Community-Partnered Collaboration to Build an Integrated Palliative Care Clinic: The View From Urology - PubMed (original) (raw)

Community-Partnered Collaboration to Build an Integrated Palliative Care Clinic: The View From Urology

Jonathan Bergman et al. Am J Hosp Palliat Care. 2016 Mar.

Abstract

Background: We partnered with patients, families, and palliative care clinicians to develop an integrated urology-palliative care clinic for patients with metastatic cancer. We assessed clinician satisfaction with a multidisciplinary palliative care clinic model.

Methods: We conducted semi-structured interviews with 18 clinicians who practice in our integrated clinic. We analyzed transcripts using a multistage, cutting-and-sorting technique in an inductive approach based on grounded theory analysis. Finally, we administered a validated physician job satisfaction survey.

Results: Clinicians found that referring a patient to palliative care in the urology clinic was feasible and appropriate. Patients were receptive to supportive care, and clinicians perceived that quality of care improved following the intervention.

Conclusion: An integrated, patient-centered model for individuals with advanced urologic malignancies is feasible and well received by practitioners.

Keywords: adult; attitude of health personnel; delivery of health care; integrated; interviews as topic; palliative care; patient care team; patient preference; physicians/psychology; physician’s role; quality improvement; quality of health care; terminal care; urology.

© The Author(s) 2014.

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