Clinician perspectives on delivering primary and specialty palliative care in community oncology practices.
Humans
Palliative Care
/ methods
Male
Female
Middle Aged
Lung Neoplasms
/ therapy
Medical Oncology
/ methods
Kentucky
Attitude of Health Personnel
Adult
Surveys and Questionnaires
Practice Patterns, Physicians'
/ statistics & numerical data
Rural Health Services
/ organization & administration
Primary Health Care
/ organization & administration
Advanced-stage lung cancer
Clinicians
Community practice
Palliative care
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
02 Sep 2024
02 Sep 2024
Historique:
received:
21
03
2024
accepted:
15
08
2024
medline:
2
9
2024
pubmed:
2
9
2024
entrez:
2
9
2024
Statut:
epublish
Résumé
Clinical guidelines recommend early palliative care for patients with advanced lung cancer. In rural and underserved community oncology practices with limited resources, both primary palliative care from an oncologist and specialty palliative care are needed to address patients' palliative care needs. The aim of this study is to describe community oncology clinicians' primary palliative care practices and perspectives on integrating specialty palliative care into routine advanced lung cancer treatment in rural and underserved communities. Participants were clinicians recruited from 15 predominantly rural community oncology practices in Kentucky. Participants completed a one-time survey regarding their primary palliative care practices and knowledge, barriers, and facilitators to integrating specialty palliative care into advanced-stage lung cancer treatment. Forty-seven clinicians (30% oncologists) participated. The majority (72.3%) of clinicians worked in a rural county. Over 70% reported routinely asking patients about symptom and physical function concerns, whereas less than half reported routinely asking about key prognostic concerns. Roughly 30% held at least one palliative care misconception (e.g., palliative care is for only those who are stopping cancer treatment). Clinician-reported barriers to specialty palliative care referrals included fear a referral would send the wrong message to patients (77%) and concern about burdening patients with appointments (53%). Notably, the most common clinician-reported facilitator was a patient asking for a referral (93.6%). Educational programs and outreach efforts are needed to inform community oncology clinicians about palliative care, empower patients to request referrals, and facilitate patients' palliative care needs assessment, documentation, and standardized referral templates.
Identifiants
pubmed: 39222247
doi: 10.1007/s00520-024-08816-5
pii: 10.1007/s00520-024-08816-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
627Subventions
Organisme : American Cancer Society Institutional Research Grant
ID : 16-182-28
Organisme : Grant
ID : 2KL2TR001996-05A1
Organisme : American Cancer Society
ID : 134579-RSG-20-058-01-PCSM
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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