Use of Palliative Care Services in a Tertiary Cancer Center
Use of Palliative Care Services in a Tertiary Cancer Center
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DOI：
10.1634/theoncologist.2015-0234
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发表时间：
2016-01-01
期刊：
影响因子：
5.8
通讯作者：
Bruera, Eduardo
中科院分区：
文献类型：
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作者：
Dalal, Shalini;Bruera, Sebastian;Bruera, Eduardo
背景。尽管癌症中心姑息治疗 (PC) 服务的普及率不断提高，但大多数转诊到该服务的时间都发生在疾病轨迹的晚期。多年来，我们进行了多次尝试来促进患者更早地获得我们的 PC 计划，例如将我们的服务名称从 PC 更改为支持性护理 (SC)。本研究旨在确定过去 8 年中 PC/SC 服务的使用情况。我们审查了所有 PC/SC 遭遇的计费数据。我们检查了五个使用指标：住院咨询占入院人数的百分比、住院咨询与平均手术床位数量的比率、从医院挂号到门诊咨询的时间、从晚期癌症诊断到咨询的时间、以及从第一次门诊咨询到死亡/最后一次随访的时间。结果。多年来，我们发现转诊至 PC/SC 计划的患者数量持续增加。在住院环境中，我们发现住院咨询占入院人数的百分比以及住院咨询与医院床位的比率大约翻了一番（分别从 10% 增至 19% 和从 2.4 增至 4.9；p
Background. Despite increasing prevalence of palliative care (PC) services in cancer centers, most referrals to the service occur exceedingly late in the illness trajectory. Over the years, we have made several attempts to promote earlier patient access to our PC program, such as changing the name of our service from PC to supportive care (SC).This study was conducted to determine the use of PC/SC service over the past 8 years.Methods. We reviewed billing data for all PC/SC encounters. We examined five metrics for use: inpatient consultations as a percentage of hospital admissions, ratio of inpatient consultationsto average number of operational beds, time from hospital registration to outpatient consultation, time from advanced cancer diagnosis to consultation, and time from first outpatient consultation to death/last follow-up.Results. Over the years, we found a consistent increase in patient referrals to the PC/SC program. In the inpatient setting, we found approximate doubling of the inpatient consultations as a percentage of hospital admissions and the ratio of inpatient consultations to hospital beds (from 10% to 19% and from 2.4 to 4.9, respectively; p