Doctor's Perception and Referral Barriers toward Palliative Care for Advanced Cancer Patients / 한국호스피스완화의료학회지
Korean Journal of Hospice and Palliative Care
; : 10-17, 2012.
Article
en Ko
| WPRIM
| ID: wpr-181901
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: This study was conducted to identify the perception regarding palliative care among Korean doctors and referral barriers toward palliative care for terminal cancer patients. METHODS: Between May and June 2010, 477 specialists mainly caring cancer patients using a web-based, self-administered questionnaire. RESULTS: A total of 128 doctors (26.8%) responded. All respondents (100%) deemed palliative care a necessary service for terminal cancer patients. More than 80% of the respondents agreed to each of the following statements: all cancer centers should provide palliative care service (80.5%); all terminal cancer patients should receive concurrent palliative care along with anti-cancer therapies (89.1%) and caring for terminal cancer patients requires interdisciplinary approach (96.9). While more than 58% of the respondents were satisfied with their performance of physical and psychological symptoms management and emotional support provided by patient's family members, 64% of the responded answered that their general management of the end-of-life care was less than satisfactory. Doctors without prior experience in referring their patients to palliative care specialists accounted for 26.6% of the respondents. The most common barrier to hospice referral, cited by 47.7% of the respondents, was "refusal of patient or family member", followed by "lack of available palliative care resources" (46.1%). CONCLUSION: Although most doctors do recognize the importance of palliative care for advanced cancer patients, comprehensive and sufficient palliative medicine, including interdisciplinary cooperation and end-of-life care, has not been put into practice. Thus, more active palliative consultation or referral is needed for effective care of terminal cancer patients.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Cuidados Paliativos
/
Derivación y Consulta
/
Especialización
/
Encuestas y Cuestionarios
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Cuidados Paliativos al Final de la Vida
/
Hospitales para Enfermos Terminales
Límite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Hospice and Palliative Care
Año:
2012
Tipo del documento:
Article