Document Detail


Concerns and self-reported competencies in end-of-life care: a survey of physicians in WV.
MedLine Citation:
PMID:  14619138     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To assess concerns and self-reported competencies in end-of-life (EOL) care, we surveyed a random sample of West Virginia physicians and received 255 responses (33%). Those responding identified three major barriers to good EOL care: patient and family demands for all possible treatments, lack of physician education and inadequate financing. Most identified themselves as less than informed about EOL legislative and regulatory issues and were less than satisfied with their EOL symptom management skills. Most reported that their patients would want hospice care at the end of their lives, but indicated that a major reason for not referring a patient to hospice was patient and family denial of approaching death. Most respondents rated the overall quality of EOL care in West Virginia as fair to poor. We conclude that physician respondents recognize the need to improve their knowledge and skills in EOL care to improve the care of the dying in West Virginia.
Authors:
S C Warren; S C Hines; A H Moss
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The West Virginia medical journal     Volume:  96     ISSN:  0043-3284     ISO Abbreviation:  W V Med J     Publication Date:    2000 May-Jun
Date Detail:
Created Date:  2003-11-17     Completed Date:  2004-01-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0413777     Medline TA:  W V Med J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  455-7     Citation Subset:  IM    
Affiliation:
Kanawha Hospice Care, Dunbar, USA.
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence / standards*
Female
Health Care Surveys
Humans
Male
Middle Aged
Physicians / standards*
Terminal Care / standards*
West Virginia

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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