澳大利亚癌症患者在生命的最后一年使用的一般实践
Matthew P Grant1,2,3, Damien McCarthy4, Chris Kearney4
1Palliative Nexus Research Group, Department of Medicine, University of Melbourne, 41 Victoria Parade, Fitzroy, 3065, Melbourne, Australia.
Family practice
|November 12, 2024
概括
一般医生 (GPs) 在癌症终身护理中至关重要,在癌症的最后几个月加强了他们的作用. 有机会改善参与和服务,如家庭访问和预期药物.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 一般实践 一般实践
背景情况:
- 一般实践对终身护理至关重要,但关于其范围的详细数据有限.
- 了解全科医生在支持临终癌症患者方面的作用至关重要.
研究的目的:
- 描述全科医生 (GPs) 为癌症患者在生命的最后一年所提供的护理.
- 量化全科医生与癌症终末期患者互动的频率和性质.
主要方法:
- 一项回顾性队列研究,利用来自澳大利亚维多利亚州的相关初级保健和死亡证明数据.
- 纳入标准:在2008年至2017年期间死于癌症的患者.
主要成果:
- 分析了7025名癌症患者;95%的人在生命的最后6个月内有GP接触 (中位数为11次接触).
- 在最后几个月,全科医生的参与度显著增加 (74%在上个月).
- 处方阿片类药物很常见 (58%),但家庭访问 (24%) 和预期药物 (19%) 较少. 区域患者比大都市患者有更多的全科医生接触.
结论:
- 一般医生 (GPs) 是终身癌症护理的核心,死亡前期活动增加.
- 有机会提高护理,包括改善患者参与度和增加家庭访问率和预期处方.
- 一般医生服务的利用因地理位置而异,但不是因癌症类型而异.
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