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 Shannon, Donna M. Ambrozy, Paul G. Ramsey

Research output: Contribution to journalArticle

52 Citations (Scopus)

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
Externally publishedYes

Fingerprint

Patient Care Team
Family Health
Patient Care
Delivery of Health Care
Physicians
Hospices
Quality of Health Care
Focus Groups
Nurses
Communication
Health

Keywords

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

ASJC Scopus subject areas

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

Cite this

Physicians' interactions with health care teams and systems in the care of dying patients : Perspectives of dying patients, family members, and health care professionals. / Carline, Jan D.; Curtis, J. Randall; Wenrich, Marjorie D.; Shannon, Sarah; Ambrozy, Donna M.; Ramsey, Paul G.

In: Journal of Pain and Symptom Management, Vol. 25, No. 1, 01.01.2003, p. 19-28.

Research output: Contribution to journalArticle

Carline, Jan D. ; Curtis, J. Randall ; Wenrich, Marjorie D. ; Shannon, Sarah ; Ambrozy, Donna M. ; Ramsey, Paul G. / Physicians' interactions with health care teams and systems in the care of dying patients : Perspectives of dying patients, family members, and health care professionals. In: Journal of Pain and Symptom Management. 2003 ; Vol. 25, No. 1. pp. 19-28.
@article{84d176a0e6234a688eee0c84446daab3,
title = "Physicians' interactions with health care teams and systems in the care of dying patients: Perspectives of dying patients, family members, and health care professionals",
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.",
keywords = "End-of-life care, Health care systems, Qualitative research",
author = "Carline, {Jan D.} and Curtis, {J. Randall} and Wenrich, {Marjorie D.} and Sarah Shannon and Ambrozy, {Donna M.} and Ramsey, {Paul G.}",
year = "2003",
month = "1",
day = "1",
doi = "10.1016/S0885-3924(02)00537-7",
language = "English (US)",
volume = "25",
pages = "19--28",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Physicians' interactions with health care teams and systems in the care of dying patients

T2 - Perspectives of dying patients, family members, and health care professionals

AU - Carline, Jan D.

AU - Curtis, J. Randall

AU - Wenrich, Marjorie D.

AU - Shannon, Sarah

AU - Ambrozy, Donna M.

AU - Ramsey, Paul G.

PY - 2003/1/1

Y1 - 2003/1/1

N2 - 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.

AB - 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.

KW - End-of-life care

KW - Health care systems

KW - Qualitative research

UR - http://www.scopus.com/inward/record.url?scp=20244387378&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=20244387378&partnerID=8YFLogxK

U2 - 10.1016/S0885-3924(02)00537-7

DO - 10.1016/S0885-3924(02)00537-7

M3 - Article

VL - 25

SP - 19

EP - 28

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

IS - 1

ER -