Improving Care Through the End of Life: Launching a Primary Care Clinic-Based Program

Autor: Mimi Pattison, Anna L. Romer
Rok vydání: 2001
Předmět:
Zdroj: Journal of Palliative Medicine. 4:249-254
ISSN: 1557-7740
1096-6218
DOI: 10.1089/109662101750290335
Popis: IN MAY 2000, Franciscan Health System West’s Improving Care through the End of Life received the American Hospital Association’s Circle of Life Award for innovative practice in end-of-life care. Improving Care is a primary care clinic-based program in Tacoma, Washington, in which primary care physicians identify patients with serious and progressive illnesses, talk to them about expectations for the future, and then link them to a nurse care coordinator. The nurse care coordinator works with these patients and their families to help them access community services, as well as aiming to ensure continuity of care by trouble-shooting various obstacles the patients and families may experience. In the following interview, with Innovations Associate Editor, Anna L. Romer, Dr. Pattison, medical director for Palliative Care Services and Improving Care Through the End of Life for Franciscan Health System West describes the key concepts underlying the program; the processes of identifying, contacting, and referring patients to it; and factors that impede or facilitate acceptance of this kind of “bridge” to supportive services for people with grave prognoses who are not yet eligible for hospice care. This interview is excerpted from a thematic issue, “Building Bridges for Better Continuity of Care,” Vol. 2, No. 5, 2000 of the online journal Innovations in End-of-Life Care at http:/www.edc.org/lastacts/. For further details about the genesis and implementation of the program as well as tools related to replicating such an effort, see the interview with Georganne Trandum, R.N., O.C.N., director of Improving Care through the End of Life, in the same online issue.
Databáze: OpenAIRE