医学
缓和医疗
预先护理计划
家庭医学
临终关怀
护理部
梅德林
临终关怀
作者
Elissa Kozlov,Brian D. Carpenter,Michael Thorsten,Mark Heiland,Anupam Agarwal
标识
DOI:10.1177/1049909114543322
摘要
Palliative care consultation teams (PCCTs) provide care that enhances quality of life. The effectiveness of PCCTs depends, however, on their timely utilization by other providers. The goal of this study was to examine the timing of palliative care consultation requests and responses at a single Veteran Affairs Medical Center. The median interval between admission and consultation request was 5 days (range = 0-73 days). The median interval between consultation request and death was 23 days (range = 0-847 days). In logistic regressions, timing variables were not significant predictors of whether consultation recommendations were made or implemented. There is substantial variability in when patients receive a palliative care consultation. Many patients receive palliative care within the first week of hospitalization and their final month of life.
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