Physician factors associated with outpatient palliative care referral
Physician factors associated with outpatient palliative care referral
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DOI：
10.1177/0269216309106315
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发表时间：
2009-10-01
影响因子：
4.4
通讯作者：
Fried, T. R.
中科院分区：
文献类型：
--
作者：
Ahluwalia, S. C.;Fried, T. R.
门诊姑息治疗可以为重病患者提供显著的益处，但适当转诊仍存在一些障碍。没有研究检查与转诊到门诊姑息治疗相关的医生因素。确定医生因素，重点是医生的信念，与转诊到姑息治疗。采用自填式问卷，对大型非营利性健康维护组织（HMO）Kaiser Permanente（KP）的170名初级保健医生进行了横断面研究。在145名受访者中，100名（70%）报告称在前一年将任何患者转诊至姑息治疗计划，中位转诊次数为3次（四分位距2，6）。与转诊相关的因素包括在金伯利进程工作10至20年，
Outpatient palliative care can provide significant benefits to seriously ill patients, but several barriers to appropriate referrals remain. No study has examined the physician factors associated with referral to outpatient palliative care. To determine physician factors, with a focus on physician beliefs, associated with referral to palliative care. Cross-sectional study of 170 primary care physicians at Kaiser Permanente (KP), a large non-profit Health Maintenance Organisation (HMO), using a self-administered questionnaire. Of the 145 respondents, 100 (70%) reported referring any patients to the palliative care program in the prior year, with a median of 3 referrals (interquartile range 2, 6). Factors associated with referral included working at KP between 10 and 20 years as compared to