US and Russian physician perspectives regarding end of life care
<p>Purpose: To compare US and Russian primary care physicians' attitudes, comfort and experiences providing palliative care.</p><p>Design: Cross sectional survey.</p><p>Settings: Iowa, USA and Leningrad Oblast, Russia</p><p>Participants: Family medicine...
Saved in:
Main Authors: | , , , , |
---|---|
Format: | Book |
Published: |
Archive of Gerontology and Geriatrics Research - Peertechz Publications,
2020-04-06.
|
Subjects: | |
Online Access: | Connect to this object online. |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
MARC
LEADER | 00000 am a22000003u 4500 | ||
---|---|---|---|
001 | peertech__10_17352_aggr_000014 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Gerald J Jogerst |e author |
700 | 1 | 0 | |a James G Jackson |e author |
700 | 1 | 0 | |a Yulia Matveeva |e author |
700 | 1 | 0 | |a Yinghui Xu |e author |
700 | 1 | 0 | |a Anna Turusheva |e author |
245 | 0 | 0 | |a US and Russian physician perspectives regarding end of life care |
260 | |b Archive of Gerontology and Geriatrics Research - Peertechz Publications, |c 2020-04-06. | ||
520 | |a <p>Purpose: To compare US and Russian primary care physicians' attitudes, comfort and experiences providing palliative care.</p><p>Design: Cross sectional survey.</p><p>Settings: Iowa, USA and Leningrad Oblast, Russia</p><p>Participants: Family medicine physicians at University of Iowa and Northwestern State Medical University, St Petersburg, Russia, community practicing family physicians.</p><p>Methods: Chi-squared testing for dichotomous variables and t-tests for mean scores.</p><p>Results: Sixty-six US and 81 Russian physicians completed the survey. More US physicians preferred the home setting for care (83% vs 56%) p<.001 and Russian physicians community hospice (47% vs 18%) p<.001 weeks to months before patient's death. Ninety-four percent of US physicians reported that patients should make end of life decisions, 57% of Russian sample reported that family physicians should make those decisions p<.001. Patient should be informed (US vs Russia) of terminal illness Always (74% vs 31%) p<.001 and If Asked (9% vs 64%) p<.001. US physicians reported higher comfort rates with managing symptoms except for pain management (88% vs 100%) p=0.001. Drug prescribing comfort favored US physicians. In the last 6 months Russian physicians made more home visits "Often or Always" 73% vs 6%, p<.001 and US physicians disclosed poor prognosis "Often or Always" 83% vs 56%, p<.001 and were more satisfied with provided care "Often or Always" 63% vs 36%, p=0.002.</p><p>Conclusions: US sample was more concerned with patient autonomy and had more comfort and satisfaction in providing end of life care.</p> | ||
540 | |a Copyright © Gerald J Jogerst et al. | ||
546 | |a en | ||
655 | 7 | |a Research Article |2 local | |
856 | 4 | 1 | |u https://doi.org/10.17352/aggr.000014 |z Connect to this object online. |