Palliative Care Physicians' Practices and Attitudes Regarding Advance Care Planning in Palliative Care Units in Japan: A Nationwide Survey
Palliative Care Physicians' Practices and Attitudes Regarding Advance Care Planning in Palliative Care Units in Japan: A Nationwide Survey
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DOI：
10.1177/1049909113507328
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发表时间：
2014-11-01
影响因子：
1.9
通讯作者：
Maeno, Tetsuhiro
中科院分区：
文献类型：
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作者：
Nakazawa, Kazuhiro;Kizawa, Yoshiyuki;Maeno, Tetsuhiro
为了阐明日本姑息治疗单位（PCU）中医生对预先护理计划（ACP）的做法和态度，我们于2010年对203名认证PCU进行了自填式问卷调查。99名医生参加了调查。虽然大多数日本姑息治疗医生认识到ACP的重要性，但许多人未能实施他们认为重要的患者导向ACP方面，例如建议完成预先指示（AD），指定医疗保健代理人和实施现有的AD。医生对以家庭为中心的决策的普遍偏好以及他们对ACP的困难和低信心的感觉很可能是这些结果的基础。医生的做法和他们对ACP重要性的认识之间的差异表明了改善临终关怀的机会。
To clarify physicians' practices and attitudes regarding advance care planning (ACP) in palliative care units (PCUs) in Japan, we conducted a self-completed questionnaire survey of 203 certificated PCUs in 2010. Ninety-nine physicians participated in the survey. Although most Japanese palliative care physicians recognized the importance of ACP, many failed to implement aspects of patient-directed ACP that they acknowledged to be important, such as recommending completion of advance directives (ADs), designation of health care proxies, and implementing existing ADs. The physicians' general preference for family-centered decision making and their feelings of difficulty and low confidence regarding ACP most likely underlie these results. The discrepancy between physicians' practices and their recognition of the importance of ACP suggests an opportunity to improve end-of-life care.