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.
复制标题
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
中科院分区:
文献类型:
--
作者:
Oliver,DebraParker;Wittenberg-Lyles,Elaine;Demiris,George;Tatum,Paul;Regehr,Kelly;Burt,Stephanie
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.