Ankuda Claire K, Jetty Anuradha, Bazemore Andrew, Petterson Stephen
From the Robert Wood Johnson Clinical Scholars Program and the Department of Family Medicine, University of Michigan, Ann Arbor (CKA); and the Robert Graham Center, Washington, DC (AJ, AB, SP).
J Am Board Fam Med. 2017 Mar-Apr;30(2):255-257. doi: 10.3122/jabfm.2017.02.160230.
Provision of palliative care services by primary care physicians is increasingly important with an aging population, but it is unknown whether US primary care physicians see themselves as palliative practitioners.
This study used cross-sectional analysis of data from the 2013 American Board of Family Medicine Maintenance of Certification Demographic Survey.
Of 10,894 family physicians, 33.1% (n = 3609) report providing palliative care. Those providing palliative care are significantly more likely to provide non-clinic-based services such as care in nursing homes, home visits, and hospice. Controlling for other characteristics, physicians reporting palliative care provision are significantly ( < .05) more likely to be older, white, male, rural, and practicing in a patient-centered medical home.
One third of family physicians recertifying in 2013 reported providing palliative care, with physician and practice characteristics driving reporting palliative care provision.
随着人口老龄化，初级保健医生提供姑息治疗服务变得越来越重要，但美国初级保健医生是否将自己视为姑息治疗从业者尚不清楚。
本研究对2013年美国家庭医学委员会认证维持调查的数据进行横断面分析。
在10894名家庭医生中，33.1%（n = 3609）报告提供姑息治疗。提供姑息治疗的医生更有可能提供非诊所式服务，如养老院护理、家访和临终关怀。在控制其他特征后，报告提供姑息治疗的医生明显（<.05）更有可能年龄较大、为白人、男性、在农村地区，并且在以患者为中心的医疗之家执业。
2013年重新认证的家庭医生中有三分之一报告提供姑息治疗，医生和执业特征推动了姑息治疗服务的报告。
