Center to Advance Palliative Care of the Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Department of Medicine, Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Palliat Med. 2021 May;24(5):747-750. doi: 10.1089/jpm.2020.0296. Epub 2020 Dec 18.
Standardized referral criteria can aid in identifying patients who would benefit from palliative care consultation. Little is known, however, on palliative care team members' perceptions of these criteria. Describe palliative care programs' reasons for referral criteria implementation and their perception of the benefits or disadvantages of its use. Online survey of National Palliative Care Registry™ participants who use standardized referral criteria. Fifty-three programs participated. Late referrals (64.2%) were the most commonly cited reason for referral criteria implementation. The majority (77.4%) felt that referral criteria lead to positive outcomes, including earlier referrals for palliative care-appropriate patients (71.7%). Increases in staff workload and inappropriate referrals were identified as disadvantages of referral criteria use.* Palliative care program members identified both benefits and disadvantages of referral criteria use, but felt they had mostly productive results. * on March 18, 2021 after first online publication of December 18, 2020: In the Results section of the abstract, the third sentence was changed from "Increases in clinical volume and inappropriate referrals were identified as disadvantages of referral criteria use." to "Increases in staff workload and inappropriate referrals were identified as disadvantages of referral criteria use."
标准化转诊标准有助于识别那些可能从姑息治疗咨询中受益的患者。然而，对于姑息治疗团队成员对这些标准的看法，我们知之甚少。描述姑息治疗项目实施转诊标准的原因及其对使用该标准的好处或坏处的看法。对使用标准化转诊标准的国家姑息治疗登记处™参与者进行在线调查。共有 53 个项目参与。晚期转诊（64.2%）是实施转诊标准的最常见原因。大多数（77.4%）人认为转诊标准会带来积极的结果，包括为适合接受姑息治疗的患者更早转诊（71.7%）。增加工作人员工作量和不适当转诊被认为是转诊标准使用的缺点。姑息治疗项目成员既认识到转诊标准使用的好处，也认识到其缺点，但他们认为这些标准的使用结果大多是富有成效的。* 2021 年 3 月 18 日，在 2020 年 12 月 18 日首次在线发表后：在摘要结果部分，第三句从“临床工作量增加和不适当转诊被认为是转诊标准使用的缺点。”改为“增加工作人员工作量和不适当转诊被认为是转诊标准使用的缺点。”
