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首页> 外文期刊>Scandinavian journal of primary health care. >Interdisciplinary cooperation of GPs in palliative care at home: a nationwide survey in The Netherlands.
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Interdisciplinary cooperation of GPs in palliative care at home: a nationwide survey in The Netherlands.

机译：全科医生在家庭姑息治疗方面的跨学科合作：荷兰的一项全国性调查。

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OBJECTIVE: To investigate the occurrence and predictors of interdisciplinary cooperation of GPs with other caregivers in palliative care at home. DESIGN: In a prospective study among 96 general practices, the GPs involved identified all dying patients during the study period of 12 months. The GPs received an additional post-mortem questionnaire for each patient who died during the study period, and registered the healthcare providers with whom they cooperated. Multivariable logistic regression analysis was used to identify the predictors of GP cooperation with other caregivers. SETTING: Second Dutch National Survey in General Practice. SUBJECTS: A total of 743 patients who received palliative care according to their GP. MAIN OUTCOME MEASURES: Interdisciplinary cooperation between GP and other healthcare providers. RESULTS: During the study period, 2194 patients died. GPs returned 1771 (73%) of the questionnaires. According to the GPs, 743 (46%) of their patients received palliative care. In 98% of these palliative care patients, the GP cooperated with at least one other caregiver, with a mean number of four. Cooperation with informal caregivers (83%) was most prevalent, followed by cooperation with other GPs (71%) and district nurses (63%). The best predictors of cooperation between GPs and other caregivers were the patient's age, the underlying disease, and the importance of psychosocial care. CONCLUSION: In palliative care patients, GP interdisciplinary cooperation with other caregivers is highly prevalent, especially with informal caregivers and other primary care collaborators. Cooperation is most prevalent in younger patients, patients with cancer as underlying disease, and if psychosocial care is important.
机译：目的：探讨全科医生与其他护理人员在家中姑息治疗中跨学科合作的发生情况和预测因素。设计：在一项针对96种常规实践的前瞻性研究中，涉及的全科医生确定了12个月研究期内所有垂死的患者。对于在研究期间死亡的每位患者，GP还会收到一份额外的验尸问卷，并注册了与他们合作的医疗服务提供者。多变量logistic回归分析用于确定GP与其他护理人员合作的预测因素。地点：第二次荷兰全国通用实践调查。受试者：共有743名患者根据其GP接受了姑息治疗。主要观察指标：全科医生与其他医疗服务提供者之间的跨学科合作。结果：在研究期间，有2194例患者死亡。全科医生返还了1771份问卷（73％）。根据家庭医生，他们中的743名（46％）患者接受了姑息治疗。在98％的姑息治疗患者中，GP与至少一名其他护理人员合作，平均有4名。与非正式照料者的合作（83％）最为普遍，其次是与其他全科医生（71％）和地区护士（63％）的合作。全科医生与其他护理人员之间合作的最佳预测指标是患者的年龄，潜在疾病以及社会心理护理的重要性。结论：在姑息治疗患者中，GP与其他护理人员的跨学科合作非常普遍，尤其是在非正式护理人员和其他初级护理合作者中。合作在年轻患者，以癌症为基础疾病的患者以及心理社会护理是否重要的​​患者中最为普遍。

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