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The early identification of palliative care patients: preliminary processes and estimates from urban, family medicine practices.

机译:姑息治疗患者的早期识别:城市和家庭医学实践的初步过程和估计。

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摘要

Primary care providers are positioned to identify patients, well in advance of their deaths, who could benefit from palliative care services, but little is known about how to correctly identify these upstream palliative care patients. This article reports on efforts to devise a methodology for identifying such patients and to offer preliminary estimates of their prevalence in urban, primary care practices. The data presented here suggest 2 conclusions: (1) that electronic databases may be used to create a preliminary screen to assist clinicians in the early identification of patients in need of palliative care, and (2) that 1% to 3% of patients in primary care practices may benefit from palliative care services. Currently, there are no standards regarding the role of primary care providers in end-of-life care and it is hoped that this article will contribute to developing such standards.
机译:基层医疗服务提供者可以在死亡之前识别患者,这些患者可以从姑息治疗服务中受益,但对于如何正确识别这些上游姑息治疗患者知之甚少。本文报告了有关努力设计一种方法来识别此类患者并提供其在城市初级保健实践中患病率的初步估计的努力。此处提供的数据有2个结论:(1)可以使用电子数据库创建初步筛选,以帮助临床医生及早识别需要姑息治疗的患者;(2)在该患者中有1%至3%初级护理实践可能会从姑息治疗服务中受益。当前,没有关于初级保健提供者在临终护理中的作用的标准,希望本文将为制定此类标准做出贡献。

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