Physicians' interactions with health care teams and systems in the care of dying patients: Perspectives of dying patients, family members, and health care professionals

Jan D. Carline, J. Randall Curtis, Marjorie D. Wenrich, Sarah E. Shannon, Donna M. Ambrozy, Paul G. Ramsey

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

This study investigated the specific physician skills required to interact with health care systems in order to provide high quality care at the end of life. We used focus groups of patients with terminal diseases, family members, nurses and social workers from hospice or acute care settings, and physicians. We performed content analysis based on grounded theory. Groups were interviewed. Two domains were found related to physician interactions with health care systems: 1) access and continuity, and 2) team communication and coordination. Components of these domains most frequently mentioned included taking as much time as needed with the patient, accessibility, and respect shown in working with health team members. This study highlights the need for both physicians and health care systems to improve accessibility for patients and families and increase coordination of efforts between health care team members when working with dying patients and their families.

Original languageEnglish (US)
Pages (from-to)19-28
Number of pages10
JournalJournal of Pain and Symptom Management
Volume25
Issue number1
DOIs
StatePublished - Jan 1 2003

Keywords

  • End-of-life care
  • Health care systems
  • Qualitative research

ASJC Scopus subject areas

  • Nursing(all)
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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