Engaging Heart Failure Clinicians To Increase Palliative Care Referrals: Overcoming Barriers, Improving Techniques
Engaging Heart Failure Clinicians To Increase Palliative Care Referrals: Overcoming Barriers, Improving Techniques
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DOI：
10.1089/jpm.2013.0675
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发表时间：
2014-07-01
影响因子：
2.8
通讯作者：
Goldstein, Nathan E.
中科院分区：
文献类型：
--
作者：
Gelfman, Laura P.;Kalman, Jill;Goldstein, Nathan E.
背景：心力衰竭（HF）是65岁以上成人住院治疗的最常见原因。患有这种疾病的患者的再入院率、死亡率和医疗保险费用都很高。此外，患有HF的患者经历随着疾病进展而恶化的许多症状。然而，一小部分HF患者接受临终关怀或姑息治疗。一个可能的原因可能是HF和姑息治疗临床医生对姑息治疗对这些患者的作用有不同的看法。目的：本文的目的是通过回顾HF患者的需求，为姑息治疗临床医生提供与HF临床医生合作的路线图。结论：本文综述了心力衰竭患者及其家属的需求，心力衰竭患者接受姑息治疗的障碍，并为改善姑息治疗和HF临床医生之间的合作提供了建议。
Background: Heart failure (HF) is the most common cause of hospitalization among adults over the age of 65. Hospital readmission rates, mortality rates, and Medicare costs for patients with this disease are high. Furthermore, patients with HF experience a number of symptoms that worsen as the disease progresses. However, a small minority of patients with HF receives hospice or palliative care. One possible reason for this may be that the HF and palliative care clinicians have differing perspectives on the role of palliative care for these patients.Aim: The goal of the article is to offer palliative care clinicians a roadmap for collaborating with HF clinicians by reviewing the needs of patients with HF.Conclusions: This article reviews the needs of patients with HF and their families, the barriers to referral to palliative care for patients with HF, and provides suggestions for improving collaboration between palliative care and HF clinicians.