Barriers to providing palliative care for older people in acute hospitals

被引：81

作者：

Gardiner, Clare ^{[1
]}

Cobb, Mark ^{[3
]}

Gott, Merryn ^{[2
]}

Ingleton, Christine ^{[1
]}

机构：

[1] Univ Sheffield, Sch Nursing & Midwifery, Sheffield, S Yorkshire, England

[2] Univ Auckland, Sch Nursing, Auckland 1, New Zealand

[3] Sheffield Teaching Hosp NHS Fdn Trust, Sheffield, S Yorkshire, England

来源：

AGE AND AGEING | 2011年 / 40卷 / 02期

关键词：

palliative care; hospitals; older people; elderly; LIFE; END;

D O I：

10.1093/ageing/afq172

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objective: to explore the perspectives of health professionals regarding barriers to optimal palliative care for older people in acute hospitals. Methods: fifty-eight health professionals participated in eight focus groups and four semi-structured interviews. Results: participants identified various barriers to palliative care provision for older people, including attitudinal differences to the care of older people, a focus on curative treatments within hospitals and a lack of resources. Participants also reported differing understandings of whose responsibility it was to provide palliative care for older people, and uncertainly over the roles of specialist and generalist palliative care providers in acute hospitals. Conclusions: numerous barriers exist to the provision of high-quality palliative care for older people within acute hospital settings. Additional research is now required to further explore age-related issues contributing to poor access to palliative care.

引用

页码：233 / 238

页数：6

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