The place of death of cancer patients: can qualitative data add to known factors?
The place of death of cancer patients: can qualitative data add to known factors?
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DOI：
10.1016/j.socscimed.2004.10.020
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发表时间：
2005-06-01
影响因子：
5.4
通讯作者：
Thomas, C
中科院分区：
文献类型：
--
作者：
Thomas, C
关于癌症死亡分布的研究--医院、临终关怀、家庭等--由来已久，但在英国，增加患者家中死亡比例的政策承诺给了新的动力。与癌症死亡地点相关的因素研究主要分为两大类：对常规收集的死亡登记数据的地理流行病学调查，以及对晚期癌症患者的前瞻性和回顾性队列研究。本文总结了这些研究的结果，并认为在半结构化的采访与15姑息治疗服务提供者工作在英格兰西北部的莫雷坎贝湾地区的死亡因素的地方。这些定性数据不仅证实和大大丰富了对已知因素的理解，而且还带来了新的因素。新的因素可以分为以下几类：服务基础设施、病人和护理人员的态度以及实践文化。这种方法为姑息治疗的决策者和从业人员提供了有用的信息。(c)2004爱思唯尔有限公司保留所有权利。
Research on the distribution of cancer deaths by setting-hospital, hospice, home, other-As longstanding, but has been given fresh impetus in the UK by policy commitments to increase the proportion of deaths occurring in patients' homes. Studies of factors associated with the location of cancer deaths fall into two main categories: geo-epidemiological interrogations of routinely collected death registration data, and prospective and retrospective cohort studies of terminally ill cancer patients. This paper summarises the findings of these studies and considers the place of death factors that are generated in semi-structured interviews with 15 palliative care service providers working in the Morecambe Bay area of north-west England. These qualitative data are found not only to confirm and considerably enrich understanding of known factors, but also to bring new factors into view. New factors can be grouped under the headings: service infrastructure, patient and carer attitudes, and cultures of practice. Such an approach provides useful information for policy makers and practitioners in palliative care. (c) 2004 Elsevier Ltd. All rights reserved.