Hospice referral decisions: The role of physicians
Hospice referral decisions: The role of physicians
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临终关怀转诊决定：医生的作用
DOI：
10.1177/104990910402100308
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发表时间：
2004
影响因子：
1.9
通讯作者：
R. E. Tournier
中科院分区：
文献类型：
--
作者：
Brenda S. Sanders;Tracy L. Burkett;G. Dickinson;R. E. Tournier
在我们的研究中，我们收集和评估了南卡罗来纳州低地(伯克利、查尔斯顿和多切斯特县)医生对他们转介到临终关怀计划的意见，以及他们的患者和家人对决定的影响程度。研究问卷发送给了362名转介到临终关怀中心的医生(回复率为53%)和337名没有转介的医生(回复率为40%)。结果显示，医生在转诊中发挥了主动作用。他们认为，延迟转诊是因为患者和患者家属不愿承认死亡迫在眉睫。在年龄、性别、医学专业、每次诊所绝症患者的百分比或采取的主动措施方面没有发现差异。然而，当评估医生的年龄和性别时，发现了统计上的显著差异；45岁以下的女性比年轻的男性更有可能进行转诊。年轻的医生更有可能意识到，这家人不愿承认死亡即将到来，这是转诊临终关怀的障碍。
In our study, we collected and evaluated the opinions of physicians in the Lowcountry of South Carolina (Berkeley, Charleston, and Dorchester counties) regarding their referrals to hospice programs and the extent of influence that their patients and families had on the decision. The research questionnaire was sent to 362 physicians who made referrals to hospice (53 percent response rate) and to 337 physicians who did not make referrals (40 percent response rate). Results revealed that medical doctors take the initiative in referrals. They felt that late referrals were due to reluctance on the part of the patient and the patient’s family to admit that death was imminent. No differences were found in age, sex, medical specialty, percent of terminally ill patients per practice, or initiative taken. However, when the age and sex of physicians were evaluated, a statistically significant difference was found; females younger than 45 years of age were more likely to make referrals than younger males. Younger physicians were more likely to perceive that the family’s reluctance to admit that death was near was a barrier to hospice referrals.