Patterns of referral and knowledge of palliative radiotherapy in Alberta
Identifieur interne : 004038 ( Main/Exploration ); précédent : 004037; suivant : 004039Patterns of referral and knowledge of palliative radiotherapy in Alberta
Auteurs : Alysa FairchildSource :
- Canadian Family Physician [ 0008-350X ] ; 2012.
Abstract
To assess practitioners’ referral patterns and knowledge of palliative radiotherapy (PRT).
A 23-item questionnaire.
Northern Alberta and parts of British Columbia, Saskatchewan, the Northwest Territories, and Nunavut.
A total of 1360 health practitioners, including primary care physicians and nurse clinicians in rural, remote, or far northern regions; FP-oncologists working in community cancer centres; palliative care (PC) specialists; and medical oncologists.
Survey respondents rated how much certain factors influenced their decisions to refer patients for PRT and estimated their knowledge of PRT. Descriptive and summary statistics were compiled.
The overall eligible response rate was 31.8% (412 of 1294); 85.4% of respondents were FPs, 65.3% were men, and 44.9% practised in rural settings. A total of 81.8% of respondents sometimes or often provided PC and 71.0% had referred patients for PRT. Main factors taken into account when referring patients were functional status (93.1%; 349 of 375), histology (75.4%; 285 of 378), and concern about side effects (75.3%; 281 of 373). Half of respondents considered wait times for PRT delivery important. Self-rated knowledge of PRT was poor for 74.0% of respondents, fair for 24.5%, and good for 1.5%. Actual knowledge scores were poor for 46.6% of respondents, fair for 36.7%, and good for 16.7%. Respondents who referred patients for PRT had been in practice longer, saw more cancer patients per month, provided PC more frequently, had higher self-rated PRT knowledge, and had better actual PRT knowledge.
Disease- and patient-related factors outweighed concerns about wait times. Although referring practitioners are better informed than they believe themselves to be, further improvements in their knowledge could increase referrals of appropriate patients for PRT.
Url:
PubMed: 22439173
PubMed Central: 3279291
Affiliations:
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Alberta</title><author><name sortKey="Fairchild, Alysa" sort="Fairchild, Alysa" uniqKey="Fairchild A" first="Alysa" last="Fairchild">Alysa Fairchild</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22439173</idno><idno type="pmc">3279291</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3279291</idno><idno type="RBID">PMC:3279291</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002B51</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002B51</idno><idno type="wicri:Area/Pmc/Curation">002B50</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002B50</idno><idno type="wicri:Area/Pmc/Checkpoint">002827</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002827</idno><idno type="wicri:Area/Ncbi/Merge">004C07</idno><idno type="wicri:Area/Ncbi/Curation">004C07</idno><idno type="wicri:Area/Ncbi/Checkpoint">004C07</idno><idno type="wicri:doubleKey">0008-350X:2012:Fairchild A:patterns:of:referral</idno><idno type="wicri:Area/Main/Merge">004052</idno><idno type="wicri:Area/Main/Curation">004038</idno><idno type="wicri:Area/Main/Exploration">004038</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Patterns of referral and knowledge of palliative radiotherapy in
Alberta</title><author><name sortKey="Fairchild, Alysa" sort="Fairchild, Alysa" uniqKey="Fairchild A" first="Alysa" last="Fairchild">Alysa Fairchild</name></author></analytic><series><title level="j">Canadian Family Physician</title><idno type="ISSN">0008-350X</idno><idno type="eISSN">1715-5258</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><sec><title>Objective</title><p>To assess practitioners’ referral patterns and knowledge of
palliative radiotherapy (PRT).</p></sec><sec><title>Design</title><p>A 23-item questionnaire.</p></sec><sec><title>Setting</title><p>Northern Alberta and parts of British Columbia, Saskatchewan, the Northwest
Territories, and Nunavut.</p></sec><sec><title>Participants</title><p>A total of 1360 health practitioners, including primary care physicians and
nurse clinicians in rural, remote, or far northern regions; FP-oncologists
working in community cancer centres; palliative care (PC) specialists; and
medical oncologists.</p></sec><sec><title>Main outcome measures</title><p>Survey respondents rated how much certain factors influenced their decisions
to refer patients for PRT and estimated their knowledge of PRT. Descriptive
and summary statistics were compiled.</p></sec><sec><title>Results</title><p>The overall eligible response rate was 31.8% (412 of 1294); 85.4% of
respondents were FPs, 65.3% were men, and 44.9% practised in rural settings.
A total of 81.8% of respondents sometimes or often provided PC and 71.0% had
referred patients for PRT. Main factors taken into account when referring
patients were functional status (93.1%; 349 of 375), histology (75.4%; 285
of 378), and concern about side effects (75.3%; 281 of 373). Half of
respondents considered wait times for PRT delivery important. Self-rated
knowledge of PRT was poor for 74.0% of respondents, fair for 24.5%, and good
for 1.5%. Actual knowledge scores were poor for 46.6% of respondents, fair
for 36.7%, and good for 16.7%. Respondents who referred patients for PRT had
been in practice longer, saw more cancer patients per month, provided PC
more frequently, had higher self-rated PRT knowledge, and had better actual
PRT knowledge. </p></sec><sec><title>Conclusion</title><p>Disease- and patient-related factors outweighed concerns about wait times.
Although referring practitioners are better informed than they believe
themselves to be, further improvements in their knowledge could increase
referrals of appropriate patients for PRT.</p></sec></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Fairchild, Alysa" sort="Fairchild, Alysa" uniqKey="Fairchild A" first="Alysa" last="Fairchild">Alysa Fairchild</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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