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Physicians and hospice care: attitudes, knowledge, and referrals
Karen S Ogle1, Brian Mavis, Gwen K Wyatt
1Program in Palliative Care Education and Research, Department of Family Practice, Michigan State University, East Lansing, Michigan 48824, USA. ogle@msu.edu
Journal of Palliative Medicine
|February 13, 2002
Summary
Physicians have positive attitudes toward hospice care but lack comprehensive knowledge, hindering its utilization. Patient and family readiness are key barriers to earlier hospice referrals.
Area of Science:
- Public Health
- Palliative Care Research
- Healthcare Provider Education
Background:
- Underutilization of hospice care remains a significant public health concern in the U.S.
- Physician-related factors, including knowledge deficits and attitudes, are suspected contributors to this underuse.
Purpose of the Study:
- To assess physician knowledge, attitudes, and perceptions of benefits and barriers regarding hospice care.
- To identify factors influencing hospice care utilization among physicians.
Main Methods:
- A mail survey was distributed to 264 physicians.
- A response rate of 72% (n=190) was achieved.
- The survey assessed attitudes, knowledge, perceived benefits, and barriers to hospice care.
Main Results:
- Physicians exhibited highly positive attitudes toward hospice care.
- Knowledge was accurate on some hospice aspects but uncertain on most items; errors were infrequent.
- Numerous benefits of hospice were recognized, with patient/family readiness identified as the primary barrier to earlier referrals.
Conclusions:
- Physician attitudes toward hospice are favorable, but knowledge gaps persist, impacting utilization.
- Addressing physician knowledge deficits and patient/family readiness are crucial for improving hospice care access.
- Findings inform targeted outreach strategies and future research directions for hospice care enhancement.