التفاصيل البيبلوغرافية
| العنوان: |
Clinician Perspectives on Virtual Specialty Palliative Care for Patients With Advanced Illnesses. |
| المؤلفون: |
Klaiman, Tamar, Steckel, Jenna, Hearn, Caleb, Diana, Amaya, Ferrell, William J., Emanuel, Ezekiel J., Navathe, Amol S., Parikh, Ravi B. |
| المصدر: |
Journal of Palliative Medicine; May2024, Vol. 27 Issue 5, p630-637, 8p |
| مصطلحات موضوعية: |
HEALTH services accessibility, PHYSICAL therapy, PALLIATIVE treatment, QUALITATIVE research, RESEARCH funding, INTERVIEWING, PHYSICIANS' attitudes, TELEMEDICINE, MENTAL health counseling, RESEARCH, RESEARCH methodology, MEDICAL referrals, ADVANCE directives (Medical care) |
| مستخلص: |
Background: Patients with serious illnesses have unmet symptom and psychosocial needs. Specialty palliative care could address many of these needs; however, access varies by geography and health system. Virtual visits and automated referrals could increase access and lead to improved quality of life, health outcomes, and patient-centered care for patients with serious illness. Objectives: We sought to understand referring clinician perspectives on barriers and facilitators to utilizing virtual tools to increase upstream access to palliative care. Design: Participants in this multisite qualitative study included practicing clinicians who commonly place palliative care referrals across multiple specialties, including hematology/oncology, family medicine, cardiology, and geriatrics. All interviews were transcribed and subsequently coded and analyzed by trained research coordinators using Atlas.ti software. Settings/Subjects: This study included 23 clinicians (21 physicians, 2 nonphysicians) across 5 specialties, 4 practice settings, and 7 states in the United States. Results: Respondents felt that community-based specialty palliative services including symptom management, advance care planning, physical therapy, and mental health counseling would benefit their patients. However, they had mixed feelings about automated referrals, with some clinicians feeling hesitant about not being alerted to such referrals. Many respondents were supportive of virtual palliative care, particularly for those who may have difficulty accessing physician offices, but most respondents felt that such care should only be provided after an initial in-person consultation where clinicians can meet face-to-face with patients. Conclusion: Clinicians believe that automated referrals and virtual palliative care could increase access to the benefits of specialty palliative care. However, virtual palliative care models should give attention to iterative communication with primary clinicians and the perceived need for an initial in-person visit. [ABSTRACT FROM AUTHOR] |
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Copyright of Journal of Palliative Medicine is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
