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Specialty-Aligned Palliative Care: Responding to the Needs of a Tertiary Care Health System.
Gelfand, Samantha L; Lakin, Joshua R; Sciacca, Kate R; Rivkin, Emily R; Eves, Jessica C; Anderson, Shelly; Mandel, Ernest I; Desai, Akshay S; Jain, Nelia; Landzberg, Michael J; Lever, Natasha M; Schaefer, Kristen G; Leiter, Richard E; Tulsky, James A.
Afiliação
  • Gelfand SL; Division of Palliative Medicine (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., K.G.S., R.E.L., J.A.T.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Psychosocial Oncology and Palliative Care (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., R.E.L., J.A.T.)
  • Lakin JR; Division of Palliative Medicine (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., K.G.S., R.E.L., J.A.T.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Psychosocial Oncology and Palliative Care (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., R.E.L., J.A.T.)
  • Sciacca KR; Division of Palliative Medicine (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., K.G.S., R.E.L., J.A.T.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Psychosocial Oncology and Palliative Care (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., R.E.L., J.A.T.)
  • Rivkin ER; Dana-Farber Cancer Institute (E.R.R., J.C.E.), Boston, Massachusetts, USA.
  • Eves JC; Dana-Farber Cancer Institute (E.R.R., J.C.E.), Boston, Massachusetts, USA.
  • Anderson S; Brigham and Women's Hospital (S.A.), Boston, Massachusetts, USA.
  • Mandel EI; Division of Renal Medicine (S.L.G, E.I.M.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Harvard Medical School (S.L.G, J.R.L, E.I.M., A.S.D., N.J., M.J.L., K.G.S., R.E.L., J.A.T.), Boston, Massachusetts, USA.
  • Desai AS; Division of Cardiovascular Medicine (A.S.D., M.J.L.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Harvard Medical School (S.L.G, J.R.L, E.I.M., A.S.D., N.J., M.J.L., K.G.S., R.E.L., J.A.T.), Boston, Massachusetts, USA.
  • Jain N; Division of Palliative Medicine (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., K.G.S., R.E.L., J.A.T.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Psychosocial Oncology and Palliative Care (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., R.E.L., J.A.T.)
  • Landzberg MJ; Division of Palliative Medicine (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., K.G.S., R.E.L., J.A.T.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Psychosocial Oncology and Palliative Care (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., R.E.L., J.A.T.)
  • Lever NM; Division of Palliative Medicine (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., K.G.S., R.E.L., J.A.T.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Psychosocial Oncology and Palliative Care (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., R.E.L., J.A.T.)
  • Schaefer KG; Division of Palliative Medicine (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., K.G.S., R.E.L., J.A.T.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Harvard Medical School (S.L.G, J.R.L, E.I.M., A.S.D., N.J., M.J.L., K.G.S., R.E.L., J.A.T.), Boston, Massachusetts,
  • Leiter RE; Division of Palliative Medicine (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., K.G.S., R.E.L., J.A.T.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Psychosocial Oncology and Palliative Care (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., R.E.L., J.A.T.)
  • Tulsky JA; Division of Palliative Medicine (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., K.G.S., R.E.L., J.A.T.), Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA; Department of Psychosocial Oncology and Palliative Care (S.L.G, J.R.L, K.R.S., N.J., M.J.L., N.M.L., R.E.L., J.A.T.)
J Pain Symptom Manage ; 64(6): e341-e346, 2022 12.
Article em En | MEDLINE | ID: mdl-36031081
ABSTRACT

BACKGROUND:

Expanding specialty palliative care within complex health systems involves consideration of patients' unmet needs, clinicians' perceptions of palliative care, and the availability of palliative care resources. Prior to this quality improvement (QI) project, palliative care services in our health system primarily served oncology patients. INTERVENTION We undertook a prospective strategic planning process that included executive sponsorship and engagement of institutional leaders and clinicians to help define which palliative care services were most needed by the health system.

MEASURES:

We interviewed and surveyed a broad range of clinicians including physicians, nurse practitioners, and social workers.

OUTCOMES:

The two most prominent themes that emerged from the stakeholder engagement process were clinicians' wish for specialty-aligned interprofessional palliative care teams and for expansion of nononcology palliative care access.

CONCLUSION:

Careful needs assessment and stakeholder engagement can result in goal-directed and data-driven expansion of palliative care services within tertiary health care systems.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Enfermagem de Cuidados Paliativos na Terminalidade da Vida Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: J Pain Symptom Manage Assunto da revista: NEUROLOGIA / PSICOFISIOLOGIA / TERAPEUTICA Ano de publicação: 2022 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cuidados Paliativos / Enfermagem de Cuidados Paliativos na Terminalidade da Vida Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: J Pain Symptom Manage Assunto da revista: NEUROLOGIA / PSICOFISIOLOGIA / TERAPEUTICA Ano de publicação: 2022 Tipo de documento: Article