucedo Josemanuel, Saigal Christopher S, Bennett Carol J, Litwin Mark S
Department of Urology, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA UC Irvine School of Medicine, Irvine, CA, USA.
Am J Hosp Palliat Care. 2016 Mar;33(2):164-70. doi: 10.1177/1049909114555156. Epub 2014 Oct 16.
We partnered with patients, families, and palliative care clinicians to develop an integrated urology-palliative care clinic for patients with metastatic cancer. We assessed clinician satisfaction with a multidisciplinary palliative care clinic model.
We conducted semi-structured interviews with 18 clinicians who practice in our integrated clinic. We analyzed transcripts using a multistage, cutting-and-sorting technique in an inductive approach based on grounded theory analysis. Finally, we administered a validated physician job satisfaction survey.
Clinicians found that referring a patient to palliative care in the urology clinic was feasible and appropriate. Patients were receptive to supportive care, and clinicians perceived that quality of care improved following the intervention.
An integrated, patient-centered model for individuals with advanced urologic malignancies is feasible and well received by practitioners.
我们与患者、家属及姑息治疗临床医生合作，为转移性癌症患者设立了一家综合泌尿外科-姑息治疗诊所。我们评估了临床医生对多学科姑息治疗诊所模式的满意度。
我们对在我们综合诊所执业的18名临床医生进行了半结构化访谈。我们采用基于扎根理论分析的归纳法，运用多阶段、剪裁分类技术对访谈记录进行分析。最后，我们进行了一项经过验证的医生工作满意度调查。
临床医生发现，在泌尿外科诊所将患者转诊至姑息治疗是可行且合适的。患者接受支持性护理，临床医生认为干预后护理质量有所提高。
对于晚期泌尿系统恶性肿瘤患者，以患者为中心的综合模式是可行的，且受到从业者的欢迎。
