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Factors Associated with Physician Referral to Pediatric Palliative Care Prior to Death and a Survey of Care Providers' Perspectives on Pediatric Palliative Care.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Factors Associated with Physician Referral to Pediatric Palliative Care Prior to Death and a Survey of Care Providers' Perspectives on Pediatric Palliative Care./
Author:	Ho, Kiu.
Description:	1 online resource (354 pages)
Notes:	Source: Dissertation Abstracts International, Volume: 79-02(E), Section: A.
Contained By:	Dissertation Abstracts International79-02A(E).
Subject:	Social work. -
Online resource:	click for full text (PQDT)
ISBN:	9780355238303

Factors Associated with Physician Referral to Pediatric Palliative Care Prior to Death and a Survey of Care Providers' Perspectives on Pediatric Palliative Care.
Ho, Kiu.

Factors Associated with Physician Referral to Pediatric Palliative Care Prior to Death and a Survey of Care Providers' Perspectives on Pediatric Palliative Care. - 1 online resource (354 pages)

Source: Dissertation Abstracts International, Volume: 79-02(E), Section: A.

Thesis (Ph.D.)

Includes bibliographical references

This study identified factors related to pediatric palliative care (PPC) referral, located the barriers to early integration, and proposed strategies for enhancing early access. Administrative data was extracted from the palliative care team's administrative records and the electronic health records system at an urban Children's Hospital. Also, an anonymous and voluntary electronic survey about care providers' perspectives on PPC was administered to the staff. Statistical analyses showed that diagnostic category proved to be useful as a predictor for probability of PPC referral, and could be used as a primary criterion to trigger prospective referral. Diagnosis in conjunction with other variables that indicate medical complexity, acuity, or severity of illness will be more accurate in identifying children who would benefit from PPC. Logistical and perceptual barriers were articulated by staff in survey responses (n=171), and confirmed that despite having knowledge of PPC principles, staff members reported-referral-behaviors did not reflect these principles in practice. Negative connotations of PPC delay timely referrals, however staff members are receptive to additional education/training and tools that would help identify PPC-eligible children sooner and make referrals earlier in the illness trajectory. Health information technology such as clinical decision support systems within electronic health records can potentially aid in efficiently identifying and referring eligible patients to PPC early in their illness trajectory.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780355238303Subjects--Topical Terms:

1008643
Social work.
Index Terms--Genre/Form:

554714
Electronic books.

Factors Associated with Physician Referral to Pediatric Palliative Care Prior to Death and a Survey of Care Providers' Perspectives on Pediatric Palliative Care.
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504 $a Includes bibliographical references
520 $a This study identified factors related to pediatric palliative care (PPC) referral, located the barriers to early integration, and proposed strategies for enhancing early access. Administrative data was extracted from the palliative care team's administrative records and the electronic health records system at an urban Children's Hospital. Also, an anonymous and voluntary electronic survey about care providers' perspectives on PPC was administered to the staff. Statistical analyses showed that diagnostic category proved to be useful as a predictor for probability of PPC referral, and could be used as a primary criterion to trigger prospective referral. Diagnosis in conjunction with other variables that indicate medical complexity, acuity, or severity of illness will be more accurate in identifying children who would benefit from PPC. Logistical and perceptual barriers were articulated by staff in survey responses (n=171), and confirmed that despite having knowledge of PPC principles, staff members reported-referral-behaviors did not reflect these principles in practice. Negative connotations of PPC delay timely referrals, however staff members are receptive to additional education/training and tools that would help identify PPC-eligible children sooner and make referrals earlier in the illness trajectory. Health information technology such as clinical decision support systems within electronic health records can potentially aid in efficiently identifying and referring eligible patients to PPC early in their illness trajectory.
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