Characterizing the Hospice and Palliative Care Workforce in the US: Clinician Demographics and Professional Responsibilities
Characterizing the Hospice and Palliative Care Workforce in the US: Clinician Demographics and Professional Responsibilities
复制标题
DOI：
10.1016/j.jpainsymman.2015.10.016
复制
发表时间：
2016-03-01
影响因子：
4.7
通讯作者：
Abernethy, Amy P.
中科院分区：
文献类型：
--
作者：
Kamal, Arif H.;Bull, Janet;Abernethy, Amy P.
上下文。姑息治疗服务正以前所未有的速度增长。然而，提供这些服务的临床医生群体的特征尚不清楚。关于临床医生队伍的角色、动机和未来计划的信息将允许制定计划以维持和发展该领域。为更好地了解临终关怀和姑息治疗领域临床医生的特点。从2013年6月到12月，我们对美国临终关怀和姑息医学学会的成员进行了一项电子调查。我们询问了有关人口统计、专业角色和职责、进入该领域的动机以及未来计划的信息。我们使用卡方分析比较了姑息治疗和临终关怀人群以及临床医生的角色。采用多变量Logistic回归分析，筛选出影响患者提前离场的预测因素。共有1,365人参与，回应率为30%。我们的调查结果显示，目前的姑息治疗临床医生队伍年龄较大，主要是女性，通常在该领域具有不到10年的临床经验。大多数临床医生既有临终关怀的责任，也有姑息治疗的责任。许多人将个人或职业成长或在培训或实践中的有影响力的经历作为进入该领域的动机。姑息治疗临床医生是一个异质群体。我们确定了进入该领域的动机，可以利用这些动机来维持和发展员工队伍。(C)2016年美国临终关怀与姑息医学学会。爱思唯尔公司出版，版权所有。
Context. Palliative care services are growing at an unprecedented pace. Yet, the characteristics of the clinician population who deliver these services are not known. Information on the roles, motivations, and future plans of the clinician workforce would allow for planning to sustain and grow the field.Objectives. To better understand the characteristics of clinicians within the field of hospice and palliative care.Methods. From June through December 2013, we conducted an electronic survey of American Academy of Hospice and Palliative Medicine members. We queried information on demographics, professional roles and responsibilities, motivations for entering the field, and future plans. We compared palliative care and hospice populations alongside clinician roles using chi-square analyses. Multivariable logistic regression was used to identify predictors of leaving the field early.Results. A total of 1365 persons, representing a 30% response rate, participated. Our survey findings revealed a current palliative care clinician workforce that is older, predominantly female, and generally with less than 10 years clinical experience in the field. Most clinicians have both clinical hospice and palliative care responsibilities. Many cite personal or professional growth or influential experiences during training or practice as motivations to enter the field.Conclusion. Palliative care clinicians are a heterogeneous group. We identified motivations for entering the field that can be leveraged to sustain and grow the workforce. (C) 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.