Outcome Evaluation of the Palliative Care Emphasis Program on Symptom Management and Assessment for Continuous Medical Education: Nationwide Physician Education Project for Primary Palliative Care in Japan
Outcome Evaluation of the Palliative Care Emphasis Program on Symptom Management and Assessment for Continuous Medical Education: Nationwide Physician Education Project for Primary Palliative Care in Japan
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DOI：
10.1089/jpm.2014.0122
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发表时间：
2015-01-01
影响因子：
2.8
通讯作者：
Miyashita, Mitsunori
中科院分区：
文献类型：
--
作者：
Yamamoto, Ryo;Kizawa, Yoshiyuki;Miyashita, Mitsunori
目的：姑息治疗是医学的重要组成部分，但大多数医生没有正式的机会获得姑息治疗的基本技能。在日本，启动了关于症状管理和持续医学教育评估（PEACE）的姑息治疗重点计划，为所有从事癌症护理的医生提供正式的初级姑息治疗教育。本研究旨在确定 PEACE 是否可以提高医生对姑息治疗的了解、实践和困难。方法：2011 年，我们在日本 15 家指定癌症医院的每家参与 PEACE 项目的医生中，在 PEACE 项目完成之前、之后和完成后 2 个月进行了问卷调查。使用 PEACE 姑息治疗知识问卷 (PEACE-Q) 来测量知识。分别使用姑息治疗自我报告实践量表 (PCPS) 和姑息治疗困难量表 (PCDS) 评估实践和困难。 结果：在参与该计划的 223 名医生中，85 名 (38%) 回答了跟踪调查。项目完成后立即与基线相比，PEACE-Q 显着改善，并且这一进展维持在 2 个月内（分别为 21.7 +/- 5.56 与 29.5 +/- 2.10 与 28.7 +/- 3.28；p
Objective: Palliative care is an essential part of medicine, but most physicians have had no formal opportunity to acquire basic skills in palliative care. In Japan, the Palliative care Emphasis program on symptom management and Assessment for Continuous Medical Education (PEACE) was launched to provide formal primary palliative care education for all physicians engaged in cancer care. This study sought to determine whether PEACE could improve physicians' knowledge of, practices in, and difficulties with palliative care.Methods: In 2011, we conducted questionnaire-based surveys before, just after, and 2 months after completion of the PEACE program in physicians participating in the program at each of 15 designated cancer hospitals in Japan. Knowledge was measured using the palliative care knowledge questionnaire for PEACE (PEACE-Q). Practices and difficulties were evaluated using the Palliative Care self-reported Practice Scale (PCPS) and the Palliative Care Difficulties Scale (PCDS), respectively.Results: Among 223 physicians participating in the program, 85 (38%) answered the follow-up survey. Significant improvements were noted on the PEACE-Q compared with baseline immediately after completion of the program, and this progress was maintained at 2 months (21.7 +/- 5.56 versus 29.5 +/- 2.10 versus 28.7 +/- 3.28, respectively; p