Community-Partnered Collaboration to Build an Integrated Palliative Care Clinic: The View From Urology. (March 2016)

• Record Type: Journal Article
• Authors: Bergman, Jonathan; Ballon-Landa, Eric; Lorenz, Karl A.; Saucedo, Josemanuel; Saigal, Christopher S.; Bennett, Carol J.; Litwin, Mark S.
• Is Part Of: American journal of hospice & palliative care. Volume 33:Number 2(2016)
• Page Start: 164
• Page End: 170
• Publication Date: 2016-03
• Subjects: adult -- attitude of health personnel -- delivery of health care -- integrated -- interviews as topic -- palliative care -- patient care team -- patient preference -- physician's role -- physicians/psychology -- quality improvement -- quality of health care -- terminal care -- urology; Hospice care -- Periodicals; Palliative treatment -- Periodicals; 362.175
• DOI: 10.1177/1049909114555156
• Languages: English
• ISSNs: 1049-9091

Abstract

Background: We partnered with patients, families, and palliative care clinicians to develop an integrated urology–palliative care clinic for patients with metastatic cancer. We assessed clinician satisfaction with a multidisciplinary palliative care clinic model. Methods: We conducted semi-structured interviews with 18 clinicians who practice in our integrated clinic. We analyzed transcripts using a multistage, cutting-and-sorting technique in an inductive approach based on grounded theory analysis. Finally, we administered a validated physician job satisfaction survey. Results: Clinicians found that referring a patient to palliative care in the urology clinic was feasible and appropriate. Patients were receptive to supportive care, and clinicians perceived that quality of care improved following the intervention. Conclusion: An integrated, patient-centered model for individuals with advanced urologic malignancies is feasible and well received by practitioners.