Ehrman Sarah, Lockwood Bethany, Russell Deborah, Bickley Mary, Myers Stephanie, Radwany Steven
Division of Palliative Medicine, The Ohio State University, Columbus, Ohio, USA.
J Palliat Med. 2022 Sep;25(9):1413-1417. doi: 10.1089/jpm.2022.0088. Epub 2022 May 18.
No prior study addresses the impact of admitting team characteristics on inpatient palliative care (PC) consultation rate in cancer patients. Understanding consultation rate differences among admitting service types may reveal PC access disparities for patients who would benefit from consultation. To determine the impact of admitting service characteristics (teaching vs. nonteaching and surgical vs. medical) on inpatient PC consultation rates. A six-month cross-sectional study was performed at an academic comprehensive cancer center. Inpatient PC consultations and follow-up visits were compared to total admissions by admitting service category. Five thousand six hundred ninety-seven admissions resulted in 710 new PC consultations and 2494 follow-up visits. Patients admitted to medical services had highest odds of PC consultation, while data for teaching services were mixed. There was no difference in follow-up visits. Significant differences between medical and surgical service PC consultation rates may indicate specialty PC access disparities solely based on their admitting service.
此前没有研究探讨收治团队特征对癌症患者住院姑息治疗（PC）会诊率的影响。了解不同收治服务类型之间的会诊率差异，可能会揭示那些将从会诊中获益的患者在获得PC服务方面存在的差距。为了确定收治服务特征（教学医院与非教学医院、外科与内科）对住院PC会诊率的影响。在一家学术性综合癌症中心进行了一项为期六个月的横断面研究。将住院PC会诊和随访与按收治服务类别划分的总入院人数进行比较。5697例入院患者中有710例新的PC会诊和2494例随访。入住内科服务的患者进行PC会诊的几率最高，而教学医院服务的数据则好坏参半。随访方面没有差异。内科和外科服务的PC会诊率之间的显著差异可能仅表明基于其收治服务的专科PC服务获取差距。
