期刊
CURRENT ONCOLOGY
卷 27, 期 6, 页码 313-320出版社
MULTIMED INC
DOI: 10.3747/co.27.6305
关键词
Hematologic malignancies; clinician perspectives; mixed-methods
类别
资金
- Alberta Health [007474]
- Canadian Institutes of Health Research Partnerships for Health System Improvement for Cancer Control [HRC-154127]
- Alberta Cancer Foundation RK Dixon Family Award [27265]
Patients with hematologic malignancies receive palliative care (Pc) less frequently and later than patients with solid tumours. We compared survey responses of hematology oncology clinicians with other oncology clinicians to better understand their challenges with providing primary PC or using secondary PC. Patients' negative perceptions of PC and limited time or competing priorities were challenges for all clinicians. Compared with other oncology clinicians, more hematology oncology clinicians perceived PC referral criteria as too restrictive (40% vs. 22%, p = 0.021) and anticipated that integrating Pc supports into their practice would require substantial change (53% vs. 28%, p = 0.014). This study highlights barriers that may need targeted interventions to better integrate PC into the care of patients with hematologic malignancies.
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