https://scholars.lib.ntu.edu.tw/handle/123456789/522352
標題: | Patient Preferences versus Family Physicians' Perceptions Regarding the Place of End-of-Life Care and Death: A Nationwide Study in Taiwan | 作者: | CHI-YUAN SHIH WEN-YU HU SHAO-YI CHENG CHIEN-AN YAO Chen C.-Y. Lin Y.-C. TAI-YUAN CHIU |
公開日期: | 2015 | 出版社: | Mary Ann Liebert Inc. | 卷: | 18 | 期: | 7 | 起(迄)頁: | 625-630 | 來源出版物: | Journal of Palliative Medicine | 摘要: | Background: Enabling people to die in their preferred place is important for providing high-quality end-of-life care. Objective: The study objective was to explore patients' preferences regarding the place of end-of-life care and death and to compare these preferences with the perceptions of their family physicians. Methods: This cross-sectional study used stratified random sampling, surveying 400 registered patients and 200 of their family physicians nationwide, with a five-part, structured, self-report questionnaire. Results: Of the selected population, 310 patients (response rate 77.5%) and 169 physicians (response rate 84.5%) responded. Regarding the preferred place for end-of-life care, most of the patients would choose to receive care at home (60.6%) if home care services were available. Additionally, home was the most frequently preferred (66.5%) place of death. The family physicians' survey showed that a higher proportion of physicians selected home as the preferred place for end-of-life care and death (71.6% and 87.2%, respectively). The results of logistic regression analysis showed that patients younger than 50 years of age who believed in Chinese folk religion and who resided in a rural area were more likely to prefer to die at home. Conclusions: The most commonly preferred place for end-of-life care and death is the patient's home. Establishing a community-based palliative care system should be encouraged to allow more individuals to die in their preferred locations. There were discrepancies in the preferred place of end-of-life care and death between the patients' preferences and their family physicians' perceptions. More effective physician-patient communication regarding end-of-life care is needed. ? Copyright 2015, Mary Ann Liebert, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84932167491&doi=10.1089%2fjpm.2014.0386&partnerID=40&md5=19ceeedfb79d7b21dd9e23bf78a4eb57 https://scholars.lib.ntu.edu.tw/handle/123456789/522352 |
ISSN: | 1096-6218 | DOI: | 10.1089/jpm.2014.0386 | SDG/關鍵字: | adult; Article; cross-sectional study; death; female; general practitioner; home care; human; major clinical study; male; patient preference; physician attitude; questionnaire; religion; rural area; Taiwan; terminal care; attitude to health; general practitioner; psychology; self report; Cross-Sectional Studies; Death; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Patient Preference; Physicians, Family; Self Report; Taiwan; Terminal Care |
顯示於: | 醫學系 |
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