TY - JOUR
T1 - Training Mid-level Providers on Palliative Care
T2 - Bringing Advanced Directives and Symptom Assessment and Management to Community Oncology Practices
AU - Lesperance, Mary
AU - Shannon, Robert
AU - Pumphrey, Phyllis K.
AU - Dunbar, Erin
AU - Genther, Renee
AU - Coleman, C. Lynn
AU - Tabano, Margaret
AU - Maurer, Jennifer
AU - Vazquez, Adrienne
AU - Capp, Elizabeth
AU - McMillan, Jessica
AU - Wilkerson, Katie
AU - Robbins, Gerald
AU - Phillips, Dorothy Green
AU - Howick, Priscilla
AU - Solaun, Catherine
AU - Sloan, Jeff
AU - Colón-Otero, Gerardo
PY - 2014/5
Y1 - 2014/5
N2 - Palliative care services are not available in most outpatient oncology practices. A program training 11 mid-level providers from oncology practices on advanced directive discussions and supportive symptom assessment and management performed by palliative care specialists was completed. A follow-up session 9 months later identified barriers to implementation. Of the 11 mid-level providers, 8 participated in the follow-up session, and 9 of the 11 providers implemented advanced directive's discussions and symptom assessment and management for patients with metastatic cancer. Main barriers included uncertainties about reimbursement, patients' lack of knowledge about palliative care, and lack of access to supportive services. This program successfully promoted advanced directive discussions and supportive/palliative care symptom assessment and management to community oncology practices, which will hopefully translate into improved quality of life for patients with metastatic cancer.
AB - Palliative care services are not available in most outpatient oncology practices. A program training 11 mid-level providers from oncology practices on advanced directive discussions and supportive symptom assessment and management performed by palliative care specialists was completed. A follow-up session 9 months later identified barriers to implementation. Of the 11 mid-level providers, 8 participated in the follow-up session, and 9 of the 11 providers implemented advanced directive's discussions and symptom assessment and management for patients with metastatic cancer. Main barriers included uncertainties about reimbursement, patients' lack of knowledge about palliative care, and lack of access to supportive services. This program successfully promoted advanced directive discussions and supportive/palliative care symptom assessment and management to community oncology practices, which will hopefully translate into improved quality of life for patients with metastatic cancer.
KW - community oncology practices
KW - metastatic cancer
KW - mid-level providers
KW - outpatient oncology practices
KW - palliative care
KW - quality of life
KW - supportive services
UR - http://www.scopus.com/inward/record.url?scp=84900319572&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84900319572&partnerID=8YFLogxK
U2 - 10.1177/1049909113486335
DO - 10.1177/1049909113486335
M3 - Article
C2 - 23616274
AN - SCOPUS:84900319572
SN - 1049-9091
VL - 31
SP - 237
EP - 243
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 3
ER -