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Improvements in Physicians' Knowledge, Difficulties, and Self-Reported Practice After a Regional Palliative Care

Yoshiyuki Kizawa1, Tatsuya Morita2, Mitsunori Miyashita3

  • 1Department of Palliative Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.

Journal of Pain and Symptom Management
|April 8, 2015
PubMed
Summary

Regional palliative care programs significantly improved physician knowledge and practice. Higher participation in workshops correlated with better outcomes, highlighting the value of physician engagement in palliative care initiatives.

Keywords:
Physiciandifficultyknowledgepalliative careregional palliative care

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Area of Science:

  • Medical Education
  • Palliative Care
  • Healthcare Quality Improvement

Background:

  • Limited research exists on physician-specific outcomes following regional palliative care interventions.
  • Understanding physician-related changes is crucial for optimizing palliative care program effectiveness.

Purpose of the Study:

  • To assess changes in physician knowledge, perceived difficulties, and self-reported practice of palliative care post-intervention.
  • To investigate the relationship between physician participation levels and observed outcomes.
  • To identify barriers and characteristics associated with physician non-participation in palliative care programs.

Main Methods:

  • A regional palliative care intervention trial involving consecutive physician recruitment.
  • Utilized Palliative Care Knowledge Test, Palliative Care Difficulty Scale, and Palliative Care Self-Reported Practice Scale (PCPS) for assessment.
  • Collected data on physician participation levels and reasons for non-participation via self-reported questionnaires.

Main Results:

  • Significant improvements observed in physician knowledge (effect size 0.30), PCPS scores (effect size 0.52), and difficulty scales (effect size 0.17) post-intervention.
  • Higher frequency of workshop participation was strongly associated with enhanced knowledge, reduced difficulties, and improved self-reported practice.
  • Response rates were 48.7% pre-intervention (911/1870) and 40.1% post-intervention (706/1763).

Conclusions:

  • Regional palliative care programs demonstrably enhance physicians' knowledge and reduce perceived difficulties.
  • Physician engagement and participation levels are key determinants of improved palliative care outcomes.
  • The findings underscore the importance of active physician involvement for successful palliative care implementation.