The Experience of Physicians Who Refer Latinos to Hospice
The Experience of Physicians Who Refer Latinos to Hospice
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DOI：
10.1177/1049909111418777
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发表时间：
2012-06-01
影响因子：
1.9
通讯作者：
Colon, Merydawilda
中科院分区：
文献类型：
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作者：
Colon, Merydawilda
本研究探讨了转介经验的医生谁提到拉丁美洲人的临终关怀和与转介过程相关的挑战。定性数据收集在新泽西通过半结构化，开放式访谈。6名医生参与了本研究：1名肿瘤学家、2名内科医生、1名老年病学家和2名传染病专家。研究发现，语言障碍，家庭参与的水平，以及患者和家庭的代际群体有助于医生的经验的复杂性。医生的评论证明了在医学院进行文化能力培训的重要性，并为没有接受过这种培训的医生提供了关于这一主题的继续教育。双语双文化临终关怀招生的工作人员在医生的办公室可以提高转诊的经验。
This study explores the referral experience of physicians who refer Latinos to end-of-life care and challenges associated with the referral process. Qualitative data were collected in New Jersey through semistructured, open-ended interviews. Six physicians participated in this study: 1 oncologist, 2 internists, 1 gerontologist, and 2 infectious disease specialists. The study reveals that language barriers, level of family involvement, and generational group of the patient and the family contribute to the complexity of the physician's experience. Physicians' comments evidence the importance of culturally competent training in medical school and continued education on this topic for physicians who did not receive such training. Bilingual bicultural hospice admissions' staff available at the physician's office could enhance the referral experience.