Physician discussions with terminally ill patients: a cross-national comparison.
Palliat Med
; 21(4): 295-303, 2007 Jun.
Article
en En
| MEDLINE
| ID: mdl-17656406
ABSTRACT
A major issue in the care of terminally ill patients is communication and information provision. This paper reports the extent to which physicians in Australia, Belgium, Denmark, Italy, the Netherlands, Sweden and Switzerland discuss topics relevant to end of life care with terminally ill patients and their relatives (without first informing the patient), and possible associations between physician-specific characteristics and such discussions. Response rates to the postal survey ranged from 39% to 68% (n =10139). Physicians in most of the countries except Italy ;in principle, always' discuss issues related to terminal illness with their patients but not with patients' relatives without first informing the patient, unless the relatives ask. Cross-national differences remained strong after controlling for physician characteristics. The majority of physicians appeared to support the principle of patient-centred care to terminally ill patients, consistent with palliative care philosophy and with the law and/or professional guidelines in most of the countries studied.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Relaciones Médico-Paciente
/
Comunicación
/
Atención Dirigida al Paciente
/
Enfermo Terminal
Tipo de estudio:
Clinical_trials
/
Qualitative_research
Límite:
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
/
Oceania
Idioma:
En
Revista:
Palliat Med
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2007
Tipo del documento:
Article
País de afiliación:
Australia