Akgün Kathleen M
Section of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, VA Connecticut Healthcare System, Yale University School of Medicine, 950 Campbell Avenue, MS11 ACSLG, West Haven, CT 06516, USA.
Clin Chest Med. 2017 Jun;38(2):363-376. doi: 10.1016/j.ccm.2016.12.010.
Patients with cancer continue to have unmet palliative care needs. Concurrent palliative care is tailored to the needs of patients as well as their families to relieve suffering. Specialty palliative care referral is associated with improved symptom management, improved end-of-life quality, and higher family-rated satisfaction. Optimal timing for palliative care referral has not been determined. Barriers to palliative care referral include workforce limitations, provider attitudes and perceptions, and potential ethnic and racial disparities in access to palliative care. Future work should focus on novel, patient-centered approaches to identify and address unmet palliative care needs for patients living with cancer.
癌症患者的姑息治疗需求仍未得到满足。同时进行的姑息治疗是根据患者及其家人的需求定制的，以减轻痛苦。专科姑息治疗转诊与改善症状管理、提高临终生活质量以及更高的家庭满意度相关。姑息治疗转诊的最佳时机尚未确定。姑息治疗转诊的障碍包括劳动力限制、医疗服务提供者的态度和观念，以及在获得姑息治疗方面潜在的种族和民族差异。未来的工作应侧重于采用新颖的、以患者为中心的方法，以识别和解决癌症患者未得到满足的姑息治疗需求。
