Bruera E, Selmser P, Pereira J, Brenneis C
Edmonton Regional Palliative Care Program, Division of Palliative Care Medicine, University of Alberta, Edmonton.
CMAJ. 1997 Sep 15;157(6):729-32.
Increasingly, patients with cancer are dying at home and in continuing care facilities. The purpose of bus rounds is to provide continuing education to physicians and nurse palliative care consultants, to familiarize family physicians with the delivery of care in these settings and to educate family medicine and specialty residents as well as medical students. A total of 18 4-hour bus rounds took place during 1996. A mean of 13 (range 9 to 17) participants attended, to discuss a mean of 3.5 (range 2 to 4) patients and 4.5 (range 3 to 8) journal articles. A questionnaire was filled out anonymously by 18 first-time medical and 24 first-time nursing participants. On a scale from 1 (worst) to 5 (best), they gave the rounds an overall rating of 5 (range 4 to 5). The mean cost per round was $245.40. The authors conclude that bus rounds provide an opportunity for intensive exposure to community-based learning for physicians, nurses and students and are highly satisfactory from the participants' perspective.
越来越多的癌症患者在家中或持续护理机构中离世。巡回诊疗的目的是为医生和姑息治疗护理顾问提供继续教育，使家庭医生熟悉这些场所的护理工作，并对家庭医学和专科住院医师以及医学生进行教育。1996年共进行了18次为期4小时的巡回诊疗。平均有13名（范围为9至17名）参与者参加，讨论平均3.5名（范围为2至4名）患者以及4.5篇（范围为3至8篇）期刊文章。18名首次参与的医学专业人员和24名首次参与的护理专业人员匿名填写了一份调查问卷。在从1（最差）到5（最佳）的评分量表上，他们对巡回诊疗的总体评分为5分（范围为4至5分）。每次巡回诊疗的平均成本为245.40美元。作者得出结论，巡回诊疗为医生、护士和学生提供了深入接触社区学习的机会，并且从参与者的角度来看非常令人满意。
