國家衛生研究院 NHRI:Item 3990099045/8887
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/8887


    Title: Patient preferences versus family physicians' perceptions regarding the place of end-of-life care and death: A nationwide study in Taiwan
    Authors: Shih, CY;Hu, WY;Cheng, SY;Yao, CA;Chen, CY;Lin, YC;Chiu, TY
    Contributors: Division of Geriatric Research
    Abstract: BACKGROUND: Enabling people to die in their preferred place is important for providing high-quality end-of-life care. OBJECTIVE: The study objective was to explore patients' preferences regarding the place of end-of-life care and death and to compare these preferences with the perceptions of their family physicians. METHODS: This cross-sectional study used stratified random sampling, surveying 400 registered patients and 200 of their family physicians nationwide, with a five-part, structured, self-report questionnaire. RESULTS: Of the selected population, 310 patients (response rate 77.5%) and 169 physicians (response rate 84.5%) responded. Regarding the preferred place for end-of-life care, most of the patients would choose to receive care at home (60.6%) if home care services were available. Additionally, home was the most frequently preferred (66.5%) place of death. The family physicians' survey showed that a higher proportion of physicians selected home as the preferred place for end-of-life care and death (71.6% and 87.2%, respectively). The results of logistic regression analysis showed that patients younger than 50 years of age who believed in Chinese folk religion and who resided in a rural area were more likely to prefer to die at home. CONCLUSIONS: The most commonly preferred place for end-of-life care and death is the patient's home. Establishing a community-based palliative care system should be encouraged to allow more individuals to die in their preferred locations. There were discrepancies in the preferred place of end-of-life care and death between the patients' preferences and their family physicians' perceptions. More effective physician-patient communication regarding end-of-life care is needed.
    Date: 2015-07
    Relation: Journal of Palliative Medicine. 2015 Jul;18(7):625-630.
    Link to: http://dx.doi.org/10.1089/jpm.2014.0386
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1096-6218&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000361880600010
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84932167491
    Appears in Collections:[Ching-Yu Chen(2006-2010)] Periodical Articles

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