A Qualitative Inquiry on Palliative and End-of-Life Care Policy Reform.
A Qualitative Inquiry on Palliative and End-of-Life Care Policy Reform.
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对姑息治疗和临终关怀政策改革的定性调查。
DOI：
10.1089/jpm.2015.0296
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发表时间：
2016
影响因子：
2.8
通讯作者：
Lorenz,KarlA
中科院分区：
文献类型：
--
作者：
Schreibeis-Baum,HannahC;Xenakis,LeaE;Chen,EmilyK;Hanson,Mark;Ahluwalia,Sangeeta;Ryan,Gery;Lorenz,KarlA
背景：人们越来越认识到姑息治疗（PC）在医疗保健服务中的作用，但支持姑息治疗的州和联邦政策的优先级尚不清楚，有时还会引起争议。我们征求了专家的意见，提出了改善个人电脑的一般建议。目的：本研究的目的是确定促进、采用和实施支持或扩展高质量PC的政策所面临的挑战和潜在的解决方案。方法：采用半结构化电话访谈的方式，探讨促进、采用和实施支持或扩展高质量PC的政策所面临的挑战和潜在的解决方案。访谈采用定性方法进行分析。研究对象是22名在老龄化和/或个人电脑领域工作的专业州和联邦一级的倡导者。结果：受访者确定了推进个人电脑政策的四个主要挑战：(1)卫生保健环境中个人电脑的知识，(2)个人电脑的文化信仰，(3)个人电脑服务的支付/报销，以及(4)公众对个人电脑的理解。在答复者提出的广泛解决方案中，我们提出了针对政策制定者、卫生保健专业人员、研究人员和一般公众的这些挑战最常讨论的八种解决方案。受访者对问题和解决方案之间关系的理解揭示了许多依赖和相互联系。结论：通过对专家的定性询问，确定了改进和扩展PC的多个重大挑战，其中大多数在现有的共识声明中得到了承认。提出的解决方案比对问题的描述更多、更分散，这表明需要围绕可操作的政策进一步建立共识，并更好地理解如何推进PC政策议程。
Background:There is increasing recognition of the role of palliative care (PC) in health care delivery, but priorities for state and federal policy to support PC are unclear and have sometimes engendered controversy. We canvassed experts to shed light on general recommendations for improving PC.Objective:The study objective was to identify challenges to and potential solutions for promoting, adopting, and implementing policies that would support or expand high-quality PC.Methods:Semistructured telephone interviews were used to solicit challenges to and potential solutions for promoting, adopting, and implementing policies that would support or expand high-quality PC. Interviews were analyzed using qualitative methods. The subjects were a purposive sample of 22 professional state and federal-level advocates who work in the field of aging and/or PC.Results:Respondents identified four central challenges to advancing PC policies: (1) knowledge about PC in the health care setting, (2) cultural beliefs about PC, (3) payment/reimbursement for PC services, and (4) public understanding of PC. Of the wide range of solutions proposed by respondents, we present the eight most frequently discussed solutions to these challenges targeted towards policymakers, health care professionals, research, and the general public. Respondents' understanding of the relationships between problems and solutions revealed many dependencies and interconnectedness.Conclusions:A qualitative approach of querying experts identified multiple significant challenges to improving and expanding PC, most of which are acknowledged in existing consensus statements. Proposed solutions were more numerous and diffuse than descriptions of the problems, signaling the need for further consensus building around actionable policy, and better understanding of how to advance a PC policy agenda.
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儿童急性淋巴细胞白血病 3 年与 5 年化疗的随机研究。
DOI：
10.1200/jco.1983.1.5.308
发表时间：
1983
期刊：
Journal of clinical oncology : official journal of the American Society of Clinical Oncology
影响因子：
--
作者：
NesbitJr,ME;Sather,HN;Robison,LL;Ortega,JA;Hammond,GD
通讯作者：
Hammond,GD
影响因子：
7.1
作者：
HAMILL, PVV;DRIZD, TA;MOORE, WM
通讯作者：
MOORE, WM
接受急性淋巴细胞白血病治疗的儿童的生长和激素状态。
影响因子：
5.2
作者：
P. Swift;P. Kearney;R. Dalton;J. Bullimore;M. Mott;D. Savage
通讯作者：
D. Savage
颅内照射相关身材矮小儿童生长激素释放和人类生长激素治疗的评估。
影响因子：
3.3
作者：
C. Romshe;W. Zipf;A. Miser;J. Miser;J. Sotos;W. Newton
通讯作者：
W. Newton
影响因子：
19.7
作者：
NEUHAUSER, EBD;WITTENBORG, MH;COHEN, J
通讯作者：
COHEN, J