Background And Aim: This study investigated whether providers respected patient's autonomy, investigating providers' pattern of decisions and their associated characteristics.
Methods: Cross-sectional study, conducted through anonymous questionnaire with hypothetical clinical cases, presented to providers at one oncology center. Decision-making patterns were pre-stablished accordingly to the response´s pattern.
Findings: Of 151 responses, decisions patterns were paternalistic in 38%, shared in 38%, obstinate in 10.6% and consumerist in 13.2%. The consumerist providers reported never having participated in an EOL class in 35% and 30% had never trained in palliative care. Among providers with paternalistic pattern, 35.1% had never attended ethic lectures. In the obstinate group, 31.2% had no training in palliative care. When asked how subjects saw themselves about their pattern of decision, 100% of obstinate, 95% of consumerist and 89% of paternalistic patterns exhibited cognitive dissonance.
Conclusion: Significative differences between decisions and how the providers judge themselves were observed.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11556740 | PMC |
| http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0313513 | PLOS |
Publication Analysis
Top Keywords
Similar Publications
How is Telehealth Used to Increase Access to Specialty Palliative Care? A Systematic Review.
J Pain Symptom Manage
January 2025
Section of Palliative Care and Medical Ethics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Palliative Research Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; School of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Context: Specialty palliative care remains inaccessible for many with serious illness, especially in rural areas. Telehealth may be one solution.
Objectives: To describe how telehealth increases access to specialty palliative care, describe facilitators and barriers to its use, and summarize evidence of patient benefits.
Complementary and Alternative Medicine Use in the Last Year of Life: The COMPASS Cancer Cohort Study.
J Pain Symptom Manage
January 2025
Lien Centre for Palliative Care, Duke-NUS Medical School, Singapore; Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore.
Context: There has been growing interest in the role of complementary and alternative medicine (CAM) as part of end-of-life care.
Objectives: This study prospectively examined the prevalence, predictors and outcomes of ingestible CAM use among cancer patients in their last year of life in Singapore.
Methods: This study (N=427) utilized data across 12 months (4 time points) prior to patient death.
Perspectives on Implementing a Communication Facilitator Intervention from a Critical Care Setting.
J Pain Symptom Manage
January 2025
Cambia Palliative Care Center of Excellence at UW Medicine, University of Washington, Seattle, WA; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, WA.
Context: Critically-ill patients and their families often experience communication challenges during their ICU stay and across transitions in care. An intervention using communication facilitators may help address these challenges.
Objectives: Using clinicians' perspectives, we identified facilitators and barriers to implementing a communication intervention.
What Pediatric Palliative Care Offers to Pediatric Surgeons.
J Pediatr Surg
December 2024
Massachusetts General Hospital, Mass General Brigham, Division of Pediatric Surgery, Department of Surgery, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Gender disparities in extreme psychological distress at cancer diagnosis and patients access to psycho-oncological care.
Ir J Med Sci
January 2025
Department of Psychiatry, Trinity College Dublin, Trinity Centre for Health Sciences, Tallaght University Hospital, Tallaght, Dublin 24, D24 NR0A, Ireland.
Background: Cancer has adverse consequences for mental health, especially in women. Lack of awareness of services and stigma diminish access to psycho-oncology services.
Aims: To assess psychological distress and willingness to engage in multidisciplinary psycho-oncological services among cancer patients.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!