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Acceptability ofEarly Integration ofPalliative Care inPatients withIncurable Lung Cancer Brian LeLinda MileshkinKatie Doan2014 год

Acceptability of Early Integration of Palliative Care in Patients with Incurable Lung Cancer
статья из журнала

Страница публикацииПубликация в OpenAlex
Аннотация: Lung cancer remains the leading cause of cancer death, and it is known many affected will have significant palliative care needs. Evidence suggests that early involvement of palliative care can translate into improvements in quality of care, quality of life, and survival. However, routine early integration is yet to be embraced as standard of care for the majority of patients, and it is unclear what lung cancer clinicians continue to perceive as the barriers to this model of care.We performed a qualitative exploration of lung cancer clinicians' perceptions, focusing on current experiences of engaging with palliative care, perceptions of palliative care for patients with lung cancer, and views of barriers and benefits of referring to palliative care.Focus group and targeted interviews were conducted with 28 clinicians, with four key emergent themes: 1) Competence/skill--with referrers needing to be confident in the quality and capability of palliative care provision; 2) Care Coordination--the need to ensure integrated care, with defined lines of responsibility and clear team communication; 3) Ease of referral--the need for ready access to a palliative care provider in the lung cancer clinic; and 4) Perceptions--concerns about loss of hope and fears of negative patient reaction.Early and routine involvement of palliative care in patients with incurable lung cancer is acceptable to the majority of treating clinicians. To facilitate early integration of palliative care, palliative care providers need to become front-line team members who provide a high-quality service. Lung cancer clinicians need further education as to the role and benefits of early palliative care, and how best to introduce this.
Год издания: 2014
Авторы: Brian Le, Linda Mileshkin, Katie Doan, Di Saward, Odette Spruyt, Jaclyn Yoong, Dishan H. Gunawardana, Matthew Conron, Jennifer Philip
Издательство: Mary Ann Liebert, Inc.
Источник: Journal of Palliative Medicine
Ключевые слова: Palliative Care and End-of-Life Issues, Childhood Cancer Survivors' Quality of Life, Family Support in Illness
Другие ссылки: Journal of Palliative Medicine (HTML)
PubMed (HTML)