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Paediatricians' perceptions on referrals to paediatric palliative care.
C Knapp1, L Thompson, V Madden
1Department of Epidemiology, University of Florida, Gainesville, Florida 32610, USA. cak@ichp.ufl.edu
Palliative Medicine
|March 3, 2009
Summary
Pediatricians
Area of Science:
- Pediatric Palliative Care
- Healthcare Access
- Medical Practice Management
Background:
- Traditionally, pediatric palliative care referral occurred late in illness course.
- Emerging evidence suggests early palliative care benefits children.
- Understanding pediatrician referral patterns is crucial for program development.
Purpose of the Study:
- To assess pediatrician willingness to refer children for early palliative care.
- To identify factors influencing early palliative care referral decisions.
Main Methods:
- Survey data collected from 303 pediatricians in Florida and California.
- Statistical analysis to determine associations between pediatrician characteristics and referral practices.
Main Results:
- Increased years in practice correlated with decreased early referral odds.
- Academic settings and higher Medicaid patient loads increased referral odds.
- Hispanic ethnicity, greater experience, and hospital practice settings decreased referral odds.
Conclusions:
- Pediatrician characteristics significantly influence early palliative care referral.
- Targeted outreach strategies are needed for specific pediatrician groups.
- Health planners should consider these factors when developing integrated pediatric palliative care programs.
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