The role of the hospice medical director as observed in interdisciplinary team case reviews.

The role of the hospice medical director as observed in interdisciplinary team case reviews.
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在跨学科团队病例审查中观察到的临终关怀医疗主任的作用。

DOI:
10.1089/jpm.2009.0247
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发表时间:
2010
影响因子:
2.8
通讯作者:
Burt,Stephanie
Burt,Stephanie
中科院分区:
医学3区
文献类型:
--
作者:
Oliver,DebraParker;Wittenberg-Lyles,Elaine;Demiris,George;Tatum,Paul;Regehr,Kelly;Burt,Stephanie

文献摘要

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背景:本研究的目的是观察六个临终关怀医疗主任从两个临终关怀计划在跨学科的团队case reviews. Methods:本研究分析了录像带的情况下,在两个临终关怀机构审查了两年的时间内所扮演的角色。结果表明,参与的作用和水平各不相同。观察到医疗主任审查和协助护理计划,作为一个联络与初级医生,教育工作人员,咨询主治医生,参与质量保证活动,并处理与budget issues.Results:医疗主任没有进行家访或承担主治医生的角色在观察period.Conclusions:该研究表明,在医疗主任的角色之间的差异,并提出了新的问题,为今后的研究。
Background:The purpose of this study was to observe the roles played by six hospice medical directors from two hospice programs during interdisciplinary team case reviews.Methods:The study analyzed videotapes of case reviews in two hospice agencies over a two year period. The results indicate that the roles and levels of participation vary. Medical Directors were observed reviewing and assisting with care plans, acting as a liaison with primary physicians, educating staff, consulting with attending physicians, participating in quality assurance activities, and dealing with budget issues.Results:Medical Directors did not make home visits or assume the role of attending physician during the observation period.Conclusions:The study demonstrates variance in roles among medical directors and raises new questions for future research.