Physicians' interactions with health care teams and systems in the care of dying patients: Perspectives of dying patients, family members, and health care professionals
Physicians' interactions with health care teams and systems in the care of dying patients: Perspectives of dying patients, family members, and health care professionals
复制标题
DOI：
10.1016/s0885-3924(02)00537-7
复制
发表时间：
2003-01-01
影响因子：
4.7
通讯作者：
Ramsey, PG
中科院分区：
文献类型：
--
作者：
Carline, JD;Curtis, JR;Ramsey, PG
本研究调查了与卫生保健系统互动所需的特定医师技能，以便在生命结束时提供高质量的护理。我们使用了绝症患者、家庭成员、临终关怀或急症护理机构的护士和社会工作者以及医生的焦点小组。我们基于扎根理论进行了内容分析。小组接受了采访。研究发现，与医生与医疗保健系统互动相关的两个领域是：1)可及性和连续性，以及2)团队沟通和协调。这些领域最常提到的组成部分包括尽可能多地花时间与患者相处、可访问性以及在与健康团队成员合作时表现出的尊重。这项研究强调了医生和卫生保健系统都需要改善患者和家属的可及性，并在与临终患者及其家属一起工作时加强卫生保健团队成员之间的协调工作。(C) 2003年美国癌症止痛委员会。Elsevier出版，版权所有。
This study investigated the specific physician skills required to interact with health care systems in order to provide high quality care at the end of life. We used focus groups of patients with terminal diseases, family members, nurses and social workers from hospice or acute care settings, and physicians. We performed content analysis based on grounded theory. Groups were interviewed. Two domains were found related to physician interactions with health care systems: 1) access and continuity, and 2) team communication and coordination. Components of these domains most frequently mentioned included taking as much time as needed with the patient, accessibility, and respect shown in working with health team members. This study highlights the need for both physicians and health care systems to improve accessibility for patients and families and increase coordination of efforts between health care team members when working with dying patients and their families. (C) 2003 U.S. Cancer Pain Relief Committee. Published by Elsevier All rights reserved.